Patientinddragelse -beskrivelse af kvalme og copingstrategier under kemoterapibehandling: et led i en sundhedsfremmende strategi
2012 (Danish)Independent thesis Advanced level (degree of Master (Two Years))
Student thesisAlternative title
Patient participation in perception of nausea and coping strategies during chemotherapy : A health promotion strategy (English)
Abstract [da]
Baggrund og Formål: Studier har vist at cancer patienter,der oplever kvalme under kemoterapibehandling,har en nedsat livskvalitet. Formålet med dette studie har væretat beskrive,hvordan cancerpatienter opleverkemoterapi-induceret kvalme og hvilke copingstrategier, de anvenderfor at håndtere og kontrollere kvalme.
Metode:Der blev foretaget en kvalitativ dagborgsundersøgelse med 14 brystcancer patienter i adjuverende kemoterapibehandling på et universitetshospital i Danmark. Kvalitativ indholdsanalyse blev anvendt som analysemetode.
Hovedresultat: Gennem analysen fremkom både et manifest og latent indhold,som beskrev patienterneserfaringer med og reflektioner over oplevelsen af kemoterapi-induceret kvalme. Der blev dannet fem kategorier,appetit, lokalisation, karakter, intensitet ogvarighed.Det latente indhold af disse kategorier blev beskrevet i temaet: kvalme er en fysisk oplevelse med komplekse og modstridende fornemmelser.Patienternes copingstrategier identificeredes gennemseks underkategorierog to kategorier. De to kategoriervar: at struktuere hverdagen med kvalme og at ændre fokus. Patienterne anvendte copingstrategier fra begge kategorier for at opnå kontrol over situationen og genoprette et velbefindende.
Konklusion: Idette studie beskrivercancer patienterkemoterapi-induceret kvalme som en kompleks fysisk oplevelse, der håndteresved hjælp afen bred vifte af copingstrategier. Patientinddragelse er en mulig strategi i udviklingen afsundhedsfremmende aktiviteter,der kan højnelivskvaliteten hoscancerpatienter, somoplever kvalme i forbindelsen med kemoterapibehandlingen
Abstract [en]
Background and Aim: Several studies have reported low quality of life among cancer patients with chemotherapy-induced nausea.This study aimed to describe cancer patients’ perception of chemotherapy-induced nausea and the coping strategies used to ease nausea during chemotherapy.
Method: Fourteenfemale cancer patients undergoing chemotherapy in a Danish university hospital participated in this study.Data were extracted from diaries, followed byqualitative content analysis.
Result: Data analysis comprised both manifest and latent content and revealed the patients’ own experiences of and reflection about perceived chemotherapy-induced nausea.Five categories,appetite, localization, character, intensity, and durationemerged. The latent content of these categories is described by the theme: nausea is a physical experience of complex and contradictory sensations. The results also identified six subcategories and comprised two main categories, which described the women ́s coping strategies: structuring everyday life with nausea and shifting focus. To manage nausea, patients’ employed coping strategies from both categories.
Conclusion: This study used patients’ own assessments to understand both the complexity of nausea and the patients’ description of coping with nausea. A strategy involving patient participation might helpto create health promotion activities that increase quality of life among patients with chemotherapy-induced nausea
Place, publisher, year, edition, pages
2012. , p. 41
Series
Master of Public Health, MPH, ISSN 1104-5701 ; MPH 2012:12
Keywords [en]
Chemotherapy - Induced Nausea, Coping Strategies, Diaries, Health Promotion, Patient Participation
Keywords [da]
Copingstrategier, dagbøger, kemoterapi - induceret kvalme, patientinddragelse, sundhedsfremme
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:norden:org:diva-3072OAI: oai:DiVA.org:norden-3072DiVA, id: diva2:713524
Presentation
2012-09-14, Nordic School of Public Health NHV, Box 12133, 40242 Göteborg, Sverige, 00:00 (Danish)
Supervisors
Note
ISBN 978-91-86739-45-4
2014-04-232014-04-232025-06-12Bibliographically approved