ANXIETY IN BREAST CANCER PATIENTS, UNDERGOING SURGERY AS A PRIMARY TREATMENT MODALITY. Karnataka, India.
|
|
- Elaine Vivian Moore
- 5 years ago
- Views:
Transcription
1 ANXIETY IN BREAST CANCER PATIENTS, UNDERGOING SURGERY AS A PRIMARY TREATMENT MODALITY Mrs. Shejila.C.H 1, Dr.Mamatha Shivananda Pai 2, Dr.Donald J Fernandes 3, Dr. Anice George 4, Dr. Baby S Nayak 5, Dr. Elsa Sanatombi Devi 6, Dr. Jyothi R.K 7, Dr. Stanley Mathew 8 1 PhD Scholar, 2 Professor, 4 Dean, 5, 6 Professor, 7 Associate Professor, Manipal College of Nursing Manipal, Manipal University,Karnataka,India.. 3 Professor& HOD, Department of Radiotherapy & Oncology, KMC, Manipal University,. Karnataka, India. 8 Professor, Department of Surgery, KMC, Manipal University, Karnataka, India. Corresponding author: Dr.Mamatha Shivananda Pai,Professor,Department of Child Health Nursing,Manipal College of Nursing Manipal,Maniapl University,Madhav Nagar,Manipal- 5761,Karnataka,India, ABSTRACT Breast cancer is the most common cancer and main cause of cancer death in females worldwide. Anxiety and psychological distress are most common sequelae seen in patients with cancer. Prolonged anxiety can influence a person s response to treatment, decision making and overall quality of life. The main objective of the study was to assess the level of anxiety experienced by breast cancer patients awaiting surgery. A descriptive, cross-sectional study among 30 breast cancer patients undergoing surgery by purposive sampling was used to assess the level of anxiety prior to surgery. The study was conducted in general surgery and oncology wards of a tertiary care hospital in Karnataka. Data for this study was collected through State Trait Anxiety Inventory (STAI). The findings of this study show that 80% of women were in the age group of 41-60years,80% were in stage II of cancer and 67% were planned to have modified radical mastectomy(mrm).majority of the samples (80%) exhibited moderate level of anxiety, whereas 7% had severe anxiety. Study found that none of the demographic and clinical variables were associated with anxiety level. The findings of the study indicate the magnitude of the problem and need for appropriate interventions to alleviate anxiety among these patients Key words: Anxiety, Breast Cancer Patients, Surgery, Quality Of Life Page 17
2 Introduction Breast cancer is the most common cancer and main cause of cancer death in females worldwide (Jemal et al, 21). Women s anxiety increases after diagnosis of breast cancer, as breast is considered as a symbol of womanhood & women s sexuality. Having breast cancer & undergoing surgery is a traumatic experience due to its impacts on their self-image and sexual relationship (Yankaskas B.C, 25). The most prevalent psychological conditions seen in breast cancer patients are anxiety and depression. One study found that prevalence of depression was 19.1% where as anxiety prevalence was 24.1% (Saria. A.R & Zainal.N.Z, 20).Most of the patients experience anxiety prior to treatment whereas depression emerges during post treatment phase. Despite of improvements in health care, patients continue to experience anxiety due to fragmented care, difficulty in understanding information and misinterpretation of treatment plans. In addition to that nursing barriers in assessing anxiety include lack of time, lack of knowledge of screening tools, reluctance in exploring patients upsetting issues. Prolonged anxiety has immunosuppressive effects, compromise patient and impairs their recovery. With this background the present study is carried out to assess the level of anxiety experienced by breast cancer patients prior to surgery. Objectives The objectives of the study were to 1. Assess the level of anxiety in breast cancer patients undergoing surgery. 2. Find out the association between level of anxiety and selected demographic and clinical variables. Materials and methods A descriptive cross sectional design was used for the present study. The study was conducted in surgical oncology and general surgery wards of Kasturba Hospital, Manipal. A total of 30 women diagnosed with breast cancer undergoing surgery were recruited by purposive sampling technique. The inclusion criteria used to select subjects were women who are operable cases of breast cancer, who are undergoing Modified Radical Mastectomy or Breast conserving surgeries, women in the age group of years, who are undergoing breast cancer surgery for the first time. Women with stage IV cancer and metastasis to brain or bone, women with concurrent malignancies, who have received neoadjuvant chemotherapy, women with severe cognitive impairment or psychiatric illnesses were excluded from the study. Study was undertaken after the approval by the Institutional Ethical Committee and obtaining consent from the study participants. Data collection procedure Data was collected using Tool 1:Sociodemographic Proforma and Clinical Proforma, Tool 2:Speilberger state trait anxiety inventory (STAI).Tool 1 consisted of Sociodemographic proforma which include variables like age,religion,marital status, education, occupation, income, friends and family support and clinical proforma consisted of variables like stage of cancer, duration of diagnosis, type of surgery and nodal status. Tool 2 Speilberger state trait anxiety inventory (STAI) is a standardized questionnaire, which presents 20 statements describing anxiety. Patients were asked to record one of the four descriptors which best indicated their degree of emotion. (Scores 1-4). The minimum score was 20 and maximum score was 80. The scores Page 18
