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Coping with palliative chemotherapy.

S A Payne1

  • 1Department of Psychology, University of Exeter, Devon.

Journal of Advanced Nursing
|June 1, 1990
PubMed
Summary
This summary is machine-generated.

This study explored how women with advanced cancer manage palliative chemotherapy, identifying four main coping styles: positive thinking, acceptance, fearfulness, and hopelessness. Understanding these coping mechanisms can improve patient care and education during palliative therapy.

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Area of Science:

  • Oncology
  • Psychosocial Oncology
  • Qualitative Research

Background:

  • Limited understanding of patient coping mechanisms during palliative chemotherapy.
  • Palliative chemotherapy is a critical intervention for advanced cancer patients.
  • Patient experiences and coping strategies require further investigation.

Purpose of the Study:

  • To analyze the coping responses of women undergoing palliative chemotherapy for advanced cancer.
  • To identify predominant coping styles and strategies used by patients.
  • To inform the development of individualized patient education and care.

Main Methods:

  • Grounded theory methodology was employed for data analysis.
  • A sample of 24 women with advanced breast or ovarian cancer participated.

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  • Data were collected from patients receiving chemotherapy at home and in hospital.

    • Main Results:

    • Four predominant coping styles were identified: think positive/fighter (n=8), acceptance (n=8), fearfulness (n=5), and hopelessness (n=3).
    • Various coping strategies were found to effectively reduce the perceived threat of chemotherapy.
    • Differences in coping may be influenced by treatment setting (home vs. hospital).

    Conclusions:

    • The identified coping styles and strategies offer valuable insights into patient experiences with palliative chemotherapy.
    • Findings underscore the importance of individualized patient education to support coping.
    • This research has direct implications for enhancing the quality of palliative cancer care.