Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London, London, UK.
School of Health Sciences, University of Surrey, Guildford, UK.
Eur J Cancer Care (Engl). 2019 May;28(3):e13011. doi: 10.1111/ecc.13011. Epub 2019 Feb 20.
This study explored lived experiences of women who developed chemotherapy-induced peripheral neuropathy (CIPN) following treatment for breast and ovarian cancer. It also explored cancer survivors' perceptions of information and advice offered by clinicians about CIPN and for managing CIPN.
The study was advertised through cancer charity websites and social media accounts. Purposeful, convenience sampling was carried out using set eligibility criteria. Individuals with diagnosis of breast or ovarian cancer who experienced or are still experiencing CIPN were recruited. Fifteen semi-structured interviews were conducted. Data were analysed using interpretative phenomenological analysis (IPA).
Similar to previous studies, participants used comparisons to describe their symptoms. Four main themes emerged from the analysis: (a) struggle to process CIPN information, (b) information and trust are key in the treatment decision-making process, (c) experience of symptom reporting and (d) challenges of managing symptoms. Findings suggest interventions to improve understanding of CIPN risk are needed in practice.
A better and broader understanding of the patient experience of CIPN could pave the way for improved communication, assessment and management of symptoms. Results suggest the need for interventions to guide cancer survivors to recognise and report CIPN symptoms early and address the impact of CIPN symptoms in their lives.
本研究探讨了乳腺癌和卵巢癌治疗后发生化疗引起的周围神经病变(CIPN)的女性的生活体验,还探讨了癌症幸存者对临床医生提供的关于 CIPN 及其管理的信息和建议的看法。
该研究通过癌症慈善机构的网站和社交媒体账户进行宣传。采用既定的纳入标准进行有目的的便利抽样。招募了被诊断患有乳腺癌或卵巢癌、经历过或仍在经历 CIPN 的个体。进行了 15 次半结构化访谈。使用解释现象学分析(IPA)对数据进行分析。
与之前的研究相似,参与者使用比较来描述他们的症状。分析得出了四个主要主题:(a)难以处理 CIPN 信息,(b)信息和信任是治疗决策过程中的关键,(c)症状报告的体验,以及(d)管理症状的挑战。研究结果表明,需要在实践中进行干预,以提高对 CIPN 风险的理解。
更好地了解 CIPN 的患者体验可能为改善症状的沟通、评估和管理铺平道路。结果表明,需要进行干预,以指导癌症幸存者及早识别和报告 CIPN 症状,并解决 CIPN 症状对其生活的影响。