3 were arbitrarily classified as mild anxiety (21-40), moderate level of anxiety (41-60) and severe level of anxiety (61-80). Tool has an already established validity and reliability. Internal consistency coefficients for the scale have ranged from0.86 to0.95; test-retest reliability coefficients have ranged from0.65 to0.75.the data collected were analyzed using the descriptive and inferential statistics with the help of SPSS 16.0 version. Results The findings of the present study are organized under the following headings: Section 1: Description of sample characteristics Frequency and percentage distribution of sample characteristics is given in the following tables. Table 1: Distribution of samples according to demographic characteristics n=30 Demographic characteristics Frequency (f) Percentage (%) 1. Age (in years) Religion Hindu Muslim 13 Christian Marital status Married 30 1 Unmarried 4. Education Primary& secondary Higher secondary Graduate and above 5. Occupation Employed House wife Income < > Friends/family support Yes 30 1 No It is evident from the table that most of the subjects belong to the age group of (80%).Majority of the samples belongs to Hindu religion (77%).All the samples were married.97% of the samples had primary,secondary or higher secondary education whereas only 3% were graduated. Majority of the samples (80%) were housewives. Most of the samples (40%) belong to the income group of Rs It is important to note that 7% of the samples were earning less than Rs.50/month. All the samples were getting family and friends support during illness. Page 19
4 Table 2: Distribution of samples according to clinical variables n=30 Clinical variables Frequency (f) Percentage (%) 1. Stage of cancer Stage I 13 Stage II Stage III Duration of diagnosis 1-2 weeks weeks Type of surgery Breast conservation surgery Modified Radical Mastectomy Nodal status Positive Negative Data presented in table 2 shows that 80% of the samples were in stage II of breast cancer. 70% of the subjects were having duration of diagnosis between 3-4 weeks. Majority of samples (67%) were planned to have modified radical mastectomy rather than breast conservation surgery.67% of the samples were positive for nodal involvement. Section 2: Distribution of sample based on anxiety scores Anxiety scores were categorized as mild level of anxiety (21-40),moderate level of anxiety (41-60) and severe level of anxiety (61-80). Percentage Mild Moderate Severe Level of Anxiety Figure1: Percentage distribution of samples based on anxiety scores Page 20
5 Data depicted in figure1 shows that majority (80%) of the subjects had moderate level of anxiety and 07% had severe anxiety. Section 3: Association between anxiety scores and selected demographic and clinical variables Analysis of association between anxiety scores and selected demographic and clinical variables were performed in order to identify whether anxiety scores are associated with any of the selected demographic variables like age, educational status, occupation and income and clinical variables like stage of cancer, duration of diagnosis and type of surgery.it was found that none of the demographic or clinical variables are associated with anxiety scores. (Table.3) Table 3: Association between quality of life and demographic and clinical variables n=30 Variables Anxiety categories Chi p value Significance square Mild Moderate Severe value Age NS* Educational status Primary & secondary Higher secondary Graduate and above Income Occupational status Employed House wife Stage of cancer Stage I Stage II Stage III Type of surgery Breast conservation MRM Duration diagnosis 1-2 weeks 3-4 weeks of NS* NS* NS* NS* NS* NS* NS*-Not Significant p< Page 21
6 Discussion The present study findings shows that 80% of patients were in age group years and 77% of them have educational status above higher secondary level, which shows consistent findings with a descriptive study conducted by Lueboonthavatchai P (27) to identify prevalence and psychosocial factors of anxiety and depression among 3 breast cancer patients. The study revealed that 64.3% were in the age group of years, 80% of the women had educational status above secondary school level. In current study 80% of samples were in stage II of cancer whereas a study conducted among 176 cancer patients by Schwarz R et al, (21) to detect the psychological distress in woman scheduled for surgery, showed that 63% of samples were in stage 1 of cancer. The results of the present study revealed that 80% of samples exhibited moderate level of anxiety, 13% had mild level of anxiety and 7% exhibited severe level of anxiety. This is supported by a study conducted by Miller K et al, (25) that 25% of samples exhibited mild anxiety, 7% exhibited severe anxiety and 68% showed moderate level of anxiety. The present study proved that any of the demographic or clinical variables were not associated with level of anxiety. But Studies conducted by Stark et al,(22) and Fallowfield L.J, (24) revealed that type of surgery and onset of cancer, younger age and lower socioeconomic status, has got association with levels of anxiety. Recommendations for future research However because of small sample size, more studies examining relationship between age, stage of cancer, type of surgery and other related clinical and demographic variables are needed. More researches are needed to explore specific nursing roles and nurse led programmes to alleviate anxiety and distress among breast cancer patients. Increased attention is required in the area of psychosocial intervention research and use of complimentary therapies for individuals and groups. Further studies exploring the informative and supportive needs of patients can be conducted to relieve their anxiety and distress. Conclusion Recent research has reiterated the prevalence of anxiety in breast cancer patients before surgery. Nurses should use screening and assessment protocols to identify patients with anxiety prior to surgery. By providing anxiety screening at numerous points along breast cancer trajectory nurses can plan specific psychologic and psychosocial interventions. Recognizing anxiety and intervening it on time is pivotal to improve treatment outcomes of women with breast cancer. References 1. Aass, N., Fossa, S.D., Dahl, A. A., Moe, T.J.(27) Prevalence of anxiety and depression in cancer patients. European Journal Of Cancer, 33,pp Baqutayan S.M.S.(22) Managing anxiety among Breast cancer patients. Advances in Psychology Study,1(1),pp Page 22
