Women's Experiences After Ovarian Cancer Surgery: Distress, Uncertainty, and the Need for Occupational Therapy.

医学 苦恼 卵巢癌 癌症 乳腺癌
作者
Mackenzi Pergolotti,Antoine Bailliard,Lauren McCarthy,Erica Farley,Kelley R. Covington,Kemi M. Doll
出处
期刊:American Journal of Occupational Therapy [American Occupational Therapy Association]
卷期号:74 (3): 15- 被引量:1
标识
DOI:10.5014/ajot.2020.036897
摘要

Importance: Despite the growing literature on the association of functional, physical, and quality-of-life (QOL) deficits with poor postoperative outcomes, there is a gap in the literature identifying women’s occupational performance needs after ovarian cancer surgery. Objective: To describe the experiences of women hospitalized after ovarian cancer surgery to identify potential areas for intervention. Goals were to (1) identify functional needs and limitations at time of discharge as measured by the typical acute care occupational therapy evaluation and semistructured interview and (2) understand the women’s perspectives of their needs for occupational therapy and a safe return to home. Design: Single-arm, cross-sectional descriptive study. Mixed-methods data collection and analysis. Setting: Academic cancer center. Participants: Women with ovarian cancer (N = 11) who had completed surgery. Intervention: Semistructured interviews and patient-reported outcome measures (PROMs) completed postsurgery. Outcomes and Measures: PROMs included the National Comprehensive Cancer Network (NCCN) Distress Thermometer and Problem List, the PROMIS® Global Physical Health (GPH) and Global Mental Health (GMH) scales, and the Possibilities for Activity Scale–Women (PActS–W). Results: The mean NCCN Distress score was 6.0 (standard deviation [SD] = 3.1, with the top three concerns being pain (80%), worry (80%), and fatigue (78%). Mean GPH and GMH T scores were 38.0 (SD = 8.8) and 48.2 (SD = 8.4), respectively. Women scored a mean of 39.2 (SD = 11.2, range = 26–58) on the PActS–W. Thematic analyses found that the women were uncertain about potential functional limitations and significantly distressed. Conclusion and Relevance: Women with ovarian cancer experienced high levels of uncertainty and distress after surgery. Integrating in-home or community-based occupational therapy into routine care could decrease functional distress and uncertainty and help women manage concerns related to pain, worry, and fatigue. What This Article Adds: This study suggests that occupational therapy evaluation and intervention are needed to decrease distress and improve QOL of women upon discharge after ovarian cancer surgery.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
任性的白玉完成签到 ,获得积分10
刚刚
youwenjing11发布了新的文献求助10
1秒前
山谷完成签到 ,获得积分10
1秒前
钱宇成发布了新的文献求助10
2秒前
科研通AI2S应助感动黄豆采纳,获得10
6秒前
10秒前
11秒前
14秒前
Fengliguantou发布了新的文献求助10
14秒前
猪猪hero发布了新的文献求助10
16秒前
Winner发布了新的文献求助10
18秒前
隐形曼青应助科研通管家采纳,获得10
18秒前
领导范儿应助科研通管家采纳,获得10
18秒前
Lucas应助科研通管家采纳,获得30
19秒前
19秒前
圆锥香蕉应助科研通管家采纳,获得20
19秒前
科研通AI2S应助科研通管家采纳,获得10
19秒前
科研通AI2S应助科研通管家采纳,获得10
19秒前
科目三应助科研通管家采纳,获得10
19秒前
充电宝应助科研通管家采纳,获得10
19秒前
脑洞疼应助科研通管家采纳,获得10
19秒前
科研通AI5应助科研通管家采纳,获得10
19秒前
852应助科研通管家采纳,获得10
19秒前
科研通AI2S应助科研通管家采纳,获得10
19秒前
科研通AI2S应助科研通管家采纳,获得10
19秒前
情怀应助科研通管家采纳,获得10
20秒前
20秒前
感动黄豆发布了新的文献求助10
20秒前
23秒前
搞怪冷风完成签到,获得积分10
24秒前
lucky完成签到,获得积分10
24秒前
量子星尘发布了新的文献求助10
25秒前
27秒前
科目三应助战斗暴龙兽采纳,获得10
31秒前
31秒前
31秒前
32秒前
32秒前
35秒前
故意的靳发布了新的文献求助50
36秒前
高分求助中
A new approach to the extrapolation of accelerated life test data 1000
ACSM’s Guidelines for Exercise Testing and Prescription, 12th edition 500
‘Unruly’ Children: Historical Fieldnotes and Learning Morality in a Taiwan Village (New Departures in Anthropology) 400
Indomethacinのヒトにおける経皮吸収 400
Phylogenetic study of the order Polydesmida (Myriapoda: Diplopoda) 370
基于可调谐半导体激光吸收光谱技术泄漏气体检测系统的研究 350
Robot-supported joining of reinforcement textiles with one-sided sewing heads 320
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 3989115
求助须知:如何正确求助?哪些是违规求助? 3531367
关于积分的说明 11253688
捐赠科研通 3269986
什么是DOI,文献DOI怎么找? 1804868
邀请新用户注册赠送积分活动 882078
科研通“疑难数据库(出版商)”最低求助积分说明 809105