5 results on '"Joanne Chua"'
Search Results
2. Psychosocial concerns of cancer patients in Singapore
- Author
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Joanne Chua, Haikel A. Lim, Rathi Mahendran, Ee Heok Kua, and Siew Eng Lim
- Subjects
medicine.medical_specialty ,business.industry ,media_common.quotation_subject ,Problem list ,General Medicine ,Hospital Anxiety and Depression Scale ,Affect (psychology) ,03 medical and health sciences ,Distress ,0302 clinical medicine ,Oncology ,Quality of life ,030220 oncology & carcinogenesis ,Cohort ,Medicine ,030212 general & internal medicine ,Worry ,business ,Psychiatry ,Psychosocial ,media_common - Abstract
Aims Psychosocial needs are high among cancer patients, and screening for these is recognized as integral to quality cancer care. This study identified the psychosocial needs of cancer patients at their first visit at a hematology-oncology clinic. Methods Fifty-four new consecutive patients completed the Distress Thermometer and the Problem List, the Hospital Anxiety and Depression Scale, and the EuroQol Quality of Life Scale at their first visit to plan for chemotherapy. Data were analyzed with SPSS. Results Analyses revealed that participants had an average of 2.8 ± 2.3 problems, with 82% having psychosocial needs. Emotional concerns formed the top four psychosocial needs of the cohort (worry 46%, fears 26%, nervousness 26%, sadness 24%), with the fifth being a practical concern (insurance/finance 22%). The former were more frequent among 41- to 50-year-olds and significantly correlated with distress scores. Practical concerns were significantly correlated with depressive symptoms. Family concerns were more significant in women. The overall score on the Problem List correlated with distress, anxious symptomatology and poorer quality of life scores. Conclusions Distress and psychosocial needs are high in cancer patients even at an early stage prior to chemotherapy. Attention to these needs is crucial as they cause significant distress and affect the patient's quality of life.
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- 2015
3. Strengthening Resilience and Reducing Stress in Psychosocial Care for Nurses Practicing in Oncology Settings
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Emily Ang, Ee Heok Kua, Rathi Mahendran, Jianlin Liu, Joanne Chua, Haikel A. Lim, and Joyce Y. S. Tan
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Adult ,Male ,Oncology ,medicine.medical_specialty ,Attitude of Health Personnel ,MEDLINE ,Nursing Staff, Hospital ,Burnout ,Patient care ,Education ,03 medical and health sciences ,Education, Nursing, Continuing ,0302 clinical medicine ,Nursing ,Neoplasms ,Internal medicine ,Stress (linguistics) ,medicine ,Humans ,030212 general & internal medicine ,Resilience (network) ,Burnout, Professional ,Curriculum ,Qualitative Research ,General Nursing ,030504 nursing ,business.industry ,Oncology Nursing ,Middle Aged ,Resilience, Psychological ,Review and Exam Preparation ,Family medicine ,Female ,0305 other medical science ,business ,Psychosocial ,Stress, Psychological ,Qualitative research - Abstract
The current study examined whether continuing education programs on psychosocial oncology patient care would improve nurses' resilience and reduce their stress. Analyses revealed postprogram improvements in resilience, which was related to reduction in stress. Findings provide preliminary evidence that such programs may also be helpful in other domains. J Contin Educ Nurs. 2016;47(1):8–10.
