Integrating self-management into daily life following primary treatment: head and neck cancer survivors' perspectives
Integrating self-management into daily life following primary treatment: head and neck cancer survivors' perspectives
复制标题
将自我管理融入初级治疗后的日常生活：头颈癌幸存者的观点
DOI：
10.1007/s11764-018-0726-4
复制
发表时间：
2019-02-01
影响因子：
3.7
通讯作者：
Gallagher, Pamela
中科院分区：
文献类型：
--
作者：
Dunne, Simon;Coffey, Laura;Gallagher, Pamela
自我管理可以帮助癌症幸存者更好地应对癌症及其治疗对他们身体、功能、社会和心理健康的挑战。尽管如此，人们对如何将癌症自我管理实践融入日常生活知之甚少。本研究的目的是描述和描述的过程中，头部和颈部癌症（HNC）的幸存者试图整合到他们的日常生活中的自我管理初级treatment.MethodsUsing一个有目的的关键情况下抽样方法，27 HNC幸存者被确定通过四个指定的癌症中心在爱尔兰，并参加了面对面的半结构化访谈。访谈录音，转录和分析使用thematic analysis.ResultsSix主题描述HNC幸存者的尝试，以整合自我管理到他们的生活治疗后确定：努力解决自我管理的问题，尝试自我管理策略，成为一名专业的自我管理者，努力将自我管理策略融入日常生活，避免推荐的自我管理和解释self-management.ConclusionsThis是第一个研究来描述HNC幸存者的尝试整合自我管理到他们的日常生活中的初级治疗。研究结果表明，HNC幸存者表现出高度个性化的自我管理整合方法，放弃自我管理策略，无法满足自己的具体需求。癌症幸存者的影响幸存者可能受益于技能培训和结构化的支持，以帮助他们之间的过渡住院护理和初级治疗后的自我管理，和/或持续的支持，以应对持续和反复出现的挑战，如进食困难和害怕复发。
BackgroundSelf-management may help cancer survivors to better deal with challenges to their physical, functional, social and psychological well-being presented by cancer and its treatment. Nonetheless, little is known about how people integrate cancer self-management practices into their daily lives. The aim of this study was to describe and characterise the processes through which head and neck cancer (HNC) survivors attempt to integrate self-management into their daily lives following primary treatment.MethodsUsing a purposeful critical case sampling method, 27 HNC survivors were identified through four designated cancer centres in Ireland and participated in face-to-face semi-structured interviews. Interviews were audio-recorded, transcribed and analysed using thematic analysis.ResultsSix themes describing HNC survivors' attempts to integrate self-management into their lives following treatment were identified: grappling with having to self-manage, trying out self-management strategies, becoming an expert self-manager, struggling to integrate self-management strategies into daily life, avoiding recommended self-management and interpreting self-management.ConclusionsThis is the first study to describe HNC survivors' attempts to integrate self-management into their daily lives following primary treatment. The findings indicate that HNC survivors exhibit highly individualised approaches to self-management integration and abandon self-management strategies that fail to meet their own specific needs.Implications for Cancer SurvivorsSurvivors may benefit from skills training and structured support to assist their transition between in-patient care and having to self-manage after primary treatment, and/or ongoing support to deal with persistent and recurring challenges such as eating difficulties and fear of recurrence.