Patients' Experiences With Illness, Treatment, and Decision-Making for Esophageal Cancer: A Qualitative Study in a Danish Hospital Setting.

Denmark decision-making esophageal cancer interview participant observation patients’ experiences person-centered health care qualitative research

Journal

Global qualitative nursing research
ISSN: 2333-3936
Titre abrégé: Glob Qual Nurs Res
Pays: United States
ID NLM: 101666563

Informations de publication

Date de publication:
Historique:
received: 20 02 2020
revised: 22 05 2020
accepted: 26 05 2020
entrez: 14 7 2020
pubmed: 14 7 2020
medline: 14 7 2020
Statut: epublish

Résumé

Patients with curable esophageal cancer or cancer in the esophageal junction face several challenges during the course of their treatment because of the burden of uncertainty in their prognoses and complexity and side effects of the treatment. The aim of this study is to explore patient experiences with illness, treatment, and decision-making in the context of esophageal cancer. A qualitative approach using phenomenological-hermeneutical methodology was used. Data consisted of participant observations and interviews. We analyzed the data based on Ricoeur's theory of interpretation. The results show that patients with esophageal cancer are putting their ordinary lives on hold and experiencing the meal as a battleground during treatment. Patients strive to maintain autonomy, gain control, and take ownership. The results emphasize the need for a systematic approach to establish an ongoing dialogue with patients throughout the course of treatment.

Identifiants

pubmed: 32656299
doi: 10.1177/2333393620935098
pii: 10.1177_2333393620935098
pmc: PMC7328478
doi:

Types de publication

Journal Article

Langues

eng

Pagination

2333393620935098

Informations de copyright

© The Author(s) 2020.

Déclaration de conflit d'intérêts

Declaration of Conflicting Interests: The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

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Auteurs

Malene Kaas Larsen (MK)

Odense University Hospital, Odense, Denmark.
University of Southern Denmark, Odense, Denmark.

Helen Schultz (H)

Odense University Hospital, Odense, Denmark.
University of Southern Denmark, Odense, Denmark.

Michael Bau Mortensen (MB)

Odense University Hospital, Odense, Denmark.
University of Southern Denmark, Odense, Denmark.

Regner Birkelund (R)

University of Southern Denmark, Odense, Denmark.
Lillebaelt Hospital, Vejle, Denmark.

Classifications MeSH