{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T13:26:08Z","timestamp":1767705968665},"reference-count":27,"publisher":"Wiley","issue":"19-20","license":[{"start":{"date-parts":[[2017,4,17]],"date-time":"2017-04-17T00:00:00Z","timestamp":1492387200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2017,10]]},"abstract":"<jats:sec><jats:title>Aims and objectives<\/jats:title><jats:p>To determine the level of post\u2010traumatic stress symptoms and to identify demographics, disease history and clinical symptoms that were associated with post\u2010traumatic stress symptoms among patients with gynaecological, breast or colorectal cancer in Taiwan.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Literature indicated that 7\u00b73\u201335\u00b72% of patients with cancer had experienced level of post\u2010traumatic stress symptoms. However, the post\u2010traumatic stress symptoms among patients with cancer in Taiwan was not documented.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A cross\u2010sectional study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 347 participants recruited from two general hospitals in southern Taiwan. They completed the Chinese version of Davidson Trauma Scale and a profile describing their demographics and clinical symptoms. Disease history was collected from medical records.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Approximately 21\u00b76% of participants reported higher score on Chinese version of Davidson Trauma Scale (Mean\u00a0\u00b1\u00a0SD\u00a0=\u00a022\u00b785\u00a0\u00b1\u00a024\u00b712). The top four scores on Chinese version of Davidson Trauma Scale were painful memories, insomnia, shortened lifespan and flashbacks. The risk factors of post\u2010traumatic stress symptoms were suicidal intention (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u00a0=\u00a02\u00b729, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\u00a0=\u00a01\u00b786\u20132\u00b782), chemotherapy (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u00a0=\u00a02\u00b713, 1\u00b718\u20133\u00b784), metastasis (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u00a0=\u00a02\u00b707, 1\u00b729\u20133\u00b734), cancer\u2010specific symptoms (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u00a0=\u00a01\u00b721, 1\u00b715\u20131\u00b727) and high education (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u00a0=\u00a01\u00b775, 1\u00b710\u20132\u00b778).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>To prevent post\u2010traumatic stress symptoms, patients with cancer should be routinely screened by psychiatrists for post\u2010traumatic stress symptoms, for ongoing symptom control and suicidal intention. Patients with cancer who are at risk of suicidal behaviour should be enrolled in suicide prevention programmes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>Nurses need to assess post\u2010traumatic stress symptoms of patients with cancer, particularly those who with high education, suffered from complications of chemotherapy, metastasis and cancer\u2010specific symptoms and suicidal intention.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.13662","type":"journal-article","created":{"date-parts":[[2016,11,22]],"date-time":"2016-11-22T17:22:58Z","timestamp":1479835378000},"page":"3137-3143","source":"Crossref","is-referenced-by-count":10,"title":["Risk factors of post\u2010traumatic stress symptoms in patients with cancer"],"prefix":"10.1111","volume":"26","author":[{"given":"Yu\u2010Hua","family":"Lin","sequence":"first","affiliation":[{"name":"Nursing Department I\u2010Shou University Kaohsiung Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chia\u2010Chan","family":"Kao","sequence":"additional","affiliation":[{"name":"Nursing Department I\u2010Shou University Kaohsiung Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shu\u2010Fen","family":"Wu","sequence":"additional","affiliation":[{"name":"Anesthesiology Department E\u2010Da Hospital Kaohsiung Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shu\u2010Ling","family":"Hung","sequence":"additional","affiliation":[{"name":"Department of Nursing National Tainan Junior College of Nursing Tainan Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hsing\u2010Yu","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Nursing Mackay Medical College Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hong\u2010Yi","family":"Tung","sequence":"additional","affiliation":[{"name":"Surgical Department Yuan's General Hospital Kaohsiung Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,4,17]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.3654"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1158\/1055-9965.EPI-10-0261"},{"key":"e_1_2_10_4_1","volume-title":"Diagnostic and Statistical Manual of Mental Disorders","author":"American Psychiatric Association","year":"1994"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_10_6_1","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1159\/000012316","article-title":"Suicide risk and coping styles in posttraumatic stress disorder patients","volume":"68","author":"Amir M","year":"1999","journal-title":"Psychotherapy and Psychosomatics"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/1557988310365168"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.comppsych.2013.09.004"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1440-1819.2001.00895.x"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.28376"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291796004229"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.3623"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.3369"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0272-7358(01)00118-0"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1080\/03630242.2012.679337"},{"key":"e_1_2_10_16_1","first-page":"335","article-title":"Suicide prevention in cancer patients","volume":"22","author":"Lee CY","year":"2011","journal-title":"Journal of Internal Medicine Taiwan"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.158.9.1467"},{"key":"e_1_2_10_18_1","unstructured":"Ministry of Health and Welfare(2016)2014 Cause of Death Statistic. 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