Coping with fear of cancer recurrence among ovarian cancer survivors living in small urban and rural settings: A qualitative descriptive study.
Identifieur interne : 000261 ( Main/Exploration ); précédent : 000260; suivant : 000262Coping with fear of cancer recurrence among ovarian cancer survivors living in small urban and rural settings: A qualitative descriptive study.
Auteurs : Jacqueline Galica [Canada] ; Janet Giroux [Canada] ; Julie-Ann Francis [Canada] ; Christine Maheu [Canada]Source :
- European journal of oncology nursing : the official journal of European Oncology Nursing Society [ 1532-2122 ] ; 2020.
Descripteurs français
- KwdFr :
- Adaptation psychologique (MeSH), Adulte d'âge moyen (MeSH), Femelle (MeSH), Humains (MeSH), Ontario (MeSH), Peur (psychologie), Population rurale (statistiques et données numériques), Population urbaine (statistiques et données numériques), Recherche qualitative (MeSH), Récidive tumorale locale (psychologie), Sujet âgé (MeSH), Survivants (psychologie), Survivants du cancer (psychologie), Troubles phobiques (psychologie), Tumeurs de l'ovaire (psychologie).
- MESH :
- psychologie : Peur, Récidive tumorale locale, Survivants, Survivants du cancer, Troubles phobiques, Tumeurs de l'ovaire.
- statistiques et données numériques : Population rurale, Population urbaine.
- Adaptation psychologique, Adulte d'âge moyen, Femelle, Humains, Ontario, Recherche qualitative, Sujet âgé.
English descriptors
- KwdEn :
- Adaptation, Psychological (MeSH), Aged (MeSH), Cancer Survivors (psychology), Fear (psychology), Female (MeSH), Humans (MeSH), Middle Aged (MeSH), Neoplasm Recurrence, Local (psychology), Ontario (MeSH), Ovarian Neoplasms (psychology), Phobic Disorders (psychology), Qualitative Research (MeSH), Rural Population (statistics & numerical data), Survivors (psychology), Urban Population (statistics & numerical data).
- MESH :
- geographic : Ontario.
- psychology : Cancer Survivors, Fear, Neoplasm Recurrence, Local, Ovarian Neoplasms, Phobic Disorders, Survivors.
- statistics & numerical data : Rural Population, Urban Population.
- Adaptation, Psychological, Aged, Female, Humans, Middle Aged, Qualitative Research.
Abstract
PURPOSE
Fear of cancer recurrence (FCR) is a paramount concern among ovarian cancer survivors. Evidence shows that cancer survivors living in regional or rural areas have higher psychological morbidity; however, no known studies have explored how ovarian cancer survivors living in small urban and rural areas cope with FCR.
METHODS
In this qualitative descriptive study, a semi-structured questioning process was developed in accordance with Carver et al.'s conceptualization of coping. Focus groups or 1:1 telephone interviews were used to collect data from a convenience sample of ovarian cancer survivors. Participants completed a demographic form and the Fear of Cancer Recurrence Inventory, and clinical information was extracted from hospital charts.
RESULTS
The average age of participants (n = 15) was 62.8 years (Range 51-76 years) and the average time since diagnosis was 2.7 years (Range 1-19 years). Most women had elevated levels of FCR. Five themes for coping were expressed by all women: 1) health care provider support; 2) knowing, trusting, and prioritizing self; 3) finding what works; 4) uniqueness and belonging; and 5) redirecting thoughts and actions. One additional theme was expressed by most women (n = 11): 6) preparing for the future.
CONCLUSION
Fear of cancer recurrence was a concern for most ovarian cancer survivors who used a variety of ways to cope. Results can be used to guide nurses' discussions with post-treatment ovarian cancer survivors or be used to inform refinement and development of resources to assist ovarian cancer survivors living in small urban and rural settings to cope with FCR.
