Multifactorial Model of Dyspnea in Patients With Cancer.

PROBLEM IDENTIFICATION: Dyspnea is a common and distressing symptom for patients with cancer. Although the risk factors for dyspnea in patients with cancer are likely to be multifactorial, a comprehensive description of these risk factors and associated mechanisms is not available in the extant lite...

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Publicado en:Oncology Nursing Forum Vol. 50; no. 3; pp. 397 - 416
Autores principales: Shin, Joosun, Kober, Kord M., Yates, Patsy, Wong, Melissa L., Miaskowski, Christine
Formato: research systematic review tables/charts Journal Article
Publicado: Oncology Nursing Society May2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: May2023
      vid: 50
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      pub: Oncology Nursing Society
      place: Pittsburgh, Pennsylvania
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          Shin, Joosun
          Kober, Kord M.
          Yates, Patsy
          Wong, Melissa L.
          Miaskowski, Christine
        affil: PhD candidate, School of Nursing at the University of California, San Francisco.
      sug:
        subj:
          Neoplasms Complications
          Dyspnea Risk Factors
          Cancer Patients
          Conceptual Framework
          Dyspnea Prevention and Control
          Risk Assessment
          Terminally Ill Patients
          Human
          Systematic Review
          Low Socioeconomic Status
          Age Factors
          Sex Factors
          Smoking
          Lung Diseases
          Heart Diseases
          Pleural Effusion, Malignant
          Hepatomegaly
          Ascites
          Thoracic Surgery
          Radiotherapy
          Anemia
          Cancer Fatigue
          Malnutrition
          Cachexia
          Stress
          Hardiness
          Coping
          Cochrane Library
          PubMed
          Embase
          CINAHL Database
      ab: PROBLEM IDENTIFICATION: Dyspnea is a common and distressing symptom for patients with cancer. Although the risk factors for dyspnea in patients with cancer are likely to be multifactorial, a comprehensive description of these risk factors and associated mechanisms is not available in the extant literature. LITERATURE SEARCH: A search of all relevant databases, including Cochrane Library, PubMed®, Embase®, Web of Science, and CINAHL®, was done from January 2009 to May 2022. Case-control and cohort studies that had either a cross-sectional or longitudinal design, as well as randomized controlled trials, were included in the review. Peer-reviewed, full-text articles in English were included. Nineteen studies reported on risk factors for dyspnea. DATA EVALUATION: The methodologic quality of each study was examined using the Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies. SYNTHESIS: A number of factors can influence the occurrence and severity of dyspnea. Using the Mismatch Theory of Dyspnea as the central core of this Multifactorial Model of Dyspnea in Patients With Cancer, the factors included in this conceptual model are person, clinical, and cancer-related factors, as well as respiratory muscle weakness, co-occurring symptoms, and stress. IMPLICATIONS FOR PRACTICE: The Multifactorial Model of Dyspnea in Patients With Cancer can be used by clinicians to evaluate for multiple factors that contribute to dyspnea and to develop individualized and multilevel interventions for patients experiencing this symptom.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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