Skip to main content
Erschienen in: Supportive Care in Cancer 12/2011

01.12.2011 | Original Article

The experience of cough in patients diagnosed with lung cancer

verfasst von: Alex Molassiotis, Matthew Lowe, Jacqueline Ellis, Richard Wagland, Chris Bailey, Mari Lloyd-Williams, Carol Tishelman, Jaclyn Smith

Erschienen in: Supportive Care in Cancer | Ausgabe 12/2011

Einloggen, um Zugang zu erhalten

Abstract

Purpose

The aim of this study was to explore the patient experience of cough in a population of patients with lung cancer.

Methods

A qualitative exploratory study design was developed and elicited the views of 26 patients with lung cancer who had current or past experience with cough.

Results

The data's four themes highlight the complex and distressing nature of cough, including its interaction with other symptoms, such as breathlessness, fatigue and sleep disturbance. A theme around descriptions of cough suggests typically a dry tickly cough and highlights mechanical and environmental triggers for cough. The theme around the effects of cough in daily life shows the impact of cough in socialising, the embarrassment from cough and the psychological effects experienced by patients. The last theme focuses on strategies for coping with and managing cough, showing the perceived ineffectiveness of current antitussives and the patients' use of a variety of approaches on an ad hoc basis to try to manage their cough often unsuccessfully.