DOI: 10.1016/j.ejon.2019.101705
PubMed: 32006720
Affiliations:
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Electronic address: jacqueline.galica@queensu.ca.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>School of Nursing, Queen's University, 92 Barrie Street, Kingston, Ontario, K7L 3N6, Canada; Queen's Cancer Research Institute, Division of Cancer Care and Epidemiology, 10 Stuart Street, Kingston, Ontario, K7L 3N6</wicri:regionArea><wicri:noRegion>K7L 3N6</wicri:noRegion></affiliation></author><author><name sortKey="Giroux, Janet" sort="Giroux, Janet" uniqKey="Giroux J" first="Janet" last="Giroux">Janet Giroux</name><affiliation wicri:level="1"><nlm:affiliation>School of Nursing, Queen's University, 92 Barrie Street, Kingston, Ontario, K7L 3N6, Canada; Kingston Health Sciences Centres, Department of Obstetrics and Gynecology, 76 Stuart Street, Kingston, Ontario, K7L 2V7, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>School of Nursing, Queen's University, 92 Barrie Street, Kingston, Ontario, K7L 3N6, Canada; Kingston Health Sciences Centres, Department of Obstetrics and Gynecology, 76 Stuart Street, Kingston, Ontario, K7L 2V7</wicri:regionArea><wicri:noRegion>K7L 2V7</wicri:noRegion></affiliation></author><author><name sortKey="Francis, Julie Ann" sort="Francis, Julie Ann" uniqKey="Francis J" first="Julie-Ann" last="Francis">Julie-Ann Francis</name><affiliation wicri:level="1"><nlm:affiliation>Lakeridge Health Oshawa, Division of Gynecologic Oncology, 1 Hospital Court, Oshawa, Ontario, L1G 2B9, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Lakeridge Health Oshawa, Division of Gynecologic Oncology, 1 Hospital Court, Oshawa, Ontario, L1G 2B9</wicri:regionArea><wicri:noRegion>L1G 2B9</wicri:noRegion></affiliation></author><author><name sortKey="Maheu, Christine" sort="Maheu, Christine" uniqKey="Maheu C" first="Christine" last="Maheu">Christine Maheu</name><affiliation wicri:level="4"><nlm:affiliation>Ingram School of Nursing, McGill University, 680 Sherbrooke West #1800, Montréal, Québec, H3A 2M7, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Ingram School of Nursing, McGill University, 680 Sherbrooke West #1800, Montréal, Québec, H3A 2M7</wicri:regionArea><orgName type="university">Université McGill</orgName><placeName><settlement type="city">Montréal</settlement><region type="state">Québec</region></placeName></affiliation></author></analytic><series><title level="j">European journal of oncology nursing : the official journal of European Oncology Nursing Society</title><idno type="eISSN">1532-2122</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adaptation, Psychological (MeSH)</term><term>Aged (MeSH)</term><term>Cancer Survivors (psychology)</term><term>Fear (psychology)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Middle Aged (MeSH)</term><term>Neoplasm Recurrence, Local (psychology)</term><term>Ontario (MeSH)</term><term>Ovarian Neoplasms (psychology)</term><term>Phobic Disorders (psychology)</term><term>Qualitative Research (MeSH)</term><term>Rural Population (statistics & numerical data)</term><term>Survivors (psychology)</term><term>Urban Population (statistics & numerical data)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adaptation psychologique (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Ontario (MeSH)</term><term>Peur (psychologie)</term><term>Population rurale (statistiques et données numériques)</term><term>Population urbaine (statistiques et données numériques)</term><term>Recherche qualitative (MeSH)</term><term>Récidive tumorale locale (psychologie)</term><term>Sujet âgé (MeSH)</term><term>Survivants (psychologie)</term><term>Survivants du cancer (psychologie)</term><term>Troubles phobiques (psychologie)</term><term>Tumeurs de l'ovaire (psychologie)</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Ontario</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Peur</term><term>Récidive tumorale locale</term><term>Survivants</term><term>Survivants du cancer</term><term>Troubles phobiques</term><term>Tumeurs de l'ovaire</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Cancer Survivors</term><term>Fear</term><term>Neoplasm Recurrence, Local</term><term>Ovarian Neoplasms</term><term>Phobic Disorders</term><term>Survivors</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Rural Population</term><term>Urban Population</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Population rurale</term><term>Population urbaine</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adaptation, Psychological</term><term>Aged</term><term>Female</term><term>Humans</term><term>Middle Aged</term><term>Qualitative Research</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adaptation psychologique</term><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Ontario</term><term>Recherche qualitative</term><term>Sujet âgé</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>PURPOSE</b></p><p>Fear of cancer recurrence (FCR) is a paramount concern among ovarian cancer survivors. Evidence shows that cancer survivors living in regional or rural areas have higher psychological morbidity; however, no known studies have explored how ovarian cancer survivors living in small urban and rural areas cope with FCR.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>In this qualitative descriptive study, a semi-structured questioning process was developed in accordance with Carver et al.'s conceptualization of coping. Focus groups or 1:1 telephone interviews were used to collect data from a convenience sample of ovarian cancer survivors. Participants completed a demographic form and the Fear of Cancer Recurrence Inventory, and clinical information was extracted from hospital charts.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>The average age of participants (n = 15) was 62.8 years (Range 51-76 years) and the average time since diagnosis was 2.7 years (Range 1-19 years). Most women had elevated levels of FCR. Five themes for coping were expressed by all women: 1) health care provider support; 2) knowing, trusting, and prioritizing self; 3) finding what works; 4) uniqueness and belonging; and 5) redirecting thoughts and actions. One additional theme was expressed by most women (n = 11): 6) preparing for the future.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>Fear of cancer recurrence was a concern for most ovarian cancer survivors who used a variety of ways to cope. Results can be used to guide nurses' discussions with post-treatment ovarian cancer survivors or be used to inform refinement and development of resources to assist ovarian cancer survivors living in small urban and rural settings to cope with FCR.