DOI: https://doi.org/10.14710/nmjn.v13i3.52696

Physical Well-Being Needs of Bone Cancer Patients during Treatment in the Hospital: A Qualitative Study

*Priyanto Priyanto orcid  -  Department of Nursing, Faculty of Health, Universitas Ngudi Waluyo, Indonesia
Achmad Fauzi Kamal  -  Department of Orthopedics and Traumatology, Faculty of Medicine, Universitas Indonesia, Indonesia
Debie Dahlia  -  Department of Medical-Surgical Nursing, Faculty of Nursing, Universitas Indonesia, Indonesia
Besral Besral  -  Department of Biostatistics, Faculty of Public Health, Universitas Indonesia, Indonesia
Open Access Copyright (c) 2023 Nurse Media Journal of Nursing
Creative Commons License This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Citation Format:
Abstract

Background: Bone cancer patients undergoing hospitalization require support to manage physical challenges for optimal healing and recovery. The physical aspects experienced by the patients significantly affect their physical well-being. Addressing these aspects is essential for nurses in providing care. However, comprehensive assessments of bone cancer patients’ physical needs have not been thoroughly explored.

Purpose: This study aimed to explore the physical well-being needs of patients with bone cancer undergoing hospitalization.

Methods: This qualitative study with a phenomenological approach was conducted among 14 bone cancer patients selected through purposive sampling. The criteria included patients with a primary cancer diagnosis, undergoing hospitalization at a cancer center, and having good orientation and verbal communication abilities. In-depth interviews were employed to delve into the patients’ well-being needs. To triangulate the data, 12 cancer nurses were involved. Data analysis utilized the Creswell method.

Results: This study found chronic pain and bone lumps as fundamental physical challenges, leading to disruptions in physical movement, sleep disturbances, and dependency on others for self-care. Six themes emerged regarding the physical well-being needs of hospitalized bone cancer patients: goals and needs for physical well-being, need for pain management, need for physical mobility, need for sleep and rest, need for self-care, and the meaning of physical well-being for patients. Physical well-being provides a significant meaning in achieving nursing goals.

Conclusion: This study shows the significance of addressing pain management, physical mobility, sleep and rest, and self-care for the physical well-being of bone cancer patients. Nurses should be able to identify various physical complaints and help improve the physical well-being of bone cancer patients.

Fulltext View|Download
Keywords: Bone cancer; cancer; hospital; needs; physical well-being
Funding: Educational Fund Management Institution of the Finance Ministry of the Republic of Indonesia

Article Metrics:

