School of Nursing and Human Sciences, Dublin City University, Dublin, Ireland.
Department of Psychology, Maynooth University, Co. Kildare, Ireland.
Psychooncology. 2017 Dec;26(12):2194-2200. doi: 10.1002/pon.4447. Epub 2017 May 26.
Head and neck cancer (HNC) survivors encounter unique challenges following treatment. This study aimed to identify self-management strategies that HNC survivors use to overcome these posttreatment challenges.
Twenty-seven individuals from 4 designated cancer centres in Ireland were interviewed about self-management strategies that helped them overcome challenges following HNC treatment. Interviews were audio-recorded, transcribed, and analysed using directed content analysis.
Twenty self-management strategy types (encompassing 77 specific strategies) were identified. The most frequently used self-management strategy types were self-sustaining (used by 26 survivors), self-motivating (n = 25), and proactive problem solving (n = 25). The most frequently used specific strategies were adaptive approaches to ongoing physical consequences of HNC and its treatment (n = 24), customising dietary practices (n = 24), and maintaining a positive outlook (n = 22).
The study identified strategies that helped HNC survivors to self-manage posttreatment challenges. This information could inform the design/development of self-management interventions tailored towards HNC survivors.
头颈部癌症（HNC）患者在治疗后会遇到独特的挑战。本研究旨在确定 HNC 幸存者用于克服这些治疗后挑战的自我管理策略。
从爱尔兰的 4 个指定癌症中心采访了 27 名个体，了解有助于他们克服 HNC 治疗后挑战的自我管理策略。采访进行了录音、转录，并使用定向内容分析进行了分析。
确定了 20 种自我管理策略类型（包括 77 种具体策略）。使用最多的自我管理策略类型是自我维持（26 名幸存者使用）、自我激励（n=25）和主动解决问题（n=25）。使用最多的具体策略是对 HNC 及其治疗的持续身体后果的适应性方法（n=24）、定制饮食实践（n=24）和保持积极的态度（n=22）。
本研究确定了有助于 HNC 幸存者自我管理治疗后挑战的策略。这些信息可以为针对 HNC 幸存者的自我管理干预措施的设计/开发提供信息。