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">32006720</PMID><DateCompleted><Year>2020</Year><Month>09</Month><Day>16</Day></DateCompleted><DateRevised><Year>2020</Year><Month>09</Month><Day>16</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1532-2122</ISSN><JournalIssue CitedMedium="Internet"><Volume>44</Volume><PubDate><Year>2020</Year><Month>Feb</Month></PubDate></JournalIssue><Title>European journal of oncology nursing : the official journal of European Oncology Nursing Society</Title><ISOAbbreviation>Eur J Oncol Nurs</ISOAbbreviation></Journal><ArticleTitle>Coping with fear of cancer recurrence among ovarian cancer survivors living in small urban and rural settings: A qualitative descriptive study.</ArticleTitle><Pagination><MedlinePgn>101705</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S1462-3889(19)30173-5</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.ejon.2019.101705</ELocationID><Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">Fear of cancer recurrence (FCR) is a paramount concern among ovarian cancer survivors. Evidence shows that cancer survivors living in regional or rural areas have higher psychological morbidity; however, no known studies have explored how ovarian cancer survivors living in small urban and rural areas cope with FCR.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">In this qualitative descriptive study, a semi-structured questioning process was developed in accordance with Carver et al.'s conceptualization of coping. Focus groups or 1:1 telephone interviews were used to collect data from a convenience sample of ovarian cancer survivors. Participants completed a demographic form and the Fear of Cancer Recurrence Inventory, and clinical information was extracted from hospital charts.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">The average age of participants (n = 15) was 62.8 years (Range 51-76 years) and the average time since diagnosis was 2.7 years (Range 1-19 years). Most women had elevated levels of FCR. Five themes for coping were expressed by all women: 1) health care provider support; 2) knowing, trusting, and prioritizing self; 3) finding what works; 4) uniqueness and belonging; and 5) redirecting thoughts and actions. One additional theme was expressed by most women (n = 11): 6) preparing for the future.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Fear of cancer recurrence was a concern for most ovarian cancer survivors who used a variety of ways to cope. Results can be used to guide nurses' discussions with post-treatment ovarian cancer survivors or be used to inform refinement and development of resources to assist ovarian cancer survivors living in small urban and rural settings to cope with FCR.</AbstractText><CopyrightInformation>Copyright © 2019 Elsevier Ltd. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Galica</LastName><ForeName>Jacqueline</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>School of Nursing, Queen's University, 92 Barrie Street, Kingston, Ontario, K7L 3N6, Canada; Queen's Cancer Research Institute, Division of Cancer Care and Epidemiology, 10 Stuart Street, Kingston, Ontario, K7L 3N6, Canada. Electronic address: jacqueline.galica@queensu.ca.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Giroux</LastName><ForeName>Janet</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>School of Nursing, Queen's University, 92 Barrie Street, Kingston, Ontario, K7L 3N6, Canada; Kingston Health Sciences Centres, Department of Obstetrics and Gynecology, 76 Stuart Street, Kingston, Ontario, K7L 2V7, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Francis</LastName><ForeName>Julie-Ann</ForeName><Initials>JA</Initials><AffiliationInfo><Affiliation>Lakeridge Health Oshawa, Division of Gynecologic Oncology, 1 Hospital Court, Oshawa, Ontario, L1G 2B9, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Maheu</LastName><ForeName>Christine</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Ingram School of Nursing, McGill University, 680 Sherbrooke West #1800, Montréal, Québec, H3A 2M7, Canada.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2019</Year><Month>11</Month><Day>30</Day></ArticleDate></Article><MedlineJournalInfo><Country>Scotland</Country><MedlineTA>Eur J Oncol Nurs</MedlineTA><NlmUniqueID>100885136</NlmUniqueID><ISSNLinking>1462-3889</ISSNLinking></MedlineJournalInfo><SupplMeshList><SupplMeshName Type="Disease" UI="C562465">Phobia, Specific</SupplMeshName></SupplMeshList><CitationSubset>IM</CitationSubset><CitationSubset>N</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000223" MajorTopicYN="N">Adaptation, Psychological</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000073116" MajorTopicYN="N">Cancer Survivors</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005239" MajorTopicYN="N">Fear</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009364" MajorTopicYN="N">Neoplasm Recurrence, Local</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D009864" MajorTopicYN="N" Type="Geographic">Ontario</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010051" MajorTopicYN="N">Ovarian Neoplasms</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D010698" MajorTopicYN="N">Phobic Disorders</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D036301" MajorTopicYN="N">Qualitative Research</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012424" MajorTopicYN="N">Rural Population</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D017741" MajorTopicYN="N">Survivors</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014505" MajorTopicYN="N">Urban Population</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Coping</Keyword><Keyword MajorTopicYN="N">Fear of cancer recurrence</Keyword><Keyword MajorTopicYN="N">Oncology nursing</Keyword><Keyword MajorTopicYN="N">Ovarian cancer</Keyword><Keyword MajorTopicYN="N">Qualitative</Keyword><Keyword MajorTopicYN="N">Survivorship</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2019</Year><Month>05</Month><Day>29</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2019</Year><Month>11</Month><Day>15</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2019</Year><Month>11</Month><Day>26</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>2</Month><Day>2</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>9</Month><Day>17</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate 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Giroux</name><name sortKey="Maheu, Christine" sort="Maheu, Christine" uniqKey="Maheu C" first="Christine" last="Maheu">Christine Maheu</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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