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Titre : | Couples coping with nutrition-related problems in advanced cancer: A qualitative study in primary care (2019) |
Auteurs : | Sophie Opsomer ; S. Joossens ; Claudia De Wit |
Type de document : | Article |
Dans : | European Journal of Oncology Nursing (Vol. 38, February 2019) |
Article en page(s) : | p. 76-84 |
Note générale : | DOI: https://doi.org/10.1016/j.ejon.2018.12.006 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Adaptation psychologique ; Communication ; Conjoints ; Nutrition ; Recherche qualitative ; Soins de santé primaires |
Mots-clés: | Cancer de stade avancé |
Résumé : |
Purpose
Nutrition-related problems are common in patients with advanced cancer. They can disrupt daily life and routines. This study aimed to explore how couples cope with this source of distress. Methods A qualitative descriptive study design was adopted using semi-structured interviews. Seven couples, each consisting of an advanced cancer patient and his or her co-habiting life partner, participated. The Qualitative Analysis Guide of Leuven (QUAGOL) was used as a guide to facilitate the analysis process. Results When a patient communicates nutrition-related problems to the partner, individual coping is often complemented by interactive couple-coping pathways, serving two resilient coping strategies: maintaining normality and creating a new normality. These pathways can have either a practical, an emotional or a distant orientation. Different couple-coping pathways can be observed in the same couple when they are dealing with either one or multiple nutrition-related problems. Some couples, however, seem to cope more rigidly, often those with less observed we-ness. Conclusions Nutrition-related problems are inherent to advanced cancer and are perceived as health-threatening. Couple-coping with nutrition-related problems is a dynamic and interactive process leaning on different coping pathways. There is no evidence that one pathway is superior to another, as they all serve a resilient coping strategy. Our findings can assist homecare nurses and other professional caregivers in providing psychological support and advice to couples confronted with nutrition-related problems in advanced cancer. Future research should shed light on whether an unsuitable match in coping styles within a couple is one of the precursors of non-resilient outcomes. |
Disponible en ligne : | Non |
Exemplaires (1)
Cote | Support | Localisation | Section | Disponibilité |
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REV | Périodique papier | Woluwe | Espace revues | Consultation sur place uniquement Exclu du prêt |