Food connections: A qualitative exploratory study of weight- and eating-related distress in families affected by advanced cancer
Food connections: A qualitative exploratory study of weight- and eating-related distress in families affected by advanced cancer
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DOI：
10.1016/j.ejon.2015.06.002
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发表时间：
2016-02-01
影响因子：
2.8
通讯作者：
Hopkinson, J. B.
中科院分区：
文献类型：
--
作者：
Hopkinson, J. B.
目的：体重减轻和饮食问题在癌症中很常见，对生活质量有深远的影响。它们是癌症恶病质综合症的症状。本文研究了晚期癌症患者与家庭护理者之间体重和饮食相关问题的相互依赖性，从而提出了如何减轻患者及其家庭成员体重和饮食相关困扰的建议。方法：采用横断面设计。解释现象学为分析过程提供了信息。患者参与者患有晚期癌症，并且对体重和/或饮食有担忧。对31对患者配偶/伴侣进行了半结构化访谈（62次访谈），主要关注患者的体重减轻和饮食问题以及如何处理这些问题。结果：这项研究发现，晚期癌症患者体重和饮食习惯的改变会破坏食物之间的联系。食物通过为身体提供能量，维持身体活动和生命，在身体上将我们与他人联系起来；在情感上通过交流对自己和他人的感受，在社交上通过提供与他人分享时间的理由，将我们与他人联系起来。该研究发现，对食物联系中断有三种二元反应；双重接受，双重抵制和不匹配的抵制。他们之所以有趣，是因为他们可以帮助区分那些可能受益于心理社会干预的病人-家庭照顾者，以及那些没有这种帮助就能应付的人。结论：研究结果对临床医生和研究人员提出了挑战，他们不仅要寻求帮助个体患者和护理人员的方法，还要寻求帮助受癌症恶病质综合征症状影响的痛苦家庭成员之间的相互作用。(C) 2015作者。Elsevier Ltd.出版。
Purpose: Weight loss and eating problems are common in cancer and have a profound effect on quality of life. They are symptoms of cancer cachexia syndrome. This paper examines interdependency between advanced cancer patient and family carer experience of weight- and eating-related problems, leading to proposition of how weight- and eating-related distress might be alleviated in both patients and their family members.Methods: The study was of cross-sectional design. Interpretive phenomenology informed the analytic process. Patient participants had advanced cancer and concern about weight and/or eating. Semi structured interviews were conducted with 31 patient-spouse/partner dyads (62 interviews), which focused on weight loss and eating problems in the patient and how these had been managed.Results: This study found change in weight and eating habits in advanced cancer to disrupt food connections. Food connects us with others physically by fuelling the body and sustaining physical activity and life, emotionally by communicating feelings about self and others, and socially by providing a reason for sharing time with others. The study found three dyadic responses to disruption in food connections; dual acceptance, dual resistance and mismatched resistance. They are of interest, because they can help discriminate between those patient-family carer dyads who might benefit from psychosocial interventions and those who will cope without such help.Conclusion: The findings challenge clinicians and researchers to seek ways of aiding not only with concerns of the individual patients and carers, but also with interactions between distressed family members affected by symptoms of cancer cachexia syndrome. (C) 2015 The Author. Published by Elsevier Ltd.