Article Info
Section: Articles
Language : EN
Recent articles
Financial Toxicity and Its Associated Factors in Cancer Patients: A Cross-sectional Study in Indonesia Family Coping Strategies and Quality of Life of Patients with Type-2 Diabetes Mellitus in Primary Health Care in Indonesia Determinants of Physical and Mental Health-related Quality of Life among Patients with Breast Cancer During COVID-19 Pandemic Editorial Back Matter Editorial Front Matter More recent articles
Most cited articles
The Lived Experience of PLWHA and Partner’s Responses toward the Fulfillment of Sexual Needs The Lived Experiences of Mentoring Nurses in Malaysia Emergency Training, Education And Perceived Clinical Skills For Tsunami Care Among Nurses In Banda Aceh, Indonesia Correlates of Physical Activity in Asian Adolescents: A Literature Review Review: Factors Relating to Nurses’ Caring Behaviors for Dying Patients More cited articles
  1. Abbas, Z., & Rehman, S. (2018). An overview of cancer treatment modalities. Neoplasm, 1, 139-157. https://doi.org/10.5772/intechopen.76558
  2. Ahmad, I., Ahmed, M. M., Ahsraf, M. F., Naeem, A., Tasleem, A., Ahmed, M., & Farooqi, M. S. (2018). Pain management in metastatic bone disease: A literature review. Cureus, 10(9), e3286. https://doi.org/10.7759/cureus.3286
  3. Ancoli-Israel, S. (2015). Sleep disturbances in cancer: A review. Sleep Medicine Research, 6(2), 45-49. https://doi.org/10.17241/smr.2015.6.2.45
  4. Bala, W., Chiu, N., Tao, M. J., Lam, H., Chow, E., & Probyn, L. (2020). Diagnostic imaging modalities to assess treatment response of bone metastasis in patients receiving palliative radiotherapy: A scoping review of the literature. Canadian Association of Radiologists Journal, 71(4), 495-504. https://doi.org/10.1177/0846537119888388
  5. Bengtsson, M. (2016). How to plan and perform a qualitative study using content analysis. NursingPlus Open, 2, 8-14. https://doi.org/10.1016/j.npls.2016.01.001
  6. Biermann, J. S., Adkins, D. R., Agulnik, M., Benjamin, R. S., Brigman, B., Butrynski, J. E., Cheong, D., Chow, W., Curry, W. T., & Frassica, D. A. (2013). Bone cancer. Journal of the National Comprehensive Cancer Network, 11(6), 688-723. https://doi.org/10.6004/jnccn.2013.0088
  7. Cheville, A., Smith, S., Barksdale, T., & Asher, A. (2021). Cancer rehabilitation. In D. X. Cifu (Ed.), Braddom’s physical medicine and rehabilitation (pp. 568-593.e7). Elsevier. https://doi.org/10.1016/B978-0-323-62539-5.00029-1
  8. Chu, E., & Sartorelli, A. C. (2018). Cancer chemotherapy. In Katzung, B. G. (Ed.), Basic and clinical pharmacology (pp. 948-976). McGraw-Hill Education
  9. Cleantis, T. (2017). An invitation to self-care: Why learning to nurture yourself is the key to the life you've always wanted, 7 principles for abundant living. Hazelden publishing
  10. Coleman, R. E., Brown, J., & Holen, I. (2020). Bone metastases. In J. E. Niederhuber, J. O. Armitage, M. B. Kastan, J. H. Doroshow, & J. E. Tepper (Eds.), Abeloff's Clinical Oncology (Sixth Edition) (809-830.e3). Elsevier. https://doi.org/10.1016/B978-0-323-47674-4.00056-6
  11. Creswell, J. W., & Creswell, J. D. (2017). Research design: Qualitative, quantitative, and mixed methods approaches. Sage publications
  12. den Hollander, D., Van der Graaf, W. T., Fiore, M., Kasper, B., Singer, S., Desar, I. M., & Husson, O. (2020). Unravelling the heterogeneity of soft tissue and bone sarcoma patients' health-related quality of life: A systematic literature review with focus on tumour location. ESMO Open, 5(5), e000914. https://doi.org/10.1136/esmoopen-2020-000914
  13. Dewi, M. (2017). Sebaran kanker di Indonesia, Riset Kesehatan Dasar 2007 [Cancer distribution in Indonesia, Basic Health Research 2007]. Indonesian Journal of Cancer, 11(1), 1-8. https://doi.org/10.33371/ijoc.v11i1.494
  14. Dossett, L. A., Kaji, A. H., & Cochran, A. (2021). SRQR and COREQ reporting guidelines for qualitative studies. JAMA Surgery, 156(9), 875-876. https://doi.org/10.1001/jamasurg.2021.0525
  15. Fain, J. A. (2020). Reading, understanding, and applying nursing research. FA Davis
  16. Fancourt, D., & Finn, S. (2019). What is the evidence on the role of the arts in improving health and well-being? A scoping review. World Health Organization Regional Office for Europe
  17. Fauske, L., Bruland, O. S., Grov, E. K., & Bondevik, H. (2015). Cured of primary bone cancer, but at what cost: A qualitative study of functional impairment and lost opportunities. Sarcoma, 2015, 484196. https://doi.org/10.1155/2015/484196