7 3. Carlson, L. E., Speca, M., Patel, K. D., & Goodey, E. (23). Mindfulness-based stress reduction in relation to quality of life, mood, symptoms of stress, and immune parameters in breast and prostate cancer outpatients. Psychosom Med, 65(4),pp Corporate Research Associates.(24) cancer patient navigation evaluation.retrieved fromhttp:// 5. Fallowfield,L.J., Hall, A., Maguire, P., Baum, M., A Hern,R.P. (24) Psychological effects of being offered choice of surgery for breast cancer. BMJ,309.pp Jemal, A., Bray, F., Center M.M., Ferlay, J., Ward, E., Forman,D. (21).Global cancer statistics. CA: a cancer journal for clinicians, 61(2), pp Lueboonthavatchai, P. (27).Prevalence and psychosocial Factors of anxiety and Depression in Breast Cancer Patients, Journal of Medical Association Thailand,90(10),pp Madden, J. (26). The problem of distress in patients with cancer: More effective assessment. Clinical Journal of Oncology Nursing, 10(5), pp Millar, K., Jelicic,M., Bonke, B., Asbury,J.(25).Assessment of preoperative anxiety:comparison of measures in patients awaiting surgery for breast cancer.british Journal of Anaesthesia,74,pp Sariah A.R, Zainal N.Z. (20). Anxiety, depression and coping strategies in breast cancer patients on chemotherapy. Malays J Psychiatr.;19(2).pp Stark D.P, House A. (20). Anxiety in cancer patients. Br J Cancer 83:pp Yankaskas B,C.(25) Epidemiology of breast cancer in young women. Breast Disease, 23,pp Zabora, J. R., Blanchard, C. G., Smith, E. D., Roberts, C.S., Glajchen, M., Sharp, J. W., et al. (1997). The prevalence of psychosocial distress among cancer patients across the disease continuum. Journal of Psychosocial Oncology, 15, pp Page 23
A STUDY TO ASSESS THE LEVEL OF STRESS AMONG WOMEN WITH PRIMARYINFERTILITY ATTENDING INFERTILITY CLINIC AT SRM GENERAL HOSPITAL
ISSN: 2321-3272 (Print), ISSN: 2230-7605 (Online) IJPBS Volume 6 Issue 1 JAN-MAR 2016 94-99 Research Article Biological Sciences A STUDY TO ASSESS THE LEVEL OF STRESS AMONG WOMEN WITH PRIMARYINFERTILITY
More informationCharis Theou I,Asha K Nayak & Tessy Treesa Jose 1 2 3
Original Article NUJHS Vol. 5, No.1, March 015, ISSN 49-7110 A STUDY TO DETERMINE THE EFFECTIVENESS OF AN AWARENESS PROGRAMME ON KNOWLEDGE ON SUBSTANCE ABUSE AND ITS CONSEQUENCES AMONG THE STUDENTS OF
More informationQuality of life of people with non communicable diseases
Original Article NUJHS Vol. 5, No.3, September 015, ISSN 49-7110 Quality of life of people with non communicable diseases 1 3 Anju Rose, Shashidhara Y.N. & Manjula 1 3 MSc Nursing Student, Associate Professor
More informationProfile of breast cancer patients attending a tertiary care centre: a cross-sectional study
International Journal of Community Medicine and Public Health Amgiasvasanth AM et al. Int J Community Med Public Health. 2016 Mar;3(3):663-667 http://www.ijcmph.com pissn 2394-6032 eissn 2394-6040 Research
More informationAssessment of depression severity among cancer patients in Nanakaly Hospital, Erbil City
Assessment of depression severity among cancer patients in Nanakaly Hospital, Erbil City Received: 27/4/2016 Accepted: 8/12/2016 Mosleh Saber Kareem* Yusif Bakr Omer** Bakhtyar Othman Omer** Introduction
More informationJOURNAL OF INTERNATIONAL ACADEMIC RESEARCH FOR MULTIDISCIPLINARY Impact Factor 3.114, ISSN: , Volume 5, Issue 3, April 2017
PREVALENCE OF POSTPARTUM DEPRESSION AMONG WOMEN-A CROSS SECTIONAL STUDY MRS.RAJESWARI.H* *Professor & HOD, Dept. of Mental Health Nursing, Narayana College of Nursing, Chinthareddypalem, Nellore, Andhrapradesh,
More informationEFFECTIVENESS OF PREOPERATIVE PLANNED TEACHING PROGRAMME ON PREVENTION OF POST OPERATIVE PULMONARY COMPLICATIONS AMONG
Asia Pacific Journal of Research Vol: I Issue XX, December ISSN: -, E-ISSN--9 EFFECTIVENESS OF PREOPERATIVE PLANNED TEACHING PROGRAMME ON PREVENTION OF POST OPERATIVE PULMONARY COMPLICATIONS AMONG PATIENTS
More informationCHAPTER VI SUMMARY AND CONCLUSIONS
CHAPTER VI SUMMARY AND CONCLUSIONS Infertility is not an absolute condition. The ability to conceive varies with each cycle, environmental circumstances and treatment options. Women may find themselves
More informationEFFECTIVENESS OF INTRA OPERATIVE HAND HOLDING ON ANXIETY AND PHYSIOLOGICAL PARAMETERS AMONG PATIENTS UNDERGOING CATARACT SURGERY
Original Article NUJHS Vol. 4, No.2, June 2014, ISSN 2249-7110 EFFECTIVENESS OF INTRA OPERATIVE HAND HOLDING ON ANXIETY AND PHYSIOLOGICAL PARAMETERS AMONG PATIENTS UNDERGOING CATARACT SURGERY 1 2 3 4 5
More informationInternational Journal of Health Sciences and Research ISSN:
International Journal of Health Sciences and Research www.ijhsr.org ISSN: 2249-9571 Original Research Article Effectiveness of Structured Teaching Programme on Knowledge and Attitude Regarding Early Detection
More informationPsychiatric morbidity in patients with Chronic Obstructive Pulmonary Disease
International Journal of Sciences & Applied Research www.ijsar.in Psychiatric morbidity in patients with Chronic Obstructive Pulmonary Disease RuthSneha Chandrakumar*, V.V. Mohan Chandran, Rohan D. Mendonsa
More informationKNOWLEDGE AND BELIEFS ON FEMALE BREAST CANCER AMONG MALE STUDENTS IN A PRIVATE UNIVERSITY, MALAYSIA
ORIGINAL ARTICLE KNOWLEDGE AND BELIEFS ON FEMALE BREAST CANCER AMONG MALE STUDENTS IN A PRIVATE UNIVERSITY, MALAYSIA Hasanain Faisal Ghazi, Maged Elnajeh, Afifah Azri, Mohammed AbdalQader, Mohammad Faez,
More informationCLINICAL PROFILE OF TYPE 2 DIABETIC PATIENTS IN A TERTIARY CARE HOSPITAL IN COASTAL KARNATAKA
CLINICAL PROFILE OF TYPE 2 DIABETIC PATIENTS IN A TERTIARY CARE HOSPITAL IN COASTAL KARNATAKA * Sanjay Kini and Avinash Kumar Department of Community Medicine, Kasturba Medical college, Manipal *Author
