Exploring the relationship between health–illness transition experiences and distress among patients with pancreatic cancer Journal Article


Authors: Goldberg, J. I.; Flynn, J. R.; Baser, R. E.; Nelson, J. E.; Capezuti, E.; Schulman-Green, D.
Article Title: Exploring the relationship between health–illness transition experiences and distress among patients with pancreatic cancer
Abstract: OBJECTIVES: To explore the correlation between health–illness transition (HIT) experiences and distress among patients with pancreatic cancer. SAMPLE & SETTING: 55 patients with a diagnosis of pancreatic cancer receiving chemotherapy at a tertiary cancer center in New York. METHODS & VARIABLES: A prospective correlational study was performed to explore the frequency, extent, and management of HITs. HITs were evaluated using the Measurement of Transitions in Cancer Scale, and distress was measured with the National Comprehensive Cancer Network Distress Thermometer. RESULTS: All patients experienced at least one HIT. The extent of HITs decreased over time. Patients reported that they managed HITs moderately well. There was a significant correlation between unmanaged HITs and distress. As distress increased, the extent of the physical and emotional HITs increased and management worsened. IMPLICATIONS FOR NURSING: HITs are ubiquitous among patients diagnosed with pancreatic cancer. Associated distress inhibits management. Nurses are well suited to assess for potential HITs and to support self-management of HITs. © 2023, Oncology Nursing Society. All rights reserved.
Keywords: pancreatic cancer; distress; health–illness transitions
Journal Title: Oncology Nursing Forum
Volume: 50
Issue: 5
ISSN: 0190-535X
Publisher: Oncology Nursing Society (ONS)  
Date Published: 2023-09-01
Start Page: 625
End Page: 633
Language: English
DOI: 10.1188/23.Onf.625-633
PROVIDER: scopus
PUBMED: 37677764
PMCID: PMC10825807
DOI/URL:
Notes: The MSK Cancer Center Support Grant (P30 CA008748) is acknowledged in the PDF. Corresponding MSK author is Jessica I. Goldberg -- Source: Scopus
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MSK Authors
  1. Raymond E Baser
    133 Baser
  2. Judith Eve Nelson
    89 Nelson
  3. Jessica Flynn
    182 Flynn