skip to main content

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:

  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: 2024-11-19 22:42:31

No citation recorded.