Mushani Tayreez, Kassaman Dinah, Brownie Sharon, Kiraithe Peterson, Barton-Burke Margaret
School of Nursing and Midwifery, Aga Khan University, Nairobi, Kenya.
School of Health Sciences, Swinburne University of Technology, Victoria, Australia.
Asia Pac J Oncol Nurs. 2024 May 7;11(7):100502. doi: 10.1016/j.apjon.2024.100502. eCollection 2024 Jul.
This article reports on a secondary analysis of a qualitative study conducted in Nairobi, Kenya that reported several initial themes. In this article, the authors explore the theme of treatment-related side effect management by women receiving treatment for breast or cervical cancer.
Women were interviewed at three points during their active treatment trajectory. Participants were purposefully selected and saturation was reached when interviews did not yield any new themes. The interviews were transcribed and analyzed for internal consistency, frequency, extensiveness, intensity and specificity. The Nvivo pro 12 software was used in organizing and managing the data to facilitate analysis.
Eighteen women were interviewed. Major side effects reported by participants included fatigue, alopecia, skin and nail changes as well as nausea and vomiting. Women who received information prior to treatment were more comfortable managing side effects. Participants described the impact of side effects on their daily life, body image, and many sought comfort through faith. Some women provided suggestions on strategies for patient education.
This study attempted to capture the cancer treatment-related experiences of Kenyan women in their own voices and present strategies for future intervention and research. The care of individuals receiving treatment can be enhanced through the advancement of health human resources, the development of nationally accessible patient education materials and research on regionally relevant strategies to manage cancer treatment-related side effects.
本文报告了对在肯尼亚内罗毕进行的一项定性研究的二次分析，该研究报告了几个初步主题。在本文中，作者探讨了接受乳腺癌或宫颈癌治疗的女性在治疗相关副作用管理方面的主题。
在女性积极治疗过程中的三个时间点对她们进行访谈。参与者是经过有目的的选择，当访谈没有产生任何新主题时达到饱和。对访谈进行转录，并分析其内部一致性、频率、广泛性、强度和特异性。使用Nvivo pro 12软件来组织和管理数据以促进分析。
对18名女性进行了访谈。参与者报告的主要副作用包括疲劳、脱发、皮肤和指甲变化以及恶心和呕吐。在治疗前获得信息的女性在管理副作用方面更从容。参与者描述了副作用对她们日常生活、身体形象的影响，许多人通过信仰寻求慰藉。一些女性提供了患者教育策略的建议。
本研究试图用肯尼亚女性自己的声音捕捉与癌症治疗相关的经历，并提出未来干预和研究的策略。通过推进卫生人力资源、开发全国可获取的患者教育材料以及研究管理癌症治疗相关副作用的区域相关策略，可以加强对接受治疗个体的护理。
