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: |
Adult
Male Health Knowledge Attitudes Practice Coping (psychology) Adolescent Antineoplastic Agents Grounded theory Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18] Young Adult 03 medical and health sciences 0302 clinical medicine Neoplasms Adaptation Psychological Outpatient setting Humans Medicine 030212 general & internal medicine Qualitative Research Aged Self-management Adult patients business.industry Disease Management Social Support Middle Aged Self Efficacy Cancer treatment Self Care Oncology 030220 oncology & carcinogenesis Grounded Theory Female business Attitude to Health Clinical psychology Qualitative research |
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 |
Externí odkaz: |