van de Graaf Daniëlle L, Mols Floortje, Smeets Tom, Trompetter Hester R, van der Lee Marije L
Center of Research on Psychological disorders and Somatic diseases (CoRPS), Department of Medical and Clinical Psychology, Tilburg University, PO Box 90153, 5000, LE, Tilburg, The Netherlands.
Department of Research, Netherlands Comprehensive Cancer Organisation (IKNL), Utrecht, The Netherlands.
J Cancer Surviv. 2025 Feb;19(1):295-305. doi: 10.1007/s11764-023-01466-2. Epub 2023 Sep 23.
Patients with chronic painful chemotherapy-induced peripheral neuropathy (CIPN) may experience a negative impact of CIPN on daily life. They can use various coping (i.e., dealing with symptoms and resulting impairments in general) and self-management (i.e., practical actions to reduce symptoms) strategies to live with their limitations. This paper aimed to examine experienced helpful coping and self-management strategies of patients with chronic painful CIPN.
Semi-structured interviews were conducted with twelve patients with chronic painful CIPN. We applied a hybrid deductive-inductive coding approach. ATLAS.ti was used for coding.
Generated from the data were two themes and nine codes for coping and four themes and 31 codes for self-management strategies. Coping of patients often included active strategies like planning, seeking social support, and acceptance. Additionally, patients often used passive strategies such as focusing on and venting emotions and suppressing competing activities. The most common self-management strategies were mostly passive (i.e., medication, deliberate choice of shoes, resting, sitting, and consulting healthcare professionals) but also active (i.e., exercising) strategies.
Patients exhibit a great variety of coping and self-management strategies that they perceive as helpful to deal with chronic painful CIPN. However, research has shown that certain strategies are not that helpful or even come with aversive effects. More research into the effectiveness and implementation of psychosocial interventions is needed since it may help patients adopting helping strategies. In addition, healthcare professionals need to refer patients with CIPN in a timely manner to physical therapists, occupational therapists, or rehabilitation teams to reduce or prevent (further) impairments.
Patients can consult one of their healthcare providers in case of problems in dealing with their symptoms, to get proper guidance and possible referral.
患有慢性疼痛性化疗引起的周围神经病变（CIPN）的患者可能会经历CIPN对日常生活的负面影响。他们可以使用各种应对（即处理症状及由此导致的一般功能障碍）和自我管理（即减轻症状的实际行动）策略来应对自身的局限性。本文旨在研究慢性疼痛性CIPN患者所体验到的有益应对和自我管理策略。
对12名患有慢性疼痛性CIPN的患者进行了半结构化访谈。我们采用了混合演绎-归纳编码方法。使用ATLAS.ti进行编码。
从数据中生成了两个应对主题和九个代码，以及四个自我管理策略主题和31个代码。患者的应对方式通常包括积极策略，如制定计划、寻求社会支持和接受。此外，患者经常使用被动策略，如专注和宣泄情绪以及抑制竞争性活动。最常见的自我管理策略大多是被动的（即药物治疗、刻意选择鞋子、休息、坐着以及咨询医疗保健专业人员），但也有积极的（即锻炼）策略。
患者表现出各种各样他们认为有助于应对慢性疼痛性CIPN的应对和自我管理策略。然而，研究表明某些策略并非那么有帮助，甚至会带来不良影响。需要对心理社会干预的有效性和实施进行更多研究，因为这可能有助于患者采用有益的策略。此外，医疗保健专业人员需要及时将CIPN患者转介给物理治疗师、职业治疗师或康复团队，以减少或预防（进一步的）功能障碍。
患者在应对症状出现问题时，可以咨询他们的医疗保健提供者之一，以获得适当的指导和可能的转介。
