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Lived experiences and support needs of women who developed chemotherapy‐induced peripheral neuropathy following treatment for breast and ovarian cancer

机译:在治疗乳腺癌和卵巢癌治疗后开发化疗诱导的外周神经病变的妇女的生活经验和支持需求

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Abstract Objectives This study explored lived experiences of women who developed chemotherapy‐induced peripheral neuropathy (CIPN) following treatment for breast and ovarian cancer. It also explored cancer survivors' perceptions of information and advice offered by clinicians about CIPN and for managing CIPN. Methods The study was advertised through cancer charity websites and social media accounts. Purposeful, convenience sampling was carried out using set eligibility criteria. Individuals with diagnosis of breast or ovarian cancer who experienced or are still experiencing CIPN were recruited. Fifteen semi‐structured interviews were conducted. Data were analysed using interpretative phenomenological analysis (IPA). Results Similar to previous studies, participants used comparisons to describe their symptoms. Four main themes emerged from the analysis: (a) struggle to process CIPN information, (b) information and trust are key in the treatment decision‐making process, (c) experience of symptom reporting and (d) challenges of managing symptoms. Findings suggest interventions to improve understanding of CIPN risk are needed in practice. Conclusion A better and broader understanding of the patient experience of CIPN could pave the way for improved communication, assessment and management of symptoms. Results suggest the need for interventions to guide cancer survivors to recognise and report CIPN symptoms early and address the impact of CIPN symptoms in their lives.
机译:摘要目的本研究探讨了在治疗乳腺癌和卵巢癌后开发化疗诱导的外周神经病变(CIPN)的妇女的生活经验。它还探讨了癌症幸存者对临床医生提供了关于CIPN和管理CIPN的信息和建议的看法。方法通过癌症慈善网站和社交媒体账户宣传该研究。有目的,使用设定的资格标准进行了便利取样。招募了患有或仍然经历CIPN的乳腺癌或卵巢癌诊断的个体。已经进行了十五个半结构性访谈。使用解释性现象学分析(IPA)分析数据。结果类似于以前的研究,参与者使用比较来描述他们的症状。从分析中出现的四个主要主题:(a)处理CIPN信息的斗争,(b)信息和信任是治疗决策过程中的关键,(c)症状报告的经验和(d)管理症状的挑战。调查结果表明,在实践中需要提高对CIPN风险的理解的干预。结论更好,更广泛地了解CIPN的患者体验,可以为改善沟通,评估和症状管理的改善方式铺平道路。结果表明,需要干预措施,以便提前识别和报告CIPN症状的癌症幸存者,并解决CIPN症状在其生命中的影响。

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