More informationA Study On Psycho- Social Condition Of Cancer Patients And Obligation Of Social Work
A Study On Psycho- Social Condition Of Cancer Patients And Obligation Of Social Work Mr. Kolachalli Anjinappa Member of MAA, Kotturu, Karnataka Mr. Basavaraj Biradar Principal, N. B. College of M.S.W,
More informationCHAPTER 3 RESEARCH METHODOLOGY
CHAPTER 3 RESEARCH METHODOLOGY The present study was planned at evaluating the outcomes of pharmacological management of breast cancer in a tertiary care centre in Udupi district of Karnataka, India. An
More informationAcademic Stress Reduction by Jacobson s Progressive Muscle Relaxation: A Quasi experimental study
International Research Journal of Medical Sciences ISSN 2320 7353 Academic Stress Reduction by Jacobson s Progressive Muscle Relaxation: A Quasi experimental study Abstract D Souza Josmitha Maria 1, *
More informationEffectiveness of Assertiveness Training on Assertiveness skills among Alcoholic Patients of selected De-addiction centers in Chennai
IOSR Journal of Nursing and Health Science (IOSR-JNHS) e-issn: 2320 1959.p- ISSN: 2320 1940 Volume 6, Issue 4 Ver. IV. (Jul. -Aug.2017), PP 24-30 www.iosrjournals.org Effectiveness of Assertiveness Training
More informationOriginal Research Article
Journal of College of Medical Sciences-Nepal, Vol-, No, Jul-Sept Effectiveness of Structured Teaching Programme on Knowledge regarding Risk factors and Prevention of Suicidal Behaviour among Adolescents
More informationMarital Adjustment Among Patients With Depression
Marital Adjustment Among Patients With Depression [1] Anubha Srivastava Abstract: This study explored marital adjustment among patients with depression. Beck Depression Inventory-II (BDI-II) ( Beck, Steel
More informationIndian J. Prev. Soc. Med. Vol. 43 No.4, 2012
ISSN- 0301-1216 Indian J. Prev. Soc. Med. Vol. 43 No.4, 2012 KNOWLEDGE OF CANCER PATIENTS WITH REGARD TO DISEASE AND MEDICAL CARE Aparna Rai 1, CP Mishra 2, Anand Kumar 3, S Pradhan 4 ABSTRACT Backgrounds:
More informationHelp-seeking behaviour and its impact on patients attending a psychiatry clinic at National Hospital of Sri Lanka
Help-seeking behaviour and its impact on patients attending a psychiatry clinic at National Hospital of Sri Lanka DM Gomez, C Gunarathna, S Gunarathna, K Gnanapragasam, R Hanwella Abstract Background Mental
More informationA study on awareness of Breast Carcinoma amongst the women aged 15 years and above in Urban slums of Turbhe, Navi Mumbai
Original Article A study on awareness of Breast Carcinoma amongst the women aged 15 years and above in Urban slums of Turbhe, Navi Mumbai Patel Neha A*, Pandit Daksha**, Khanolkar Ameya***, Surve Shweta***,
More informationDEPRESSION AMONG RURAL ELDERLY POPULATION
DEPRESSION AMONG RURAL ELDERLY POPULATION Mr. Sharad V. Dighe Lecturer, PIMS (DU), CON, Loni Mr. Eknath M. Gawade Lecturer, PIMS (DU), CON, Loni Abstract Statement: A study to assess the depression among
More informationA Study of Anxiety among Hospitalized Patients of Orthopedics Ward of a Tertiary Care Hospital
The International Journal of Indian Psychology ISSN 2348-5396 (e) ISSN: 2349-3429 (p) Volume 5, Issue 1, DIP: 18.01.005/20170501 DOI: 10.25215/0501.005 http://www.ijip.in October-December, 2017 Original
More informationKnowledge on Prevention and Immediate Management of Child with Febrile Seizure among Mothers of Under Five Children
International Journal of Science and Healthcare Research Vol.3; Issue: 3; July-Sept. 2018 Website: www.ijshr.com Original Research Article ISSN: 2455-7587 Knowledge on Prevention and Immediate Management
More informationPDF of Trial CTRI Website URL -
Clinical Trial Details (PDF Generation Date :- Wed, 28 Nov 2018 03:21:14 GMT) CTRI Number Last Modified On 30/09/2018 Post Graduate Thesis Type of Trial Type of Study Study Design Public Title of Study
More informationStudy on Quality Of Life of Cancer Patients In Relation To Treatment Modality in a Tertiary Health Institute of Jharkhand
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-issn: 2279-0853, p-issn: 2279-0861.Volume 15, Issue 5 Ver. V (May. 2016), PP 16-20 www.iosrjournals.org Study on Quality Of Life of Cancer Patients
More information*Corresponding author: Kshetrimayum Bimolata Devi1
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-issn: 2279-0853, p-issn: 2279-0861.Volume 16, Issue 12 Ver. VI (Dec. 2017), PP 41-46 www.iosrjournals.org Routes of Infection, Socio Economic Factors
More informationFamily Planning Practices among Married Women of Reproductive Age Group in a Rural Area in Thrissur District, Kerala, India
ISSN: 2347-3215 Volume 3 Number 11 (November-2015) pp. 36-41 www.ijcrar.com Family Planning Practices among Married Women of Reproductive Age Group in a Rural Area in Thrissur District, Kerala, India Alina
More informationEffectiveness of aerobic exercises on depression: An experimental study on old age at Mangalore
Original article Effectiveness of aerobic exercises on depression: An experimental study on old age at Mangalore Sooraj K, Vinish V* Email: vinish.v@manipal.edu Abstract Introduction: Old age homes have
More informationJMSCR Vol 06 Issue 10 Page October 2018
www.jmscr.igmpublication.org Impact Factor (SJIF): 6.379 Index Copernicus Value: 79.54 ISSN (e)-2347-176x ISSN (p) 2455-0450 DOI: https://dx.doi.org/10.18535/jmscr/v6i10.05 Awareness and knowledge about
More informationMoving from the Means to the Standard Deviations in Symptom Management Research
Moving from the Means to the Standard Deviations in Symptom Management Research Christine Miaskowski, RN, PhD, FAAN Professor American Cancer Society Clinical Research Professor Sharon A. Lamb Endowed
More informationCOPING PATTERN AMONG THE CAREGIVERS OF PERSONS LIVING WITH CANCER
Science COPING PATTERN AMONG THE CAREGIVERS OF PERSONS LIVING WITH CANCER Dr. Thirumoorthy *1, Dr. P. Saraswati Devi 2, Dr. K. Thennarusu 3 *1 Additional Professor, Dept. of Psychiatric Social Work, National
More informationSUMMARY 8 CONCLUSIONS