  18. Ferguson, J. L., & Turner, S. P. (2018). Bone cancer: Diagnosis and treatment principles. American Family Physician, 98(4), 205-213
  19. Hasselaar, J., & Payne, S. (2016). Integrated palliative care. Radboud University Medical Centre
  20. Hermayanti, Y., & Setyorini, D. (2018). The sleep quality of breast cancer patients. Journal of Nursing Care, 1(2), 110-118. https://doi.org/10.24198/jnc.v1i2.16140
  21. Hernandez, R. K., Wade, S. W., Reich, A., Pirolli, M., Liede, A., & Lyman, G. H. (2018). Incidence of bone metastases in patients with solid tumors: Analysis of oncology electronic medical records in the United States. BMC Cancer, 18, 44. https://doi.org/10.1186/s12885-017-3922-0
  22. Heymann, D. (2014). Bone cancer: Primary bone cancers and bone metastases. Elsevier
  23. Istambouly, R. (2021). Early integrated palliative care in oncology: Organizational challenges and perspectives in France. In Silbermann, M. (Eds), Palliative care for chronic cancer patients in the community (pp. 83-104). Springer, Cham. https://doi.org/10.1007/978-3-030-54526-0_8
  24. Jacobs, S., Mowbray, C., Cates, L. M., Baylor, A., Gable, C., Skora, E., Estrada, M., Cheng, Y., Wang, J., & Lewin, D. (2016). Pilot study of massage to improve sleep and fatigue in hospitalized adolescents with cancer. Pediatric Blood & Cancer, 63(5), 880-886. https://doi.org/10.1002/pbc.25902
  25. Kaasa, S., Loge, J. H., Aapro, M., Albreht, T., Anderson, R., Bruera, E., Brunelli, C., Caraceni, A., Cervantes, A., & Currow, D. C. (2018). Integration of oncology and palliative care: A Lancet Oncology Commission. The Lancet Oncology, 19(11), e588-e653. https://doi.org/10.1016/S1470-2045(18)30415-7
  26. Kamal, A. F. (2020). Limb salvage surgery untuk meningkatkan fungsi ekstremitas dan psikologis pasien osteosarkoma pada era jaminan kesehatan nasional [Limb salvage surgery to improve the functional and psychological aspects of osteosarcoma patients in the era of national health insurance]. eJournal Kedokteran Indonesia, 8(1), 1-9. https://doi.org/10.23886/ejki.8.11696
  27. Kamal, A. F., & Prasetyo, R. A. (2018). Association between laboratory markers and oncological outcomes in patients with osteosarcoma-A review of osteosarcoma treatment in Indonesia. Formosan Journal of Surgery, 51(3), 111. https://doi.org/10.4103/fjs.fjs_140_17
  28. Keilani, M., Kainberger, F., Pataraia, A., Hasenöhrl, T., Wagner, B., Palma, S., Cenik, F., & Crevenna, R. (2019). Typical aspects in the rehabilitation of cancer patients suffering from metastatic bone disease or multiple myeloma. Wiener Klinische Wochenschrift, 131, 567-575. https://doi.org/10.1007/s00508-019-1524-3
  29. Kenny, D. A., Kashy, D. A., & Cook, W. L. (2020). Dyadic data analysis. Guilford Publications
  30. Liu, H., Gao, X., & Hou, Y. (2019). Effects of mindfulness-based stress reduction combined with music therapy on pain, anxiety, and sleep quality in patients with osteosarcoma. Brazilian Journal of Psychiatry, 41, 540-545. https://doi.org/10.1590/1516-4446-2018-0346
  31. Madsen, R., Larsen, P., Carlsen, A. M. F., & Marcussen, J. (2023). Nursing care and nurses’ understandings of grief and bereavement among patients and families during cancer illness and death-A scoping review. European Journal of Oncology Nursing, 62, 102260. https://doi.org/10.1016/j.ejon.2022.102260
  32. Mantyh, P. (2013). Bone cancer pain: Causes, consequences, and therapeutic opportunities. Pain, 154, S54-S62. https://doi.org/10.1016/j.pain.2013.07.044
  33. Martins, A., Whelan, J. S., Bennister, L., Fern, L. A., Gerrand, C., Onasanya, M., Storey, L., Wells, M., Windsor, R., & Woodford, J. (2019). Qualitative study exploring patients experiences of being diagnosed and living with primary bone cancer in the UK. BMJ Open, 9(9), e028693. https://doi.org/10.1136/bmjopen-2018-028693
  34. McManimen, S., McClellan, D., Stoothoff, J., Gleason, K., & Jason, L. A. (2019). Dismissing chronic illness: A qualitative analysis of negative health care experiences. Health Care for Women International, 40(3), 241-258. https://doi.org/10.1080/07399332.2018.1521811
  35. Ministry of Health Republic of Indonesia. (2018). Hasil Utama Riskesdas 2018 [Main results of Basic Health Research (Riskesdas) 2018]. Kementerian Kesehatan Republik Indonesia. https://repository.badankebijakan.kemkes.go.id/id/eprint/3514/
