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Older breast cancer survivors’ symptom beliefs: A content analysis

Identifieur interne : 003648 ( Pmc/Checkpoint ); précédent : 003647; suivant : 003649

Older breast cancer survivors’ symptom beliefs: A content analysis

Auteurs : Heather Rhea Royer ; Cynthia H. Phelan ; Susan M. Heidrich

Source :

Oncology nursing forum [ 0190-535X ] ; 2009.

RBID : PMC:2918251

Abstract

Purpose

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.

Design

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.

Setting

Advanced practice nurses conducted open-ended interviews among older breast survivors either in the women’s home or via telephone.

Sample

The women were recruited from the community, an oncology clinic, and a state tumor registry. The women (n = 61, mean age = 69.5) were an average of 4.7 years post-breast cancer diagnosis and reported an average of 17 symptoms.

Methods

Content analysis was conducted of field notes taken during baseline interviews. Two coders independently coded responses. Inter-rater reliability was 82.3%.

Main Research Variables

Symptom representations, symptom management strategies, and perceived barriers to symptom management.

Findings

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.

Conclusions

The CSM is a useful framework for understanding the symptom beliefs of older breast cancer survivors.

Implications for Nursing

Addressing women’s beliefs and barriers may result in better communication with health care providers and more effective interventions for symptom management.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2918251

DOI: 10.1188/09.ONF.463-470
PubMed: 19581237
PubMed Central: 2918251

Affiliations:

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PMC:2918251

Le document en format XML

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<author><name sortKey="Royer, Heather Rhea" sort="Royer, Heather Rhea" uniqKey="Royer H" first="Heather Rhea" last="Royer">Heather Rhea Royer</name>
</author>
<author><name sortKey="Phelan, Cynthia H" sort="Phelan, Cynthia H" uniqKey="Phelan C" first="Cynthia H." last="Phelan">Cynthia H. Phelan</name>
</author>
<author><name sortKey="Heidrich, Susan M" sort="Heidrich, Susan M" uniqKey="Heidrich S" first="Susan M." last="Heidrich">Susan M. Heidrich</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Older breast cancer survivors’ symptom beliefs: A content analysis</title>
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<author><name sortKey="Phelan, Cynthia H" sort="Phelan, Cynthia H" uniqKey="Phelan C" first="Cynthia H." last="Phelan">Cynthia H. Phelan</name>
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<series><title level="j">Oncology nursing forum</title>
<idno type="ISSN">0190-535X</idno>
<idno type="eISSN">1538-0688</idno>
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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>
</TEI>
<pmc article-type="research-article" xml:lang="EN"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
  <pmc-dir>properties manuscript</pmc-dir>
  <front><journal-meta><journal-id journal-id-type="nlm-journal-id">7809033</journal-id>
<journal-id journal-id-type="pubmed-jr-id">6497</journal-id>
<journal-id journal-id-type="nlm-ta">Oncol Nurs Forum</journal-id>
<journal-title>Oncology nursing forum</journal-title>
<issn pub-type="ppub">0190-535X</issn>
<issn pub-type="epub">1538-0688</issn>
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<article-meta><article-id pub-id-type="pmid">19581237</article-id>
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<article-id pub-id-type="doi">10.1188/09.ONF.463-470</article-id>
<article-id pub-id-type="manuscript">NIHMS224052</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Older breast cancer survivors’ symptom beliefs: A content analysis</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Royer</surname>
<given-names>Heather Rhea</given-names>
</name>
<degrees>PhD, APRN-BC</degrees>
<role>Postdoctoral Fellow</role>
<aff id="A1">Center for Patient-Centered Interventions, School of Nursing, University of Wisconsin - Madison, Clinical Science Center – K6/374, 600 Highland Ave, Madison, WI 53792, Phone: (608) 263-9040, Fax: (608) 263-5458</aff>
<email>hroyer@wisc.edu</email>
</contrib>
<contrib contrib-type="author"><name><surname>Phelan</surname>
<given-names>Cynthia H.</given-names>
</name>
<degrees>PhD, RN</degrees>
<role>Geriatric Advanced Special Fellow</role>
<aff id="A2">William S. Middleton Veteran’s Hospital, 2500 Overlook Terrace, Madison, WI 53705, Phone (608) 256-1901 ext 11683, Fax (608) 280-7291</aff>
<email>phelanhcc@tznet.com</email>
</contrib>
<contrib contrib-type="author"><name><surname>Heidrich</surname>
<given-names>Susan M.</given-names>
</name>
<degrees>PhD, RN</degrees>
<role>Professor</role>
<aff id="A3">School of Nursing University of Wisconsin - Madison, Box 2455 Clinical Science Center - K6/362 600, Highland Ave, Madison, WI 53792, Phone (608) 263-5191, Fax: (608) 263-5458</aff>
<email>smheidrich@wisc.edu</email>
</contrib>
</contrib-group>
<author-notes><corresp id="FN1">Address correspondence to: Dr. Susan Heidrich, School of Nursing, University of Wisconsin – Madison, Clinical Science Center – K6/362, 600 Highland Ave, Madison, WI 53792. <email>smheidrich@wisc.edu</email>
</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted"><day>26</day>
<month>7</month>
<year>2010</year>
</pub-date>
<pub-date pub-type="ppub"><month>7</month>
<year>2009</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>9</day>
<month>8</month>
<year>2010</year>
</pub-date>
<volume>36</volume>
<issue>4</issue>
<fpage>463</fpage>
<lpage>470</lpage>
<abstract><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>
</abstract>
<kwd-group><kwd>Breast Cancer</kwd>
<kwd>Coping</kwd>
<kwd>Geriatric Oncology</kwd>
<kwd>Quality of Life</kwd>
<kwd>Survivorship</kwd>
</kwd-group>
<contract-num rid="NR1">R55 NR007741-01
				||NR</contract-num>
<contract-sponsor id="NR1">National Institute of Nursing Research : NINR</contract-sponsor>
</article-meta>
</front>
</pmc>
<affiliations><list></list>
<tree><noCountry><name sortKey="Heidrich, Susan M" sort="Heidrich, Susan M" uniqKey="Heidrich S" first="Susan M." last="Heidrich">Susan M. Heidrich</name>
<name sortKey="Phelan, Cynthia H" sort="Phelan, Cynthia H" uniqKey="Phelan C" first="Cynthia H." last="Phelan">Cynthia H. Phelan</name>
<name sortKey="Royer, Heather Rhea" sort="Royer, Heather Rhea" uniqKey="Royer H" first="Heather Rhea" last="Royer">Heather Rhea Royer</name>
</noCountry>
</tree>
</affiliations>
</record>

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Older breast cancer survivors’ symptom beliefs: A content analysis

Older breast cancer survivors’ symptom beliefs: A content analysis

Source :

Abstract

Links toward previous steps (curation, corpus...)

Links to Exploration step

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

Pour générer des pages wiki