Living with chemotherapy-induced peripheral neuropathy: Uncovering the symptom experience and self-management of neuropathic symptoms among cancer survivors
| Autor: | Kam Hung Wong, Yu Chung Li, Hui Lin Cheng, Choi Wan Chan, Alex Molassiotis, Siu Kie Au, Kwun To Leung |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Qualitative property Antineoplastic Agents Interview data 03 medical and health sciences 0302 clinical medicine Cancer Survivors Risk Factors Neoplasms Adaptation Psychological Medicine Humans 030212 general & internal medicine Prospective Studies Qualitative Research Self-management Oncology (nursing) business.industry Self-Management Cancer Peripheral Nervous System Diseases General Medicine Middle Aged medicine.disease Chemotherapy-induced peripheral neuropathy 030220 oncology & carcinogenesis Observational study Female Symptom Assessment business Psychosocial Clinical psychology Qualitative research |
| Zdroj: | European journal of oncology nursing : the official journal of European Oncology Nursing Society. 36 |
| ISSN: | 1532-2122 |
| Popis: | Purpose The study aimed at uncovering the symptom experience of neurotoxicity, self-adopted approaches and perspectives in managing chemotherapy-induced peripheral neuropathic (CIPN) symptoms in a sample of Chinese cancer survivors. Methods A qualitative descriptive study was used to explore individual experiences. A purposive sample of 12 female participants experiencing CIPN was invited to semi-structured interviews who were part of a larger prospective observational study investigating the natural progression and risk factors of CIPN. Textual interview data were managed in NVivo. Content analysis was used. Results Participants were aged 41–64 years and experienced moderate to severe neuropathic symptoms from 5 to 23 months after completion of a six-cycle chemotherapy regimens at reported during the interviews. Four categories emerged from the qualitative data, namely, (1) experience come to reality: characteristics of CIPN symptoms, (2) disruptions and perceived threat: ability to perform activities and resume work, (3) re-establishing an ‘at least satisfactory level of well-being’, and (4) views of and approaches in managing neuropathic symptoms. Conclusions The characteristics of CIPN symptoms causing disruptions in functional and/or psychosocial well-being from the patients’ perspectives and the self-help strategies used to manage symptoms showed a need to provide quality multidisciplinary supportive care, focusing on restoring functional and psychosocial well-being, and enhancing knowledge about symptom assessment and evidence-based strategies for empowering cancer survivors to cope with this complex symptom. |
| Databáze: | OpenAIRE |
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