Factors Predicting the Change of Symptom Distress among Thai Women with Cervical Cancer

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Bualuang Sumdaengrit
Somchit Hanucharurnkul
Marylin J Dodd
Sarikapan Wilailak
Thavatchai Vorapongsathorn
Kanaungnit Pongthavornkamol


Introduction and Purposes: Women with cervical cancer experience symptom distress from both disease and treatment – side effect. There was evidenced the change of symptom distress as a curve. It increased from per to during treatment and decrease at post treatment. It was congruent with the symptom experience dimension in the symptom management model. Purposes of the study were to examine factors predicting the change of symptom distress using the Symptom Management Model as a conceptual framework.

Methods: Prospective predictive study design was used to collect data in 190 women from 4 hospitals: 1 hospital affiliated university, 2 military hospitals, and 1 hospital under the National Cancer Institute. Participants were asked to complete three questionnaires: Demographic, Disease, and Treatment Questionnaires, Sense of Coherence-13, and Memorial Symptom Assessment Scale. Data were collected at pre, during, and one month post treatment.

Result: Results reported factors predicting symptom distress was education, sense of coherence, type of treatment, living arrangement, and treatment period. Meanwhile, age, marital status, family caregivers, and financial status could not predict symptom distress.

Conclusions: These findings indicate that the Symptom Management Model can partially provide an empirical explanation factors predict the change of symptom distress in Thai women with cervical cancer. However, health care providers should concern these factors to reduce women’s symptom suffering. Replication this framework in other cancer patients is recommended for further study.

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How to Cite
Sumdaengrit, B., Hanucharurnkul, S., Dodd, M. J., Wilailak, S., Vorapongsathorn, T., & Pongthavornkamol, K. (2011). Factors Predicting the Change of Symptom Distress among Thai Women with Cervical Cancer. Ramathibodi Medical Journal, 34(1), 45-57. Retrieved from https://he02.tci-thaijo.org/index.php/ramajournal/article/view/135755
Original Articles


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