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  • 1.
    Marqvardt, Clary
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Hagelroth, Sara
    Mälardalen University, School of Health, Care and Social Welfare.
    Kampen måste gå vidare: Upplevelser av att återinsjukna i cancer2010Independent thesis Basic level (university diploma), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Cancer is often perceived as a threatful and dangerous disease. A lot of people with a history of cancer also suffer a relapse later in their life. Nursing staff’s knowledge of experiences of being affected by a relapse is insufficient, resulting in that people in these situations do not receive adequate support and assistance. The aim of this Bachelor thesis was to illuminate people’s experiences of a cancer relapse. Four autobiographies were analyzed from a qualitative manifest content analysis with an inductive approach. The analysis resulted in three categories: the will to live, the experience of suffering and the experience of the desire to give up. The main findings were that they experienced a fear of death, a mental pain and an experience of chaos, which were expressed through an experience of suffering. Hopelessness, incomprehension and despair were also prominent experiences. A number of experiences were permeated by a strong will to live, vitality and a positive attitude which showed that they wanted to continue the struggle to survive. It is important that nurses take patients who relapse seriously, because these patients should not have to suffer in silence. These people require more attention and the nursing care must be improved so their needs are satisfied and the quality of life is strengthened.

  • 2.
    Nicklasson, Mercedes
    et al.
    Institution of Medicine, Sahlgrenska Academy, University of Gothenburg.
    Elfström, Magnus
    Mälardalen University, School of Health, Care and Social Welfare.
    Olofson, J
    Institution of Medicine, Sahlgrenska Academy, University of Gothenburg.
    Bergman, Bengt
    Institution of Medicine, Sahlgrenska Academy, University of Gothenburg.
    The impact of individual quality of life assessment on psychosocial attention in patients with chest malignancies: A randomized study2013In: Supportive Care in Cancer, ISSN 0941-4355, E-ISSN 1433-7339, Vol. 21, no 1, p. 87-95Article in journal (Refereed)
    Abstract [en]

    Purpose

    The aims of this study were to investigate the impact of individual health-related quality of life (HRQL) evaluation on the attention towards symptom control and psychosocial function in advanced cancer patients.

    Methods

    Patients with advanced lung cancer or mesothelioma who attended a pulmonary oncology outpatient clinic were randomized to either of two strategies for HRQL assessment. The experimental group (EG) answered the EORTC QLQ-C30 + LC13 questionnaire using a digital table interface, with outprint of aggregated scale scores presented to the consulting physician as a support for evaluation. The control group (CG) answered a paper version of the same questionnaire, which was stored for later analysis. Consultations were audio-recorded. Outcome measures were a quantitative content analysis of audio-recorded consultations and medical and psychosocial interventions abstracted from clinical records.

    Results

    One hundred seventy-one patients were randomized and participated in the study. Issues regarding emotional function were more frequently discussed during consultations in the EG (p < 0.05). Similarly, interventions directed to emotional and social concerns were more frequent in the EG (p = 0.013 and p = 0.0036, respectively). HRQL measures over time were similar across the groups.

    Conclusion

    Individual HRQL assessment increased the attention to psychosocial functioning in patients with chest malignancies.

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