Dealing with chemotherapy-related symptoms at home: a qualitative study in adult patients with cancer

Autor: Hans Wildiers, T. van Achterberg, B. Dierckx de Casterlé, Bert Aertgeerts, Annemarie Coolbrandt, Koen Milisen, E. Van der Elst
Rok vydání: 2016
Předmět:
Zdroj: European Journal of Cancer Care, 25, 1, pp. 79-92
European Journal of Cancer Care, 25, 79-92
ISSN: 0961-5423
Popis: Given that chemotherapy treatments are done mostly in an outpatient setting, patients with cancer must deal with treatment-related symptoms mainly at home. Evidence suggests that they often feel left alone or unprepared to do so. This qualitative study explores how patients deal with chemotherapy-related symptoms in their home, which factors and ideas influence their self-management and what role professional caregivers play. One-off, semi-structured interviews were held with 28 adult patients with cancer being treated with chemotherapy. Using a Grounded Theory approach, we cyclically collected and analysed data to come to a thorough understanding of the major conceptual themes and their interconnections. Dealing with chemotherapy-related symptoms involves a process of experiencing and learning how side effects unfold over time and how to deal with them. Patients express very personal symptom experiences and symptom-management styles, which are shaped by personal factors (e.g. coping with cancer and cancer treatment, perceived level of control) and environmental factors (e.g. professionals' attitude, information resources). Improving symptom self-management support requires active exploration of the personal symptom experience and symptom-management style. Professional care should be tailored to the patient's perspective and should address personal and environmental determinants of their behaviour. ispartof: European Journal of Cancer Care vol:25 issue:1 pages:79-92 ispartof: location:England status: published
Databáze: OpenAIRE