Self-management in older people living with cancer and multi-morbidity: A systematic review and synthesis of qualitative studies.
Psycho-Oncology
burden of treatment
cumulative complexity
multimorbidity
patient capacity
qualitative
quality of life
review
self-management
synthesis
Journal
Psycho-oncology
ISSN: 1099-1611
Titre abrégé: Psychooncology
Pays: England
ID NLM: 9214524
Informations de publication
Date de publication:
10 2020
10 2020
Historique:
received:
16
03
2020
revised:
17
06
2020
accepted:
18
06
2020
pubmed:
1
7
2020
medline:
30
12
2020
entrez:
30
6
2020
Statut:
ppublish
Résumé
Many older people with cancer live with multimorbidity. Little is understood about the cumulative impact of old age, cancer and multimorbidity on self-management. This qualitative systematic review and synthesis aimed to identify what influences self-management from the perspective of older adults living with cancer and multimorbidity. Six databases were systematically searched for primary qualitative research reporting older adults' experiences of living with cancer and multimorbidity (eg, Medline, Embase, and CINAHL). A thematic synthesis was guided by Shippee's model of cumulative complexity. Text labelled as results in the included papers was treated as data. Twenty-eight studies were included. While the included studies varied in their focus, our analysis highlighted a number of important themes consistent across the studies. Health conditions with the greatest negative impact on independent living assumed the greatest importance, sometimes meaning their cancer was a low priority. Self-management practices seen as likely to interfere with quality of life were deprioritized unless viewed as necessary to maintain independence. When burden outweighed capacity, people were reluctant to ask for help from others in their social network. The contribution of formal healthcare services to supporting self-management was relatively peripheral. Old age and multimorbidity together may complicate self-management after cancer, threatening health and well-being, creating burden and diminishing capacity. Older adults prioritized self-management practices they considered most likely to enable them to continue to live independently. The protocol was registered with Prospero (CRD42018107272).
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
1452-1463Subventions
Organisme : Department of Health
Pays : United Kingdom
Informations de copyright
© 2020 The Authors. Psycho-Oncology published by John Wiley & Sons Ltd.
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