Hoping for the best, preparing for the worst: the lived experiences of women undergoing ovarian cancer surgery

被引:25
作者
Seibaek, L. [1 ,2 ]
Petersen, L. K. [2 ]
Blaakaer, J. [2 ]
Hounsgaard, L. [1 ]
机构
[1] Univ So Denmark, Fac Hlth Sci, Res Unit Nursing, Odense, Denmark
[2] Aarhus Univ Hosp, Dept Obstet & Gynaecol, DK-8000 Aarhus, Denmark
关键词
cancer; interview; lived experiences; nursing; phenomenological hermeneutics; supportive care; QUALITY-OF-LIFE; SOCIAL-INEQUALITY; PSYCHOSOCIAL FACTORS; SURVIVAL; DENMARK; COMORBIDITY; DIAGNOSIS; NORMALITY; DISTRESS; ILLNESS;
D O I
10.1111/j.1365-2354.2011.01313.x
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
In this study, the lived experiences of women undergoing ovarian cancer surgery were explored, aiming to provide a patient perspective on being newly diagnosed and starting treatment for ovarian cancer. The study period ran from the first visit in the outpatient clinic, till 8 weeks later, when the women had either begun chemotherapy or completed their recovery. Ten women participated in two qualitative research interviews each, before and after surgery. By applying a phenomenological-hermeneutic text interpretation methodology, the findings were systematically identified, put into meaning-structures, interpreted and discussed. This process constituted the theme: 'Hoping for the best, preparing for the worst'. Final diagnostics and treatment start were extensive life events, where life itself was threatened, although hope and will were present. The women intuitively prepared themselves for the diagnosis and treatment. However, the ability to prepare was influenced by personal lifestyle, social conditions, coping strategies, and experiences of hope. The ability to prepare could be strengthened by providing adjusted information, psychosocial support and physical optimisation during the perioperative period. By offering targeted family counselling and taking good care of the women's general health and well-being, hope could be sustained and early cancer rehabilitation initiated.
引用
收藏
页码:360 / 371
页数:12
相关论文
共 51 条
[1]  
Allen Davina, 2004, Nurs Inq, V11, P14, DOI 10.1111/j.1440-1800.2004.00201.x
[2]  
[Anonymous], 1993, Qualitative Health Research
[3]  
[Anonymous], TRUTH METHOD
[4]   Pathways to the diagnosis of ovarian cancer in the UK: a cohort study in primary care [J].
Barrett, J. ;
Sharp, D. J. ;
Stapley, S. ;
Stabb, C. ;
Hamilton, W. .
BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY, 2010, 117 (05) :610-614
[5]  
Browall M., 2008, EUROPEAN J ONCOLOGY, V8, P200
[6]   Cancer survival in Australia, Canada, Denmark, Norway, Sweden, and the UK, 1995-2007 (the International Cancer Benchmarking Partnership): an analysis of population-based cancer registry data [J].
Coleman, M. P. ;
Forman, D. ;
Bryant, H. ;
Butler, J. ;
Rachet, B. ;
Maringe, C. ;
Nur, U. ;
Tracey, E. ;
Coory, M. ;
Hatcher, J. ;
McGahan, C. E. ;
Turner, D. ;
Marrett, L. ;
Gjerstorff, M. L. ;
Johannesen, T. B. ;
Adolfsson, J. ;
Lambe, M. ;
Lawrence, G. ;
Meechan, D. ;
Morris, E. J. ;
Middleton, R. ;
Steward, J. ;
Richards, M. A. .
LANCET, 2011, 377 (9760) :127-138
[7]   Psychosocial factors and interleukin-6 among women with advanced ovarian cancer [J].
Costanzo, ES ;
Lutgendorf, SK ;
Sood, AK ;
Anderson, B ;
Sorosky, J ;
Lubaroff, DM .
CANCER, 2005, 104 (02) :305-313
[8]   Social inequality in incidence of and survival from cancer in a population-based study in Denmark, 1994-2003:: Summary of findings [J].
Dalton, Susanne Oksbjerg ;
Schuz, Joachim ;
Enyholm, Gerda ;
Johansen, Christoffer ;
Kjaer, Susanne Kruger ;
Steding-Jessen, Marianne ;
Storm, Hans H. ;
Olsen, Jorgen H. .
EUROPEAN JOURNAL OF CANCER, 2008, 44 (14) :2074-2085
[9]  
Dalton SO, 2008, EUR J CANCER, V44, P1938, DOI [10.1016/j.ejca.2008.06.010, 10.1016/j.ejca.2008.06.034]
[10]   Distanciation in Ricoeur's theory of interpretation: narrations in a study of life experiences of living with chronic illness and home mechanical ventilation [J].
Dreyer, Pia Sander ;
Pedersen, Birthe D. .
NURSING INQUIRY, 2009, 16 (01) :64-73