'Only to reconcile with it'. The coping experience amongst middle-aged and older cancer survivors : A qualitative study

© 2024 The Authors. Health Expectations published by John Wiley & Sons Ltd..

BACKGROUND: Cancer threat is relevant to age, and the threat of a foreshortened life coupled with a lengthy treatment process negatively affects middle-aged and older adults. Understanding the coping throughout the cancer experience in middle-aged and older cancer survivors will help develop supportive care to promote their physiological and psychological coping effects.

OBJECTIVES: To explore the cancer coping experiences of middle-aged adults aged 40-59 and older adults over 60.

DESIGN: A descriptive phenomenological study was employed.

METHODS: Face-to-face, in-depth, semistructured interviews were conducted with 22 oncology patients in a tertiary university hospital aged 40 or above from August to October 2023. The interview data were analyzed using thematic analysis procedures.

RESULTS: Five themes and 13 subthemes were formed through analysis: acceptance of cancer (considering cancer as chronic, believing in fate and attributing cancer to karma); having different information needs (desired to be truthfully informed, information-seeking behaviour, information avoidance behaviour); getting families involved (developing dependent behaviours, feeling emotional support, family members suffering worse); striving to maintain positive psychological state (positive thinking, seeking peer support) and negative experience (undesirable, low self-esteem).

CONCLUSION: Our study reveals that cancer survivors' attitudes towards having cancer have changed from a death sentence to a more positive perception of a chronic disease. Supportive programmes for developing coping strategies should consider the cultural traditions and religious beliefs, different information needs, involvement of family and promoting a positive psychological state while avoiding negative factors.

PATIENT OR PUBLIC CONTRIBUTION: Participants with experience of coping with cancer were involved in the semistructured interview.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:27

Enthalten in:

Health expectations : an international journal of public participation in health care and health policy - 27(2024), 2 vom: 12. Apr., Seite e14048

Sprache:

Englisch

Beteiligte Personen:

He, Yi [VerfasserIn]
Zhao, Wei [VerfasserIn]
Duan, An [VerfasserIn]
Xiao, Hong [VerfasserIn]
Zhou, Xuemei [VerfasserIn]
Zhuo, Qiqi [VerfasserIn]

Links:

Volltext

Themen:

Cancer
Cancer survivors
Coping
Journal Article
Middle‐aged
Older
Qualitative research

Anmerkungen:

Date Completed 15.04.2024

Date Revised 25.04.2024

published: Print

Citation Status MEDLINE

doi:

10.1111/hex.14048

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM370957946