SUMMARY 8 CONCLUSIONS 9 Need for the study 9 Statement of the topic 9 Objectives of the study 9 Hypotheses 9 Methodology in brief 9 Sample for the study 9 Tools used for the study 9 Variables 9 Administration
More informationA study on awareness of cervical cancer among women of reproductive age group in urban slums of old Hubli, Karnataka, India
International Journal of Community Medicine and Public Health Bathija GV et al. Int J Community Med Public Health. 0 Sep;(9):79-8 http://www.ijcmph.com pissn 94-0 eissn 94-040 Research Article DOI: http://dx.doi.org/0.80/94-040.ijcmph007
More informationKnowledge Attitude and Practice of married women regarding ECP and MTP
International Journal of Sciences & Applied Research www.ijsar.in Knowledge Attitude and Practice of married women regarding ECP and MTP Suman Lata 1 *, Ravinder Singh 2 1 Maharishi Markandeshwer Institute
More informationDepression, Anxiety, Stress and Perceived Social Support Among Breast Cancer Survivors in Tertiary Hospital in Malaysia
The 2nd International Meeting of Public Health 2016 with theme Public Health Perspective of Sustainable Development Goals: The Challenges and Opportunities in Asia-Pacific Region Volume 2018 Conference
More informationAnxiety, Depression and Coping Strategies in Breast Cancer Patients on Chemotherapy
ORIGINAL PAPER Anxiety, Depression and Coping Strategies in Breast Cancer Patients on Chemotherapy Saniah AR, Zainal NZ Department of Psychological Medicine, Faculty of Medicine, University of Malaya,
More informationKnowledge of Carcinoma Cervix among rural women of Reproductive age in Trichy district, India
Original Article Knowledge of Carcinoma Cervix among rural women of Reproductive age in Trichy district, India A.M Veerakumar. Assistant Professor, Community Medicine, Chennai Medical College Hospital
More informationPrevalence of depressive symptoms among haemodialysis patients: A cross sectional survey
ORIGINAL ARTICLE Prevalence of depressive symptoms among haemodialysis patients: A cross sectional survey Jadhav Sonali Tarachand * a, Vasanth Malagi b, Chrishma Violla D Souza c a. PhD Scholar & Professor,
More informationStudy of awareness about early detection of cervical cancer by pap smear screening amongst women of Bhavnagar District
Original Research Article Study of awareness about early detection of cervical cancer by pap smear screening amongst women of Bhavnagar District Vandana N Patel 1, Piyush K Solanki 2, Harshid L Patel 3*
More informationAnnual Report. Patient, Family and Caregiver Programs
Annual Report Patient, Family and Caregiver Programs 1 The current standard of care for cancer patients is guided not only by the medical field, but includes social and psychological care, known as psychosocial
More informationWomen s Health Development Unit, School of Medical Science, Health Campus, Universiti Sains Malaysia b
The Malay Version of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ C30): Reliability and Validity Study Yusoff N a, Low WY b and Yip CH c ORIGINAL
More informationPsychosocial wellbeing and coping strategies of infertile women seeking infertility treatment
Psychosocial wellbeing and coping strategies of infertile women seeking infertility treatment D Souza Vinitha 1, Noronha Judith Angelita 2 *, Kamath Shobha 3 1. Manipal College of Nursing, Manipal University,
More informationJMSCR Volume 03 Issue 05 Page May 2015
www.jmscr.igmpublication.org Impact Factor 3.79 ISSN (e)-2347-176x Effectiveness of Neuro Linguistic Programme on Level of Craving Among Patients with Alcohol Dependence Syndrome Authors G.Deepika 1, Rajeswari.H
More informationJMSCR Vol 05 Issue 11 Page November 2017
www.jmscr.igmpublication.org Impact Factor 5.84 Index Copernicus Value: 71.58 ISSN (e)-2347-176x ISSN (p) 2455-0450 DOI: https://dx.doi.org/10.18535/jmscr/v5i11.56 A Study on Demographic Variables in Patients
More informationMental Health Status of Female Workers in Private Apparel Manufacturing Industry in Bangalore City, Karnataka, India
1893 Mental Health Status of Female Workers in Private Apparel Manufacturing Industry in Bangalore City, Karnataka, India Deepthi Shanbhag 1*, Bobby Joseph 2 1 Assistant Professor; Department of Community
More informationEffectiveness of a structured counselling program on the knowledge of self-care behaviour and coping strategies among HIV infected post-natal mothers
Original article Effectiveness of a structured counselling program on the knowledge of self-care behaviour and coping strategies among HIV infected post-natal mothers Raddi S A 1, Prakash R 2, Dandagi
More informationResearch Article. Manoj Kumar Sharma 1, Atul Kumar 2 *, Mahalingam Venkateshan 2
International Journal of Research in Medical Sciences Sharma MK et al. Int J Res Med Sci. 2016 May;4(5):1604-1608 www.msjonline.org pissn 2320-6071 eissn 2320-6012 Research Article DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20161234
More informationStudy to assess determinants of domestic violence among women in urban slum of Mumbai
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-issn: 2279-0853, p-issn: 2279-0861. Volume 8, Issue 4 (Jul.- Aug. 2013), PP 18-22 Study to assess determinants of domestic violence among women
More informationAvoidant Coping Moderates the Association between Anxiety and Physical Functioning in Patients with Chronic Heart Failure
Avoidant Coping Moderates the Association between Anxiety and Physical Functioning in Patients with Chronic Heart Failure Eisenberg SA 1, Shen BJ 1, Singh K 1, Schwarz ER 2, Mallon SM 3 1 University of
More informationCognitive Impairment in Euthymic Bipolar Affective Disorder Patients
Internal Journal of Scientific and Research Publics, Volume 5, Issue 10, October 2015 1 Cognitive Impairment in Euthymic Bipolar Affective Disorder Patients Dr. Mohan Babu M *, Dr. Supriya Hegde Aroor
More informationEffectiveness of planned teaching programme on knowledge regarding ill effects of alcohol consumption.
