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Coping with stigma: the experiences of Chinese patients living with lung cancer
Huaxia Liu1, Qianqian Yang1, Georgia L Narsavage2
1School of Nursing, Taishan Medical University, Tai'an, Shandong China.
Purpose/Objectives:
To describe the experiences of stigma and coping strategies among patients with lung cancer in China.
Research Approach:
Qualitative.
Setting:
The oncology department at Liaocheng Peoples Hospital.
Participants:
A purposive sample of 17 patients experiencing stigma related to lung cancer voluntarily participated in data collection.
Methodologic Approach:
Individual, semistructured qualitative interviews were chosen. Participants completed about a 30-min focused interview. Exploratory qualitative approach guided data analysis.
Findings:
Three main thematic elements emerged from the interview data:(1) sources of stigma, such as smoking, decreased ability to work, difficulties caring for self and family, damage to self-image, and cough and expectoration; (2) experiences of stigma, including feelings of stigma, remorse, loss of dignity, uselessness, social isolation, perceived exclusion, rejection, and discrimination; and (3) coping strategies, such as concealing the fact of sickness, reducing social activities, seeking medical assistance, adhering to treatment, and disclosing dissatisfaction.
Conclusions:
Our results indicate the presence of perceived stigma among patients with lung cancer. Future work should address the stigma associated with lung cancer and its related factors.
Interpretation:
As point-of-care providers, staff nurses are well positioned to develop effective interventions to help patients deal with stigma and to accomplish the goal of providing holistic nursing care.
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