Conclusion

Cough has not received the same attention as other cancer symptoms, which means that patients' experience of a distressing and difficult symptom is often unnoticed by health care professionals. More clinical and research attention in this debilitating symptom is necessary.
Literatur
1.
Zurück zum Zitat French CL, Irwin RS, Curley FJ, Krikorian CJ (1998) Impact of chronic cough on quality of life. Arch Intern Med 158(15):1657–1661PubMedCrossRef French CL, Irwin RS, Curley FJ, Krikorian CJ (1998) Impact of chronic cough on quality of life. Arch Intern Med 158(15):1657–1661PubMedCrossRef
2.
Zurück zum Zitat Young EC, Smith JA (2010) Quality of life in patients with chronic cough. Ther Adv Respir Dis 4:49–55PubMedCrossRef Young EC, Smith JA (2010) Quality of life in patients with chronic cough. Ther Adv Respir Dis 4:49–55PubMedCrossRef
3.
Zurück zum Zitat Kelsall A, Decalmer S, McGuinness K, Woodcock A, Smith JA (2009) Sex differences and predictors of objective cough frequency in chronic cough. Thorax 64:393–398PubMedCrossRef Kelsall A, Decalmer S, McGuinness K, Woodcock A, Smith JA (2009) Sex differences and predictors of objective cough frequency in chronic cough. Thorax 64:393–398PubMedCrossRef
4.
Zurück zum Zitat Everett CF, Kastelik JA, Thompson RH, Morice AH (2007) Chronic persistent cough in the community: a questionnaire survey. Cough 3:5PubMedCrossRef Everett CF, Kastelik JA, Thompson RH, Morice AH (2007) Chronic persistent cough in the community: a questionnaire survey. Cough 3:5PubMedCrossRef
5.
Zurück zum Zitat Dicpinigaitis PV, Tso R, Banauch G (2006) Prevalence of depressive symptoms among patients with chronic cough. Chest 130(6):1839–1843PubMedCrossRef Dicpinigaitis PV, Tso R, Banauch G (2006) Prevalence of depressive symptoms among patients with chronic cough. Chest 130(6):1839–1843PubMedCrossRef
6.
Zurück zum Zitat Doyle D, Hanks GWC, MacDonald N (eds) (2004) Oxford textbook of palliative medicine, 3rd edn. Oxford University Press, Oxford Doyle D, Hanks GWC, MacDonald N (eds) (2004) Oxford textbook of palliative medicine, 3rd edn. Oxford University Press, Oxford
7.
Zurück zum Zitat Tishelman C, Petersson LM, Degner LF, Sprangers MA (2007) Symptom prevalence, intensity, and distress in patients with inoperable lung cancer in relation to time of death. J Clin Oncol 25:5381–5389PubMedCrossRef Tishelman C, Petersson LM, Degner LF, Sprangers MA (2007) Symptom prevalence, intensity, and distress in patients with inoperable lung cancer in relation to time of death. J Clin Oncol 25:5381–5389PubMedCrossRef
8.
Zurück zum Zitat Tishelman C, Lövgren M, Broberger E, Sprangers MAG (2010) Are the most distressing concerns of men and women with inoperable lung cancer adequately assessed? A mixed-methods analysis. J Clin Oncol 28:1942–1949PubMedCrossRef Tishelman C, Lövgren M, Broberger E, Sprangers MAG (2010) Are the most distressing concerns of men and women with inoperable lung cancer adequately assessed? A mixed-methods analysis. J Clin Oncol 28:1942–1949PubMedCrossRef
9.
Zurück zum Zitat Molassiotis A, Zheng Y, Denton-Cardew L, Swindell R, Brunton L, Wilson B (2010) Symptoms experienced by cancer patients during the first year from diagnosis: patient and informal caregiver ratings and agreement. Palliat Support Care 8:313–324PubMedCrossRef Molassiotis A, Zheng Y, Denton-Cardew L, Swindell R, Brunton L, Wilson B (2010) Symptoms experienced by cancer patients during the first year from diagnosis: patient and informal caregiver ratings and agreement. Palliat Support Care 8:313–324PubMedCrossRef
10.
Zurück zum Zitat Molassiotis A, Lowe M, Blackhall F, Lorigan P (2010) A qualitative exploration of a respiratory distress symptom cluster in lung cancer: cough, breathlessness and fatigue. Lung Cancer. doi:10.1016/j.lungcan.2010.04.002 Molassiotis A, Lowe M, Blackhall F, Lorigan P (2010) A qualitative exploration of a respiratory distress symptom cluster in lung cancer: cough, breathlessness and fatigue. Lung Cancer. doi:10.​1016/​j.​lungcan.​2010.​04.​002
11.
Zurück zum Zitat Molassiotis A, Bailey C, Caress A, Brunton L, Smith J (2010) Interventions for cough in cancer. Cochrane Database Syst Rev (9):CD007881 Molassiotis A, Bailey C, Caress A, Brunton L, Smith J (2010) Interventions for cough in cancer. Cochrane Database Syst Rev (9):CD007881
13.
Zurück zum Zitat Miles MB, Huberman AM (1994) Qualitative data analysis: an expanded sourcebook, 2nd edn. Sage, Thousand Oaks Miles MB, Huberman AM (1994) Qualitative data analysis: an expanded sourcebook, 2nd edn. Sage, Thousand Oaks
14.
Zurück zum Zitat Richie J, Spencer L (1994) Qualitative data analysis for applied policy research. In: Bryman A, Burgess R (eds) Analysing qualitative data. Routledge, London, pp 173–194CrossRef Richie J, Spencer L (1994) Qualitative data analysis for applied policy research. In: Bryman A, Burgess R (eds) Analysing qualitative data. Routledge, London, pp 173–194CrossRef
15.
