Nutritional challenges of gastric cancer patients from the perspectives of patients, family caregivers, and health professionals: a qualitative study

被引:21
作者
Taleghani, Fariba [1 ]
Ehsani, Maryam [2 ]
Farzi, Sedigheh [1 ]
Farzi, Saba [3 ]
Adibi, Peyman [4 ]
Moladoost, Azam [5 ]
Shahriari, Mohsen [1 ]
Tabakhan, Mahnaz [6 ]
机构
[1] Isfahan Univ Med Sci, Fac Nursing & Midwifery, Dept Adult Hlth Nursing, Nursing & Midwifery Care Res Ctr, Esfahan, Iran
[2] Iran Univ Med Sci, Fac Nursing & Midwifery, Nursing Care Res Ctr, Tehran, Iran
[3] Isfahan Univ Med Sci, Fac Nursing & Midwifery, Student Res Ctr, Esfahan, Iran
[4] Isfahan Univ Med Sci, Gastroenterol & Hepatol Dept Internal Med, Integrat Funct Gastroenterol Res Al Zahra Hosp, Sch Med, Esfahan, Iran
[5] Islamic Azad Univ, Najafabad Branch, Dept Psychol, Najafabad, Iran
[6] Isfahan Univ Med Sci, Omid Hosp, Esfahan, Iran
基金
芬兰科学院;
关键词
Gastric cancer; Nutritional challenges; Descriptive qualitative; OF-LIFE; DISORDERS;
D O I
10.1007/s00520-020-05951-7
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Purpose This study aims to explore the perceptions of gastric cancer patients, their family caregivers, physicians, and nurses of nutritional challenges. Methods Using a descriptive qualitative method, this study was conducted in 2019-2020. Twenty participants (6 patients, 6 family caregivers, 3 physicians, and 5 nurses) were selected through purposive sampling. Data was collected through in-depth semi-structured interviews and examined using qualitative content analysis. Results Data analysis revealed three categories, each with two subcategories: eating, an unpleasant experience that contains "a feeling like hyperemesis gravidarum" and "childish food excuses"; flexibility while adhering to a proper diet, which consists of "dietary dos and don'ts" and "nutritional leniency"; and nutrition with distress that contains "patient's sense of being an extra burden" and "provision of nutrition with suffering in caregivers." Conclusion Because of the significant physical and psychological impact of nutritional problems on patients and their caregivers, the need to provide care and education to these patients and their families using a multidisciplinary team is becoming more important.
引用
收藏
页码:3943 / 3950
页数:8
相关论文
共 25 条
[1]  
[Anonymous], 2007, Int. J. Qual. Stud. Health Well-Being, DOI [10.1080/17482620701305589, DOI 10.1080/17482620701305589]
[2]  
[Anonymous], 2016, Qualitative Research in Nursing and Healthcare
[3]   Mutuality and specificity of mental disorders in advanced cancer patients and caregivers [J].
Bambauer, Kara Zivin ;
Zhang, Baohui ;
Maciejewski, Paul K. ;
Sahay, Neayka ;
Pirl, William F. ;
Block, Susan D. ;
Prigerson, Holly G. .
SOCIAL PSYCHIATRY AND PSYCHIATRIC EPIDEMIOLOGY, 2006, 41 (10) :819-824
[4]   The effects of swallowing disorders, dysgeusia, oral mucositis and xerostomia on nutritional status, oral intake and weight loss in head and neck cancer patients: A systematic review [J].
Bressan, Valentina ;
Stevanin, Simone ;
Bianchi, Monica ;
Aleo, Giuseppe ;
Bagnasco, Annamaria ;
Sasso, Loredana .
CANCER TREATMENT REVIEWS, 2016, 45 :105-119
[5]  
Choi Wook Jin, 2016, Clin Nutr Res, V5, P65, DOI 10.7762/cnr.2016.5.2.65
[6]  
Emadzadeh B, 2020, TEXTURAL CHARACTERISTICS OF WORLD FOODS, P237
[7]   Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness [J].
Graneheim, UH ;
Lundman, B .
NURSE EDUCATION TODAY, 2004, 24 (02) :105-112
[8]  
GUBA EG, 1981, ECTJ-EDUC COMMUN TEC, V29, P75
[9]   Effect of early and intensive nutrition care, delivered via telephone or mobile application, on quality of life in people with upper gastrointestinal cancer: study protocol of a randomised controlled trial [J].
Hanna, Lauren ;
Huggins, Catherine E. ;
Furness, Kate ;
Silvers, Mary Anne ;
Savva, June ;
Frawley, Helena ;
Croagh, Daniel ;
Cashin, Paul ;
Low, Liang ;
Bauer, Judith ;
Truby, Helen ;
Haines, Terrence .
BMC CANCER, 2018, 18
[10]  
Kahriman Fatma, 2015, Asian Pac J Cancer Prev, V16, P3313