Differences in quality of life and emotional well-being in breast, colon, and lung cancer patients during outpatient adjuvant chemotherapy: a longitudinal study

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dc.contributor.authorUlibarri Ochoa, Ainhoa
dc.contributor.authorRuiz de Alegría, Begoña
dc.contributor.authorLópez Vivanco, Guillermo
dc.contributor.authorGarcía Vivar, Cristina
dc.contributor.authorIraurgi, Ioseba
dc.contributor.departmentCiencias de la Saludes_ES
dc.contributor.departmentOsasun Zientziakeu
dc.date.accessioned2022-09-05T12:19:25Z
dc.date.available2023-03-11T00:00:11Z
dc.date.issued2022
dc.date.updated2022-09-05T12:13:41Z
dc.description.abstractAdjuvant chemotherapy used at each cancer site may affect quality of life (QoL) and emotional well-being (affect) of cancer patients differently; however, these differences between groups have not been studied. Objectives. The aim of this study was to assess differences in QoL and affect by cancer site at the start of outpatient adjuvant chemotherapy, whether QoL and affect change during this treatment, and whether adverse effects influence these variables. Methods. A multicenter longitudinal descriptive study was conducted with 247 participants with breast, colon, or lung cancer at the beginning (T1) and end of treatment (T2). We used the SF-12 Health Survey, Positive and Negative Affect Scale, and an ¿ad hoc¿ adverse effects questionnaire. Results. At the start of chemotherapy, the lung group had poorer Physical Component Summary and poorer positive and negative affect (P < .05) scores. In the end-of-treatment comparisons, breast and colon cancer patients¿ status had worsened, whereas lung cancer patients had tended to stabilize, although they remained the most vulnerable. Adverse effect severity was significant for Physical Component Summary (r = -0.13, P = .035), with decreases in positive affect (r = -0.17, β= -.16) and increases in negative affect (r = 0.15, β= .14). Conclusions. Changes in QoL and emotional state differ between groups, implying a need for varying levels of follow-up and emotional support. Patients with lung cancer seem particularly vulnerable. Implications for Practice Cancer nurses could strengthen the assessment of patients undergoing chemotherapy using more sensitive instruments such as the Positive and Negative Affect Scale and considering differences by cancer site, to provide care tailored to individual patient needs and preferences.en
dc.description.sponsorshipThe study was funded by the Health Department of the Basque Government (award no. 2012111032).en
dc.embargo.lift2023-03-11
dc.embargo.terms2023-03-11
dc.format.mimetypeapplication/pdfen
dc.identifier.citationUlibarri-Ochoa A; Ruiz-de-Alegría B; López-Vivanco G; García-Vivar C; Iraurgi I.. (2022). Differences in Quality of Life and Emotional Well-being in Breast, Colon, and Lung Cancer Patients During Outpatient Adjuvant Chemotherapy: A Longitudinal Study. Cancer Nursing. 1-10 .en
dc.identifier.doi10.1097/NCC.0000000000001070
dc.identifier.issn0162-220X
dc.identifier.urihttps://academica-e.unavarra.es/handle/2454/43957
dc.language.isoengen
dc.publisherWolters Kluweren
dc.relation.ispartofCancer Nursing, 2022en
dc.relation.publisherversionhttps://doi.org/10.1097/NCC.0000000000001070
dc.rights© 2022 Wolters Kluwer Health, Inc. All rights reserved.en
dc.rights.accessRightsinfo:eu-repo/semantics/openAccess
dc.subjectAffecten
dc.subjectBreast canceren
dc.subjectCancer nursingen
dc.subjectChemotherapyen
dc.subjectAdjuvanten
dc.subjectColon canceren
dc.subjectLongitudinal studyen
dc.subjectLung canceren
dc.subjectQuality of lifeen
dc.subjectWell-beingen
dc.titleDifferences in quality of life and emotional well-being in breast, colon, and lung cancer patients during outpatient adjuvant chemotherapy: a longitudinal studyen
dc.typeinfo:eu-repo/semantics/article
dc.type.versioninfo:eu-repo/semantics/acceptedVersion
dspace.entity.typePublication
relation.isAuthorOfPublication13ab6875-5e88-486f-8fab-b5947b5b5b9b
relation.isAuthorOfPublication.latestForDiscovery13ab6875-5e88-486f-8fab-b5947b5b5b9b

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