IOSR Journal of Nursing and Health Science (IOSR-JNHS) e-issn: 2320 1959.p- ISSN: 2320 1940 Volume 3, Issue 5 Ver. II (Sep.-Oct. 2014), PP 16-21 Effectiveness of planned teaching programme on knowledge
More informationDomestic Violence and Suicidal Risk in the Wives of Alcoholics and Non-alcoholics
334 Journal of the Indian Academy of Applied Psychology July 2010, Vol.36, No.2, 334-338. D Domestic Violence and Suicidal Risk in the Wives of Alcoholics and Non-alcoholics P.S. Manohar and R. Kannappan
More informationEvaluation of the Physical and Psychosocial Domains among Patients Complaining Of Breast Cancer in Iraq
IOSR Journal of Nursing and Health Science (IOSR-JNHS) e-issn: 3 99.p- ISSN: 3 94 Volume, Issue Ver. III (Mar. - Apr. 6), PP -63 www.iosrjournals.org Evaluation of the Physical and Psychosocial Domains
More informationCHAPTER VI SUMMARY, CONCLUSIONS, IMPLICATIONS AND RECOMMENDATIONS. Premenstrual syndrome is a set of physical psycho emotional and behavioral
CHAPTER VI SUMMARY, CONCLUSIONS, IMPLICATIONS AND RECOMMENDATIONS 6.1 Summary Premenstrual syndrome is a set of physical psycho emotional and behavioral symptoms that start during the week before menstruation
More informationRESEARCH ARTICLE. Nor Zuraida Zainal 1 *, Norley Shuib 1, Anita Zarina Bustam 2, Zuraida Ahmad Sabki 1, Ng Chong Guan 1. Abstract.
DOI:http://dx.doi.org/10.7314/APJCP.2013.14.1.463 Reliability and Validity of the Malay Version of the Breast-Impact of Treatment Scale RESEARCH ARTICLE Reliability and Validity of the Malay Version of
More informationTHE PSYCHOLOGICAL WELL-BEING AMONG JOINT AND NUCLEAR FAMILIES: A COMPARATIVE STUDY
THE PSYCHOLOGICAL WELL-BEING AMONG JOINT AND NUCLEAR FAMILIES: A COMPARATIVE STUDY Ramesh O. Prajapati* ABSTRACT Aim of the research is to find out the Psychological Well-being among joint and nuclear
More informationChanges Over Time in Occurrence, Severity, and Distress of Common Symptoms During and After Radiation Therapy for Breast Cancer
98 Journal of Pain and Symptom Management Vol. 45 No. June Original Article Changes Over Time in Occurrence, Severity, and Distress of Common Symptoms During and After Radiation Therapy for Breast Cancer
More informationImpact of Preoperative Anxiety Intervention on Postoperative Pain
Impact of Preoperative Anxiety Intervention on Postoperative Pain Dr. Shirin Aziz Bakr * Dr. Sirwan Kamil Ali ** Dr. Saadia Ahmed Khudhr *** ABSTRACT Background and Objectives: Numerous prospective randomized
More informationUnmet supportive care needs in Asian women with breast cancer. Richard Fielding Division of Behavioural Sciences School of Pubic Health, HKU
Unmet supportive care needs in Asian women with breast cancer Richard Fielding Division of Behavioural Sciences School of Pubic Health, HKU Service Access and affordability Remoteness Insurance coverage
More informationEffect of Instructional Module on Drug Adherence in Terms of Attitude among Patients with Schizophrenia
Original Article NUJHS Vol. 6, No.1, March 2016, ISSN 2249-7110 Effect of Instructional Module on Drug Adherence in Terms of Attitude among Patients with Schizophrenia 1 S. Mary Metilda, S. Santhi² & G.
More informationA study on the association of sociodemographic. infertility among mothers with unmet needs of family planning in Sangareddy
Original Research Article A study on the association of sociodemographic factors and secondary infertility among mothers with unmet needs of family planning in Sangareddy Tukaram Kishanrao Pandve 1*, P.