  36. Mogavero, M. P., DelRosso, L. M., Fanfulla, F., Bruni, O., & Ferri, R. (2021). Sleep disorders and cancer: State of the art and future perspectives. Sleep Medicine Reviews, 56, 101409. https://doi.org/10.1016/j.smrv.2020.101409
  37. Nayak, M. G., George, A., Vidyasagar, M., Mathew, S., Nayak, S., Nayak, B. S., Shashidhara, Y., & Kamath, A. (2017). Quality of life among cancer patients. Indian Journal of Palliative Care, 23(4), 445. https://doi.org/10.4103/IJPC.IJPC_82_17
  38. O’Regan, P., McCarthy, G., O’Reilly, S., Power, D., Bird, B. H., Murphy, C. G., & Hegarty, J. (2019). Cancer‐related fatigue and self‐care agency: A multicentre survey of patients receiving chemotherapy. Journal of Clinical Nursing, 28(23-24), 4424-4433. https://doi.org/10.1111/jocn.15026
  39. O’Regan, P., & Hegarty, J. (2017). The importance of self-care for fatigue amongst patients undergoing chemotherapy for primary cancer. European Journal of Oncology Nursing, 28, 47-55. https://doi.org/10.1016/j.ejon.2017.02.005
  40. Prabowo, Y., Kamal, A. F., Kodrat, E., Prasetyo, M., Maruanaya, S., & Efar, T. S. (2020). Parosteal osteosarcoma: A benign-looking tumour, amenable to a variety of surgical reconstruction. International Journal of Surgical Oncology, 2020, 4807612. https://doi.org/10.1155/2020/4807612
  41. Rustøen, T., Valeberg, B. T., Kolstad, E., Wist, E., Paul, S., & Miaskowski, C. (2014). A randomized clinical trial of the efficacy of a self-care intervention to improve cancer pain management. Cancer Nursing, 37(1), 34-43. https://doi.org/10.1097/NCC.0b013e3182948418
  42. Singer, S., Danker, H., Roick, J., Einenkel, J., Briest, S., Spieker, H., Dietz, A., Hoffmann, I., Papsdorf, K., & Meixensberger, J. (2017). Effects of stepped psychooncological care on referral to psychosocial services and emotional well-being in cancer patients: A cluster‐randomized phase III trial. Psycho‐oncology, 26(10), 1675-1683. https://doi.org/10.1002/pon.4492
  43. Smith, R. A., & Oeffinger, K. C. (2020). The importance of cancer screening. Medical Clinics, 104(6), 919-938. https://doi.org/10.1016/j.mcna.2020.08.008
  44. Tønnessen, S., Scott, A., & Nortvedt, P. (2020). Safe and competent nursing care: An argument for a minimum standard? Nursing Ethics, 27(6), 1396-1407. https://doi.org/10.1177/0969733020919137
  45. Tsuzuki, S., Park, S. H., Eber, M. R., Peters, C. M., & Shiozawa, Y. (2016). Skeletal complications in cancer patients with bone metastases. International Journal of Urology, 23(10), 825-832. https://doi.org/10.1111/iju.13170
  46. Vagle, M. D. (2018). Crafting phenomenological research. Routledge. https://doi.org/10.4324/9781315173474
  47. Valizadeh, L., Zamanzadeh, V., Ghahremanian, A., Musavi, S., Akbarbegloo, M., & Chou, F.-Y. (2020). Experience of adolescent survivors of childhood cancer about self-care needs: A content analysis. Asia-Pacific Journal of Oncology Nursing, 7(1), 72-80. https://doi.org/10.4103/apjon.apjon_47_19
  48. von Moos, R., Costa, L., Ripamonti, C. I., Niepel, D., & Santini, D. (2017). Improving quality of life in patients with advanced cancer: Targeting metastatic bone pain. European Journal of Cancer, 71, 80-94. https://doi.org/10.1016/j.ejca.2016.10.021
  49. Wang, K., Gu, Y., Liao, Y., Bang, S., Donnelly, C. R., Chen, O., Tao, X., Mirando, A. J., Hilton, M. J., & Ji, R.-R. (2020). PD-1 blockade inhibits osteoclast formation and murine bone cancer pain. The Journal of Clinical Investigation, 130(7), 3603-3620. https://doi.org/10.1172/JCI133334
  50. Xi, Y., Qiao, L., Na, B., Liu, H., Zhang, S., Zheng, R., Wang, W., Sun, K., Wei, W., & He, J. (2023). Primary malignant bone tumors incidence, mortality, and trends in China from 2000 to 2015. Chinese Medical Journal, 136(17), 2037-2043. https://doi.org/10.1097/CM9.0000000000002547
  51. Zajączkowska, R., Kocot-Kępska, M., Leppert, W., & Wordliczek, J. (2019). Bone pain in cancer patients: Mechanisms and current treatment. International Journal of Molecular Sciences, 20(23), 6047. https://doi.org/10.3390/ijms20236047
  52. Zhu, X.-C., Zhang, J.-L., Ge, C.-T., Yu, Y.-Y., Wang, P., Yuan, T.-F., & Fu, C.-Y. (2015). Advances in cancer pain from bone metastasis. Drug Design, Development and Therapy, 9, 4239. https://doi.org/10.2147/DDDT.S87568

Last update:

No citation recorded.

Last update: 2024-04-27 19:22:36

No citation recorded.