Zurück zum Zitat Henoch I, Ploner A, Tishelman C (2009) Increasing stringency in symptom cluster research: a methodological exploration of symptom clusters in patients with inoperable lung cancer. Oncol Nurs Forum 36:E282–E292PubMedCrossRef Henoch I, Ploner A, Tishelman C (2009) Increasing stringency in symptom cluster research: a methodological exploration of symptom clusters in patients with inoperable lung cancer. Oncol Nurs Forum 36:E282–E292PubMedCrossRef
16.
Zurück zum Zitat Molassiotis A, Wengström Y, Kearney N (2010) Symptom cluster patterns during the first year after diagnosis with cancer. J Pain Symptom Manage 39:847–858PubMedCrossRef Molassiotis A, Wengström Y, Kearney N (2010) Symptom cluster patterns during the first year after diagnosis with cancer. J Pain Symptom Manage 39:847–858PubMedCrossRef
17.
Zurück zum Zitat Banthia R, Malcarne VL, Ko CM, Varni JW, Sadler GR (2009) Fatigued breast cancer survivors: the role of sleep quality, depressed mood, stage and age. Psychol Health 24:965–980PubMedCrossRef Banthia R, Malcarne VL, Ko CM, Varni JW, Sadler GR (2009) Fatigued breast cancer survivors: the role of sleep quality, depressed mood, stage and age. Psychol Health 24:965–980PubMedCrossRef
18.
Zurück zum Zitat Badr H, Taylor CL (2008) Effects of relationship maintenance on psychological distress and dyadic adjustment among couples coping with lung cancer. Health Psychol 27:616–627PubMedCrossRef Badr H, Taylor CL (2008) Effects of relationship maintenance on psychological distress and dyadic adjustment among couples coping with lung cancer. Health Psychol 27:616–627PubMedCrossRef
19.
Zurück zum Zitat McGarvey L, McKeagney P, Polley L, MacMahon J, Costello RW (2009) Are there clinical features of a sensitized cough reflex? Pulm Pharmacol Ther 22(2):59–64PubMedCrossRef McGarvey L, McKeagney P, Polley L, MacMahon J, Costello RW (2009) Are there clinical features of a sensitized cough reflex? Pulm Pharmacol Ther 22(2):59–64PubMedCrossRef
20.
Zurück zum Zitat Vernon M, Leidy NK, Nacson A, Nelsen L (2010) Measuring cough severity: development and pilot testing of a new seven-item cough severity patient-reported outcome measure. Ther Adv Respir Dis 4:199–208PubMedCrossRef Vernon M, Leidy NK, Nacson A, Nelsen L (2010) Measuring cough severity: development and pilot testing of a new seven-item cough severity patient-reported outcome measure. Ther Adv Respir Dis 4:199–208PubMedCrossRef
21.
Zurück zum Zitat French CT, Irwin RS, Fletcher KE, Adams TM (2002) Evaluation of a cough-specific quality-of-life questionnaire. Chest 121(4):1123–1131PubMedCrossRef French CT, Irwin RS, Fletcher KE, Adams TM (2002) Evaluation of a cough-specific quality-of-life questionnaire. Chest 121(4):1123–1131PubMedCrossRef
22.
Zurück zum Zitat Birring SS, Prudon B, Carr AJ, Singh SJ, Morgan MD, Pavord ID (2003) Development of a symptom specific health status measure for patients with chronic cough: Leicester Cough Questionnaire (LCQ). Thorax 58(4):339–343PubMedCrossRef Birring SS, Prudon B, Carr AJ, Singh SJ, Morgan MD, Pavord ID (2003) Development of a symptom specific health status measure for patients with chronic cough: Leicester Cough Questionnaire (LCQ). Thorax 58(4):339–343PubMedCrossRef
23.
Zurück zum Zitat Molassiotis A, Bryan G, Caress A, Bailey C, Smith J (2010) Pharmacological and non-pharmacological interventions for cough in adults with respiratory and non-respiratory diseases: a systematic review of the literature. Respir Med 104:934–944PubMedCrossRef Molassiotis A, Bryan G, Caress A, Bailey C, Smith J (2010) Pharmacological and non-pharmacological interventions for cough in adults with respiratory and non-respiratory diseases: a systematic review of the literature. Respir Med 104:934–944PubMedCrossRef
24.
Zurück zum Zitat Molassiotis A, Smith JA, Bennett MI, Blackhall F, Taylor D, Zavery B, Harle A, Booton R, Rankin EM, Lloyd-Williams M, Morice AH (2010) Clinical expert guidelines for the management of cough in lung cancer: report of a UK Task Group on cough. Cough 6:9. doi:10.1186/1745-9974-6-9 PubMedCrossRef Molassiotis A, Smith JA, Bennett MI, Blackhall F, Taylor D, Zavery B, Harle A, Booton R, Rankin EM, Lloyd-Williams M, Morice AH (2010) Clinical expert guidelines for the management of cough in lung cancer: report of a UK Task Group on cough. Cough 6:9. doi:10.​1186/​1745-9974-6-9 PubMedCrossRef
Metadaten
Titel
The experience of cough in patients diagnosed with lung cancer
verfasst von
Alex Molassiotis
Matthew Lowe
Jacqueline Ellis
Richard Wagland
Chris Bailey
Mari Lloyd-Williams
Carol Tishelman
Jaclyn Smith
Publikationsdatum
01.12.2011
Verlag
Springer-Verlag
Erschienen in
Supportive Care in Cancer / Ausgabe 12/2011
Print ISSN: 0941-4355
Elektronische ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-010-1050-3

Weitere Artikel der Ausgabe 12/2011

Supportive Care in Cancer 12/2011 Zur Ausgabe

Update Onkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.