Denise Soltow Hershey1, Janelle Tipton2, Barbara Given1, Ellen Davis3. 1. The College of Nursing, Michigan State University, East Lansing, Michigan (Dr Hershey, Dr Given) 2. The University of Toledo Medical Center, Toledo, Ohio (Ms Tipton) 3. Duke University Health System, Durham, North Carolina (Ms Davis)
Abstract
PURPOSE: The purpose of this study was to identify the impact that cancer and its treatment had on diabetes self-management and to identify common issues that individuals with diabetes encounter while undergoing chemotherapy. METHODS: This exploratory study utilized a baseline self-administered written survey and an 8-week telephone follow-up survey that included 2 open-ended questions. Forty-three adults aged 50 or older with diabetes and a solid tumor cancer receiving chemotherapy were recruited from 8 community outpatient cancer centers in Michigan and Ohio. Descriptives, t tests, and correlations were utilized to analyze the data. Content analysis was used to analyze the data from the open-ended questions. RESULTS: After a minimum of 8 weeks of chemotherapy, patients performed significantly fewer diabetes self-management behaviors. The majority of individuals experienced a moderate to high impact on their ability to perform diabetes self-management activities while receiving chemotherapy. Exercise, ability to eat and drink, and monitoring blood sugars were most affected. Three themes identifying patient issues were noted: self-management issues, health issues, and prioritization. CONCLUSIONS: Cancer treatment and cancer-related symptoms can have a negative impact on diabetes self-management behaviors in adults with diabetes who are undergoing chemotherapy. Diabetes self-management education is targeted to improve health outcomes in patients with diabetes and cancer and addresses the "cause" not just the "source" of the problem needs to be developed. Further research needs to be done to address issues related to glycemic control and health-related outcomes in this population.
PURPOSE: The purpose of this study was to identify the impact that cancer and its treatment had on diabetes self-management and to identify common issues that individuals with diabetes encounter while undergoing chemotherapy. METHODS: This exploratory study utilized a baseline self-administered written survey and an 8-week telephone follow-up survey that included 2 open-ended questions. Forty-three adults aged 50 or older with diabetes and a solid tumor cancer receiving chemotherapy were recruited from 8 community outpatientcancer centers in Michigan and Ohio. Descriptives, t tests, and correlations were utilized to analyze the data. Content analysis was used to analyze the data from the open-ended questions. RESULTS: After a minimum of 8 weeks of chemotherapy, patients performed significantly fewer diabetes self-management behaviors. The majority of individuals experienced a moderate to high impact on their ability to perform diabetes self-management activities while receiving chemotherapy. Exercise, ability to eat and drink, and monitoring blood sugars were most affected. Three themes identifying patient issues were noted: self-management issues, health issues, and prioritization. CONCLUSIONS:Cancer treatment and cancer-related symptoms can have a negative impact on diabetes self-management behaviors in adults with diabetes who are undergoing chemotherapy. Diabetes self-management education is targeted to improve health outcomes in patients with diabetes and cancer and addresses the "cause" not just the "source" of the problem needs to be developed. Further research needs to be done to address issues related to glycemic control and health-related outcomes in this population.
Authors: Susan Storey; Andrea Cohee; Wambui G Gathirua-Mwangi; Eric Vachon; Patrick Monahan; Julie Otte; Timothy E Stump; David Cella; Victoria Champion Journal: Oncol Nurs Forum Date: 2019-07-01 Impact factor: 2.172
Authors: Andrea M Barsevick; Amy Leader; Patricia K Bradley; Tiffany Avery; Lorraine T Dean; Melissa DiCarlo; Sarah E Hegarty Journal: Support Care Cancer Date: 2016-08-19 Impact factor: 3.603
Authors: Seungmin Kim; Jihye Park; Yuji Chen; Kerry Rowe; John Snyder; Alison Fraser; Ken Smith; Vikrant G Deshmukh; Michael Newman; Kimberley Herget; Christina A Porucznik; Dominik Ose; Mary Playdon; David Gaffney; Mia Hashibe Journal: Gynecol Oncol Date: 2019-12-12 Impact factor: 5.482
Authors: Kimlin Tam Ashing; Lily Lai; Eva Meyers; Mayra Serrano; Marshalee George Journal: Int J Qual Health Care Date: 2020-04-27 Impact factor: 2.038
Authors: Jacklyn Cho; Daniela Nilo; Madeline R Sterling; Lisa M Kern; Monika M Safford; Laura C Pinheiro Journal: Support Care Cancer Date: 2021-05-21 Impact factor: 3.359
Authors: Pauline A J Vissers; Louise Falzon; Lonneke V van de Poll-Franse; Frans Pouwer; Melissa S Y Thong Journal: J Cancer Surviv Date: 2015-10-01 Impact factor: 4.442
Authors: Robert I Griffiths; José M Valderas; Emily C McFadden; Clare R Bankhead; Bernadette A Lavery; Nada F Khan; Richard J Stevens; Nancy L Keating Journal: J Cancer Surviv Date: 2017-07-22 Impact factor: 4.442