Detecting Distress: Introducing Routine Screening in a Gynecologic Cancer Setting

Clin J Oncol Nurs. 2017 Feb 1;21(1):79-85. doi: 10.1188/17.CJON.79-85.

Abstract

Background: Cancer results in a wide range of challenges that contribute to patient distress. Detecting distress in patients can result in improved patient outcomes, and early intervention can avoid patients having unmet needs.

Objectives: The aims were to determine the prevalence of distress in patients with gynecologic cancers, identify specific problems, and explore staff perceptions of distress screening.

Methods: A mixed-methods design was used. Quantitative data were collected on distress levels and problems. Qualitative interviews were conducted with healthcare professionals.

Findings: Sixty-six percent of women scored 4 or greater on the Distress Thermometer, which was used as the indicator for follow-up or referral. A third reported low distress, and the same proportion was highly distressed. The top five problems identified by participants were nervousness, worry, fears, fatigue, and sleep problems.

Keywords: distress screening; gynecologic cancer; oncology; Distress Thermometer.

MeSH terms

  • Adult
  • Age Factors
  • Aged
  • Aged, 80 and over
  • Anxiety / epidemiology
  • Early Detection of Cancer / psychology*
  • Evaluation Studies as Topic
  • Fatigue / epidemiology
  • Fear
  • Female
  • Genital Neoplasms, Female / prevention & control*
  • Genital Neoplasms, Female / psychology
  • Humans
  • Incidence
  • Interviews as Topic
  • Male
  • Middle Aged
  • Quality of Life*
  • Risk Factors
  • Sleep Wake Disorders / epidemiology*
  • Sleep Wake Disorders / etiology
  • Stress, Psychological / epidemiology*
  • Stress, Psychological / etiology