More informationA 3-Factor Model for the FACIT-Sp
A 3-Factor Model for the FACIT-Sp Reference: Canada, Murphy, Fitchett, Peterman, Schover. Psycho-Oncology. Published Online: Dec 19, 2007; DOI: 10.1002/pon.1307. Copyright John Wiley & Sons Ltd. Investigators
More informationA Comparative Study of Socio Demographic and Clinical Profiles in Patient with Obsessive Compulsive Disorder and Depression
American Journal of Psychiatry and Neuroscience 2018; 6(4): 99-103 http://www.sciencepublishinggroup.com/j/ajpn doi: 10.11648/j.ajpn.20180604.12 ISSN: 2330-4243 (Print); ISSN: 2330-426X (Online) A Comparative
More informationExpectations Of Patients Using Mental Health Services
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-issn: 2279-0853, p-issn: 2279-0861.Volume 16, Issue 8 Ver. I (Aug. 2017), PP 33-37 www.iosrjournals.org Expectations Of Patients Using Mental Health
More informationEffectiveness of Choice music and Anandabhairavi Raga on adult patients pre-procedural anxiety
Original article Effectiveness of Choice music and Anandabhairavi Raga on adult patients pre-procedural anxiety Jomon CU 1, Raja A 2 1) Lecturer, Department of Fundamentals of Nursing, Manipal College
More informationAssessment of Willingness for Organ Donation: A crosssectional
Assessment of Willingness for Organ Donation: A crosssectional descriptive study Dr. Pooranmal Meena 1, Dr. Goverdhan Meena 2, Dr. Rajeev Yadav 3, Dr. Kusum Gaur 4, Dr. Amita Kashyap 5 1 Resident, Department
More informationCertified Breast Care Nurse (CBCN ) Test Content Outline (Effective 2018)
Certified Breast Care Nurse (CBCN ) Test Content Outline (Effective 2018) I. Coordination of Care - 26% A. Breast health, screening, early detection, risk assessment and reduction 1. Issues related to
More informationSUMMARY AND CONCLUSION
SUMMARY AND CONCLUSION Anna Job. P Study of adjustment among working women in relation to family environment, social support and some psychological factors Department of Psychology, University of Calicut,
More informationPositive Living among women infected with HIV.
International Journal of Scientific and Research Publications, Volume 6, Issue 12, December 2016 320 Positive Living among women infected with HIV. * Prof.N.Meenakumari B.Sc(N)M.Sc(N) ** Dr.C.Susila RN.RM,
More informationStigma in Patients Using Mental Health Services
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-issn: 2279-0853, p-issn: 2279-0861Volume 17, Issue 12 Ver 2 (December 2018), PP 16-23 wwwiosrjournalsorg Stigma in Patients Using Mental Health
More informationInternational Journal of Health Sciences and Research ISSN:
International Journal of Health Sciences and Research www.ijhsr.org ISSN: 2249-9571 Original Research Article Effectiveness of Psycho Educative Intervention on Psychological Problems among Burn Verna Ruth
More informationDr Sylvie Lambert, RN, PhD
Is it the most frequent unmet supportive care needs that predict caregivers anxiety and depression? Results from Australia s Partners and Caregivers Longitudinal Well-being Study Dr Sylvie Lambert, RN,
More informationSexual Dysfunction in Breast Cancer Survivors
Client-Centered Nursing Care February 2015. Volume 1. Number 1 Sexual Dysfunction in Breast Cancer Survivors Shahrzad Yektatalab 1*, Abdolghasem Taleii 2, Masood Moosavinasab 3, Sara Soleimani 4 1. Community-based
More informationCHARACTERISTICS OF SURVEY RESPONDENTS 3
CHARACTERISTICS OF SURVEY RESPONDENTS 3 The health, nutrition, and demographic behaviours of women and men vary by their own characteristics, such as age, marital status, religion, and caste, as well as
More informationSelvia Arokiya Mary A* Department of Medical Surgical Nursing, Applied Medical Science College, Alnamas University of Bisha, India.
A Study to Assess the Effectiveness of Twin Therapeutic Approaches on Certain Biophysiological Parameters in Women after Breast Surgery at Selected Hospital, Chennai Selvia Arokiya Mary A* Department of
More informationA cross sectional study on prevalence and pattern of personality disorders in psychiatric inpatients of a tertiary care hospital
Original Research Article A cross sectional study on prevalence and pattern of personality disorders in psychiatric inpatients of a tertiary care hospital Maanasa T J 1*, Sivabackiya C 1, Srinivasan B
More informationVolume 5 Issue 8, August
Effect of Structured Teaching Programme on Knowledge and Practice Regarding Foot Care among Chronic Diabetic Patients Sruthy Vinod Mahatma Gandhi University, Kerala, India Abstract: A study on Effect of
More informationTHE PREVALENCE OF DEPRESSIVE SYMPTOMS AND POTENTIAL RISK FACTORS THAT MAY CAUSE DEPRESSION AMONG ADULT WOMEN IN SELANGOR
ORIGINAL PAPER THE PREVALENCE OF DEPRESSIVE SYMPTOMS AND POTENTIAL RISK FACTORS THAT MAY CAUSE DEPRESSION AMONG ADULT WOMEN IN SELANGOR Sherina MS*, Rampal L*, Azhar MZ** *Department of Community Health,
More informationPrevalence of Substance Use and Associated Factors Among High School Adolescents in Rithepani, Lekhnath-2, kaski, Nepal
Gurung A, et al. Prevalence of Substance Use... Original Article Prevalence of Substance Use and Associated Factors Among High School Adolescents in Rithepani, Lekhnath-, kaski, Nepal Gurung A *, Shrestha
More informationKnowledge And Attitude on Self Monitoring of Blood Glucose (Smbg) Among Diabetic Patients Belongs to Waghodia Taluka
IOSR Journal of Nursing and Health Science (IOSR-JNHS) e-issn: 2320 1959.p- ISSN: 2320 1940 Volume 5, Issue 5 Ver. II (Sep. - Oct. 2016), PP 06-11 www.iosrjournals.org Knowledge And Attitude on Self Monitoring
More informationIJBARR E- ISSN X ISSN ASSESSMENT OF EMOTIONAL INTELLIGENCE AND ACADEMIC MOTIVATION IN SCHOOL GIRLS
