Older breast cancer survivors’ symptom beliefs: A content analysis
Identifieur interne : 006207 ( Main/Merge ); précédent : 006206; suivant : 006208Older breast cancer survivors’ symptom beliefs: A content analysis
Auteurs : Heather Rhea Royer ; Cynthia H. Phelan ; Susan M. HeidrichSource :
- Oncology nursing forum [ 0190-535X ] ; 2009.
Abstract
The purpose of this investigation was to use Leventhal’s Common Sense Model (CSM) to describe older breast cancer survivors’ symptom representations, symptom management strategies, and perceived barriers to symptom management.
A secondary analysis was conducted using data from three pilot studies testing a theory-based intervention to improve symptom management in older breast cancer survivors.
Advanced practice nurses conducted open-ended interviews among older breast survivors either in the women’s home or via telephone.
The women were recruited from the community, an oncology clinic, and a state tumor registry. The women (
Content analysis was conducted of field notes taken during baseline interviews. Two coders independently coded responses. Inter-rater reliability was 82.3%.
Symptom representations, symptom management strategies, and perceived barriers to symptom management.
Women described their symptoms as chronic, with multiple causes (but rarely due to aging), with numerous negative consequences, and not curable or controllable. Women described an average of six symptom management strategies, most typically self-care. The most frequent barrier to symptom management was problems communicating with health care providers.
The CSM is a useful framework for understanding the symptom beliefs of older breast cancer survivors.
Addressing women’s beliefs and barriers may result in better communication with health care providers and more effective interventions for symptom management.
Url:
DOI: 10.1188/09.ONF.463-470
PubMed: 19581237
PubMed Central: 2918251
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<series><title level="j">Oncology nursing forum</title>
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<front><div type="abstract" xml:lang="en"><sec id="S1"><title>Purpose</title>
<p id="P1">The purpose of this investigation was to use Leventhal’s Common Sense Model (CSM) to describe older breast cancer survivors’ symptom representations, symptom management strategies, and perceived barriers to symptom management.</p>
</sec>
<sec id="S2"><title>Design</title>
<p id="P2">A secondary analysis was conducted using data from three pilot studies testing a theory-based intervention to improve symptom management in older breast cancer survivors.</p>
</sec>
<sec id="S3"><title>Setting</title>
<p id="P3">Advanced practice nurses conducted open-ended interviews among older breast survivors either in the women’s home or via telephone.</p>
</sec>
<sec id="S4"><title>Sample</title>
<p id="P4">The women were recruited from the community, an oncology clinic, and a state tumor registry. The women (<italic>n</italic>
= 61, <italic>mean</italic>
age = 69.5) were an average of 4.7 years post-breast cancer diagnosis and reported an average of 17 symptoms.</p>
</sec>
<sec sec-type="methods" id="S5"><title>Methods</title>
<p id="P5">Content analysis was conducted of field notes taken during baseline interviews. Two coders independently coded responses. Inter-rater reliability was 82.3%.</p>
</sec>
<sec id="S6"><title>Main Research Variables</title>
<p id="P6">Symptom representations, symptom management strategies, and perceived barriers to symptom management.</p>
</sec>
<sec id="S7"><title>Findings</title>
<p id="P7">Women described their symptoms as chronic, with multiple causes (but rarely due to aging), with numerous negative consequences, and not curable or controllable. Women described an average of six symptom management strategies, most typically self-care. The most frequent barrier to symptom management was problems communicating with health care providers.</p>
</sec>
<sec id="S8"><title>Conclusions</title>
<p id="P8">The CSM is a useful framework for understanding the symptom beliefs of older breast cancer survivors.</p>
</sec>
<sec id="S9"><title>Implications for Nursing</title>
<p id="P9">Addressing women’s beliefs and barriers may result in better communication with health care providers and more effective interventions for symptom management.</p>
</sec>
</div>
</front>
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