Biomedical subjects

S Dibble

Publications and source records attributed to S Dibble.

8 recordsLinked to original sources

PubMed2001

A comparison of the affective state and quality of life of chemotherapy patients who do and do not develop chemotherapy-induced oral mucositis.

The purpose of this longitudinal study was to compare the quality of life and affective state of patients receiving chemotherapy who developed oral mucositis to patients who did not. Outpatients had their mouths assessed at the beginning of their chemotherapy, completed the Multidimensional Quality of Life scale, Cancer version (MQOLS-CA) and the Profile of Mood States (POMS). Patients again completed the MQOLS-CA and POMS if they developed mucositis during their three cycles (monthly), or if they did not and were exiting the study. Seventy-seven outpatients completed the study; 28 patients developed mucositis and 49 did not. The MQOLS-CA total scores for the entire sample decreased significantly over time (F(1,75) = 25.44, P < 0.001), but there was no group by time interaction, i.e., the change in MQOLS-CA total scores did not depend on mucositis status. While the POMS Total Mood Disturbance scores for the entire sample increased significantly over time (F(1,75) = 19.55, P < 0.001), there was a significant group by time interaction (F(1,75)= 4.85, P = 0.03). Patients who developed mucositis had a significant increase in mood disturbance compared to patients who did not. Further, the POMS subscales of depression and anger showed the same pattern of significant increases. In conclusion, the development of mucositis adversely affected the outpatients' affective states, but not their QOL.

Adult↗

PubMed1997

Differences in mood states, health status, and caregiver strain between family caregivers of oncology outpatients with and without cancer-related pain.

The purpose of this study were to determine if there are differences in the mood states, health status, and caregiver strain between family caregivers of oncology outpatients with and without cancer-related pain. A convenience sample of 86 family caregivers of patients with cancer-related pain and 42 caregivers of pain-free patients participated in this study. Family caregivers of patients with cancer-related pain scored significantly higher on the tension and depression subscales of the Profile of Mood States and had a significantly higher total mood disturbance score than did caregivers of pain-free patients. Although family caregivers of patients with pain had lower health status scores and higher caregiver strain scores than caregivers of pain-free patients, these differences were not statistically significant. The results of this study suggest that the presence of pain in a cancer patient adversely affect the mood states of family caregivers, particularly their level of depression and anxiety, and that health care professionals need to assess the psychological needs of family members caring for cancer patients experiencing pain.

Adult↗

PubMed1993

Family problems during cancer chemotherapy.

Although reports suggest that a cancer diagnosis affects all members of a family, limited descriptions are available of the types of problems families experience when a family member has cancer. Adult patients with cancer (n = 100) and their family members (n = 126) were interviewed in their homes at 1 1/2 weeks, 7 1/2 weeks, and 6 months following the initiation of chemotherapy. The Problem Centered Family Coping Interview, a semistructured tool with established content validity, was used to identify family problems that occurred in the previous month. Content analysis was performed on interviews using empirically based categories. Families reported from one to eight problems occurring in the previous month (mean = 3.4). Cancer-related health concerns accounted for 48%-52% of the problems identified at all three interviews. This study's findings enhance knowledge about the family's cancer experience.

Adaptation, Psychological↗

PubMed1990

Intravenous therapy management: who will develop insertion site symptoms?

In this multisite study, symptoms at the intravenous (IV) insertion site and the relationship of patient and clinical data to these symptoms are described. It was found that approximately 40% of the subjects experienced at least one site symptom. The most common was pain. Presence of symptoms was associated with IV site duration, potassium chloride concentration, number of antibiotics, and solution osmolarity. Infusions started by anesthesiologists and sites with no dressings were least likely to be symptomatic.

Adolescent↗

PubMedDate not supplied

Changes in taste associated with intravenous administration of pentamidine (revised)

In this pilot study the authors set out to: (a) describe the incidence of taste changes associated with intravenous (i.v.) pentamidine treatment; and (b) determine the factors that are related to making the taste changes better and worse. A convenience sample (N = 18) of adult male outpatients with AIDS participated in this study. One hundred percent of the participants experienced an unpleasant taste after the administration of pentamidine. The largest percentage of patients had a metallic taste (89%, n = 16); while 67% (n = 12) experienced a bitter taste. These data suggest that healthcare providers need to assess for the unpleasant taste associated with i.v. pentamidine and develop appropriate management strategies.

AIDS-Related Opportunistic Infections↗

PubMedDate not supplied

Changes in taste associated with intravenous administration of pentamidine.

AIDS-Related Opportunistic Infections↗

PubMedDate not supplied

Data collection as an educational process.

Data collection, an experiential method for learning about the research process, may affect the attitudes and future research involvement of nurse data collectors. This study describes the effects of the data collection experience on nurses' perceptions of nursing research and the research environment and on their plans for research involvement. Implications of using the data collection experience as an educational process about research are included.

Adult↗

PubMedDate not supplied

Differences in pain knowledge in cancer patients with and without pain.

PURPOSE: The authors determined: 1) whether there were differences in knowledge about pain between oncology outpatients with and without cancer-related pain and 2) whether there were relationships between selected patient characteristics (age, gender, education, Karnofsky performance status, pain intensity, and pain duration) and the knowledge about pain of oncology outpatients with cancer-related pain. DESCRIPTION OF STUDY: Three hundred sixty-nine oncology outpatients completed several self-report questionnaires including a demographic questionnaire, a pain experience scale that measured knowledge about pain and pain management, the Karnofsky performance scale, and descriptive numeric rating scales that measured pain intensity and pain duration. RESULTS: Patients with cancer-related pain knew significantly more about pain and its management than pain-free patients (P < 0.004). However, in both groups, mean knowledge scores were below 60%. Older patients with cancer-related pain had less knowledge about pain than younger patients (P < 0.0001). In addition, patients with cancer pain who had more education and those with higher reported pain intensity scores had more knowledge about pain and pain management. Finally, women with cancer pain had more knowledge than men about pain and pain management. CLINICAL IMPLICATIONS: Results of this study suggest that oncology patients with and without pain need more education about pain and effective pain management strategies.

Adult↗