ASSESSMENT OF EMOTIONAL INTELLIGENCE AND ACADEMIC MOTIVATION IN SCHOOL GIRLS Dr. R. Kannappan* Ms. Lily kavitha** *Associate professor of Clinical Psychology, Department of psychiatry, Vinayaka Mission
More informationA Study on Psychological Well-Being of Women Working in Southern Railways Tiruchirappalli
International Journal of Scientific Research and Management (IJSRM) Volume 5 Issue 11 Pages 7370-7375 2017 Website: www.ijsrm.in ISSN (e): 2321-3418 Index Copernicus value (2015): 57.47 DOI: 10.18535/ijsrm/v5i11.04
More informationThe American Cancer Society National Quality of Life Survey for Caregivers
The American Cancer Society National Quality of Life Survey for Caregivers Rachel S. Cannady Strategic Director, Cancer Caregiver Support Atlanta, GA Agenda Definition and prevalence of cancer survivorship
More informationInt.J.Curr.Microbiol.App.Sci (2016) 5(5):
International Journal of Current Microbiology and Applied Sciences ISSN: 2319-7706 Volume 5 Number 5 (2016) pp. 940-948 Journal homepage: http://www.ijcmas.com Original Research Article http://dx.doi.org/10.20546/ijcmas.2016.505.099
More informationMindfulness as a Mediator of Psychological Wellbeing in a Stress Reduction Intervention for Cancer Patients - a randomized study
Mindfulness as a Mediator of Psychological Wellbeing in a Stress Reduction Intervention for Cancer Patients - a randomized study Richard Bränström Department of oncology-pathology Karolinska Institute
More informationA Study on Identification of Socioeconomic Variables Associated with Non-Communicable Diseases Among Bangladeshi Adults
American Journal of Biomedical Science and Engineering 2018; 4(3): 24-29 http://www.aascit.org/journal/ajbse ISSN: 2381-103X (Print); ISSN: 2381-1048 (Online) A Study on Identification of Socioeconomic
More informationPsychiatric Morbidity Profiles of Child & Adolescent Patients Attending the Regional Institute of Medical Sciences, Imphal
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-issn: 2279-0853, p-issn: 2279-0861.Volume 13, Issue 12 Ver. VIII (Dec. 2014), PP 47-51 www.iosrjournals.org Psychiatric Morbidity Profiles of Child
More informationStatus of Syndromic Management of Clients and their Partners at STI Clinic in a Suburban Area of Mumbai, India
International Journal of Medical Research & Health Sciences Available online at www.ijmrhs.com ISSN No: 2319-5886 International Journal of Medical Research & Health Sciences, 2017, 6(10): 115-120 I J M
More informationPrevalence of depression among elderly people living in old age home in the capital city Kathmandu
Original Article Prevalence of depression among elderly people living in old age home in the capital city Kathmandu S Ranjan 1, A Bhattarai 2, M Dutta 2 1 Department of Psychiatry, Universal College of
More informationPrevalence of mental morbidities among the slum dwellers of Kolkata, West Bengal
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-issn: 79-0853, p-issn: 79-0861.Volume 15, Issue 1 Ver. III (Jan. 16), PP 44-48 www.iosrjournals.org Prevalence of mental morbidities among the
More informationBeliefs and practices of women related to maternal care and newborn care in selected areas of rural Bengaluru
Original article Beliefs and practices of women related to maternal care and newborn care in selected areas of rural Bengaluru Lalitha H Email: lalitahosamane@gmail.com Abstract Introduction: Traditional
More informationTHE PSYCHOLOGICAL WELL BEING AMONG HINDU AND MUSLIM EDUCATED UNEMPLOYED PEOPLE: A COMPARATIVE STUDY
THE PSYCHOLOGICAL WELL BEING AMONG HINDU AND MUSLIM EDUCATED UNEMPLOYED PEOPLE: A COMPARATIVE STUDY Sunil S. Jadav* Dr. Pankaj S. Suvera** ABSTRACT Aim of the research is to find out the Psychological
More informationPatient Intake Assessment Tools for Navigation
Patient Intake Assessment Tools for Navigation Review and utilize the following with new patient referrals to the Navigation program: Psychosocial Distress Screening Tool : Commission on Cancer Standard
More informationUpdates on the Conflict of Postoperative Radiotherapy Impact on Survival of Young Women with Cancer Breast: A Retrospective Cohort Study
International Journal of Medical Research & Health Sciences Available online at www.ijmrhs.com ISSN No: 2319-5886 International Journal of Medical Research & Health Sciences, 2017, 6(7): 14-18 I J M R
More informationDharan, Nepal. 1 Department of Community Health Nursing, 2 Surgery, 3 Pathology, B.P. Koirala Institute of Health Sciences,
Kathmandu University Medical Journal (2008), Vol. 6, No. 1, Issue 21, 89-93 Original Article Validating breast self examination as screening modalities for breast cancer in eastern region of Nepal: A population
More informationInternational Journal Of Recent Scientific Research
International Journal Of Recent Scientific Research ISSN: 0976-3031 Volume: 7(6) June -2016 PERCEIVED STRESS AND DEPRESSION AMONG ELDERLY PEOPLE RESIDING AT OLD AGE HOME Karpagavalli Nageswaran and Suresh
More informationIMPACT OF PATIENT COUNSELING BY CLINICAL PHARMACIST ON QUALITY OF LIFE IN CANCER PATIENTS
WORLD JOURNAL OF PHARMACY AND PHARMACEUTICAL SCIENCES Chowdary et al. SJIF Impact Factor 6.647 Volume 6, Issue 4, 1093-1099 Research Article ISSN 2278 4357 IMPACT OF PATIENT COUNSELING BY CLINICAL PHARMACIST
More informationA Cross Sectional Study on Knowledge, Attitude and Practice of Cervical Cancer Screening Among Women in Thiruvanmiyur, Chennai
A Cross Sectional Study on Knowledge, Attitude and Practice of Cervical Cancer Screening Among Women in Thiruvanmiyur, Chennai Sneha Sethumadhavan (1), Chitra. A (1) Abstract Aims: To assess the knowledge,
More information