- Published
- 2016
4. Quality of life of family caregivers of cancer patients in Singapore and globally
- Author
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Ee Heok Kua, Rathi Mahendran, Joyce Ys Tan, Haikel A. Lim, Russell K. L. Yoong, Joanne Chua, and Siew Eng Lim
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Gerontology ,Adult ,Male ,medicine.medical_specialty ,Canada ,Adolescent ,Turkey ,Cross-sectional study ,Exploratory research ,Ethnic group ,Taiwan ,Iran ,Global Health ,03 medical and health sciences ,Social support ,Young Adult ,0302 clinical medicine ,Quality of life ,Cultural diversity ,Neoplasms ,Surveys and Questionnaires ,Republic of Korea ,Medicine ,Humans ,030212 general & internal medicine ,Young adult ,Sex Distribution ,Aged ,Family Health ,Singapore ,business.industry ,Family caregivers ,Social Support ,General Medicine ,Middle Aged ,United States ,Cross-Sectional Studies ,Caregivers ,030220 oncology & carcinogenesis ,Family medicine ,Quality of Life ,Original Article ,Female ,business - Abstract
INTRODUCTION Family caregivers of cancer patients often suffer from impaired quality of life (QOL) due to stress arising from the responsibility of caregiving. Most research on such QOL impairments was conducted in Western populations. Thus, this exploratory study sought to (a) examine the QOL levels of family caregivers of cancer patients in an Asian population in Singapore, in relation to caregivers from other countries within and outside of Asia; and (b) investigate the association between sociodemographic factors and QOL impairments in family caregivers in Singapore. METHODS A total of 258 family caregivers of cancer patients who were receiving outpatient treatment completed the Caregiver Quality of Life Index-Cancer (CQOLC) and a sociodemographic survey. We compared the published CQOLC total scores from Turkey, Iran, Taiwan, South Korea, the United Kingdom, the United States and Canada with the Singapore dataset and examined the demographic relationships. RESULTS Caregivers in Singapore and Asia had lower CQOLC total scores than their Western counterparts. Caregivers who were male, of Chinese ethnicity, had parental relationships with their care recipient, or cared for advanced-stage cancer patients were found to have impaired QOL. CONCLUSION The findings of this study highlight possible areas in which support can be provided for family caregivers of cancer patients, and underscore the need to reconcile cultural diversity, values, societal expectations and demographic characteristics in Singapore.
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- 2017
5. Evaluation of a brief pilot psychoeducational support group intervention for family caregivers of cancer patients: a quasi-experimental mixed-methods study
- Author
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Konstadina Griva, Joyce Y. S. Tan, Huiying Ng, Joanne Chua, Ee Heok Kua, Siew Eng Lim, Haikel A. Lim, and Rathi Mahendran
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Quality of life ,Male ,Asia ,medicine.medical_treatment ,Short Report ,Family caregivers ,Pilot Projects ,Anxiety ,Hospital Anxiety and Depression Scale ,Support group ,03 medical and health sciences ,0302 clinical medicine ,Neoplasms ,Intervention (counseling) ,Adaptation, Psychological ,medicine ,Psychoeducation ,Humans ,030212 general & internal medicine ,Psychosocial intervention ,Cancer ,Aged ,Depression ,business.industry ,Public Health, Environmental and Occupational Health ,General Medicine ,Middle Aged ,Self-Help Groups ,Oncology ,Caregivers ,Supportive psychotherapy ,Case-Control Studies ,030220 oncology & carcinogenesis ,Female ,medicine.symptom ,business ,Clinical psychology - Abstract
Family caregivers of cancer patients often experience an impaired quality of life (QOL) and emotional distress as a result of their caregiving duties, which may potentially influence the quality of care of their care recipients. The COPE (Caregivers of cancer Outpatients’ Psycho-Education support group therapy) intervention was developed as a response to the lack of work done among family caregivers of ambulatory cancer patients in Asia. This group intervention comprised four weekly sessions simultaneously targeting psychoeducation, skills training, and supportive therapy. The present study sought to evaluate the pilot COPE intervention using both quantitative and qualitative measures. The Hospital Anxiety and Depression Scale (HADS) was used to measure both depression and anxiety, while the Caregiver QOL – Cancer (CQOLC) measured caregiver QOL. These instruments were measured at baseline pre-intervention, and immediately post-intervention. A waitlist control group design was adopted. A subset of caregivers from the intervention group were invited for a semi-structured interview post-intervention. Quantitative analyses suggest that while QOL remained stable in control group participants, intervention group participants experienced QOL improvements – both in overall QOL and in the specific domain of burden. There were no significant differences in the trajectories of depression and anxiety in both groups. Qualitative analyses suggest that this might have been a result of the intervention not only equipping participants with the relevant coping skills, but also providing a platform for emotional expression and situational reappraisal. The COPE intervention has shown some efficacy in helping family caregivers of cancer patients, but more work is required before this can be implemented. Current Controlled Trials NCT02120183 . Registered 17 April 2014. Retrospectively registered.
- Published
- 2017
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