Symptom experience and self-management for multiple co-occurring symptoms in patients with gastric cancer: A qualitative study

Lin, Yufen; Docherty, Sharron L.; Porter, Laura S.; Bailey, Donald E.

doi:10.1016/j.ejon.2020.101860

Cited by 34Cancer survivorship and carePalliative and Oncologic CarePain Management and Opioid Use

Symptom experience and self-management for multiple co-occurring symptoms in patients with gastric cancer: A qualitative study

Lin, Yufen, Docherty, Sharron L., Porter, Laura S., Bailey, Donald E.·2020·European Journal of Oncology Nursing

DOI 10.1016/j.ejon.2020.101860

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Abstract

Purpose Patients with gastric cancer experience an increased symptom burden with multiple co-occurring symptoms. Knowledge of patients' symptom experiences and self-management for these symptoms is limited. The purpose of this study was to describe multiple co-occurring symptoms, symptom experiences, and symptom self-management strategies in patients with gastric cancer.Methods A qualitative descriptive approach was used for this study. Semi-structured interviews were conducted with ten American participants (median age 52.5 years, 50% female, 70% African American). Content analysis was used to explore their symptoms, experiences, and self-management strategies.Results Four themes were identified: perceptions of multiple co-occurring symptoms, complex and dynamic nature of symptom experiences, living with multiple co-occurring symptoms, and symptom self-management strategies (i.e., medications for symptoms, information seeking from the clinician team, lifestyle modification, psychosocial and spiritual support).Conclusions Our findings provide new insights into how patients with gastric cancer perceive and interpret their multiple co-occurring symptoms, contribute to our understanding of the role that inter-individual variability might play in symptom experiences, and highlight a range of self-management strategies for managing multiple co-occurring symptoms. Oncology nurses need to assess symptoms on an ongoing basis, educate patients about multiple co-occurring symptoms, and develop and test person-centered self-management interventions for these patients to enhance their symptom relief and quality of life.

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Common and Co-Occurring Symptoms Experienced by Patients With Gastric Cancer
Lin, Y., Docherty, S. L., Porter, L. S., & Bailey, D. E. (2020) · Oncology nursing forum · doi:10.1188/20.onf.187-202 · Cited by 43 · see citing works
Self-citation
Symptom Experience in Patients with Gynecological Cancers: The Development of Symptom Clusters through Patient Narratives
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Unmet needs in the physical and daily living domain mediates the influence of symptom experience on the quality of life of gastric cancer patients
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An Evaluation of the Symptom Experience of Patients with Gastrointestinal Cancers Receiving Chemotherapy
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Authors: Lin, Y., Docherty, S. L., Porter, L. S., & Bailey, D. E.
Affiliations: Duke University (US)
Corresponding author: Lin, Yufen
ORCID: Docherty, Sharron L.
Porter, Laura S.
Bailey, Donald E.
Venue: European Journal of Oncology Nursing
Publisher: Elsevier BV
Published: 2020-12
Volume: 49
Pages: 101860
ISSN: 1462-3889 (ISSN-L)
DOI: 10.1016/j.ejon.2020.101860
OpenAlex: W3094077142
Cited by: 34
References: 52
Citations by year: 2026: 7 · 2025: 7 · 2024: 5 · 2023: 8 · 2022: 4 · 2021: 3
FWCI: 1.35
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: European Journal of Oncology Nursing (publishedVersion)
PubMed (publishedVersion)
Funders: Oncology Nursing Foundation
Duke University
American Cancer Society
Topics: Health Sciences › Medicine › Oncology › Cancer survivorship and care
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
Keywords: gastric cancer, symptom burden, symptom self-management, patient experience, symptom management strategies, psychosocial support, spiritual support, lifestyle modification, person-centred care, quality of life
MeSH terms: Symptom Flare Up, Self-Management, Adult, Female, Humans, Longitudinal Studies, Male, Middle Aged, Palliative Care, Quality of Life, Recurrence, Stomach Neoplasms, Qualitative Research

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Symptom experience and self-management for multiple co-occurring symptoms in patients with gastric cancer: A qualitative study

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