Abstract:
BACKGROUND:Cachexia in advanced malignancy is a debilitating syndrome which contributes to approximately two million deaths worldwide annually. In spite of advances in understanding the biomedical aspects of cancer cachexia, little attention has been paid to exploring its holistic impact on patients and those who care for them. OBJECTIVE:The aim of this paper is to describe the lived experience of cachexia from the perspective of patients with cancer and their family members. DESIGN:An interpretative phenomenological approach was employed. SETTING AND PARTICIPANTS:A purposive sampling strategy recruited 15 patients and 12 family members from the Regional Cancer Centre in Northern Ireland. METHOD:Each participant was interviewed during 2004/2005 using an unstructured interview. All interviews were recorded and transcribed verbatim. Analysis combined a two stage approach using thematic and interpretative phenomenological analysis. RESULTS:Analysis generated six superordinate themes that reflected the complex dynamics of the cachexia experience. Themes were: physiological changes in appetite; visuality of cachexia; weight loss interpreted as a bad sign; response from health care professionals; conflict over food; and coping responses. CONCLUSIONS:Findings confirmed that cancer cachexia has far reaching implications for patients and their families, extending beyond physical problems into psychological, social and emotional issues. This insight is a critical first step in the development of more responsive care for these clients.
journal_name
Int J Nurs Studjournal_title
International journal of nursing studiesauthors
Reid J,McKenna H,Fitzsimons D,McCance Tdoi
10.1016/j.ijnurstu.2008.10.012subject
Has Abstractpub_date
2009-05-01 00:00:00pages
606-16issue
5eissn
0020-7489issn
1873-491Xpii
S0020-7489(08)00307-6journal_volume
46pub_type
杂志文章abstract::The physiological status of the individual renal patient is monitored regularly to ensure adequate dialysis is maintained, however, the psychosocial status of the renal patient is not subject to the same amount of attention. This study aimed to determine the Quality of Life and psychosocial needs of a sample of renal ...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/0020-7489(95)00040-2
更新日期:1996-02-01 00:00:00
abstract::This paper reports on the first phase of an action research practice development project to explore, develop and evaluate the role of the generic healthcare support worker in a high dependency rehabilitation service. The project is being jointly conducted by staff from the University of Southampton, the University of ...
journal_title:International journal of nursing studies
pub_type: 杂志文章
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abstract::The objective of this systematic review is to provide healthcare professionals with information to assist in their decision to utilize reminiscence therapy for depression reduction in older adults outside of the primary care setting. Nine reviewed studies that were randomized controlled trials not only varied in perso...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/s0020-7489(02)00101-3
更新日期:2003-05-01 00:00:00
abstract:BACKGROUND:Insomnia is a common health problem, and most people who seek help for insomnia consult primary care. In primary care, insomnia treatment typically consists of hypnotic drugs, although cognitive behavioral therapy for insomnia is the recommended treatment. However, such treatment is currently available to fe...
journal_title:International journal of nursing studies
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.ijnurstu.2017.03.007
更新日期:2017-07-01 00:00:00
abstract::Three maternity hospital practices of post-partum mother-infant contact and breast-feeding promotion on the incidence and continuation of breast-feeding among 375 urban poor healthy Nicaraguan primigravid women were investigated. Infant feeding patterns were evaluated at 1 week and 4 months post-partum. Eighty-seven p...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/0020-7489(90)90033-f
更新日期:1990-01-01 00:00:00
abstract::This paper reports on the findings of a pilot study that collated and categorised a range of Welsh-medium chronic pain descriptors and their conceptually equivalent English translations in order to provide a preliminary basis for chronic pain assessment amongst patients in the bilingual community of North West Wales. ...
journal_title:International journal of nursing studies
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更新日期:2003-11-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
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更新日期:2003-05-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2007.01.013
更新日期:2008-01-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/j.ijnurstu.2004.06.007
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journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/0020-7489(93)90031-o
更新日期:1993-06-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章,多中心研究
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更新日期:1996-10-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
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journal_title:International journal of nursing studies
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更新日期:2020-03-14 00:00:00
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doi:10.1016/j.ijnurstu.2005.06.008
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journal_title:International journal of nursing studies
pub_type: 杂志文章,随机对照试验
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更新日期:2015-02-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
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更新日期:2020-06-30 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2007.05.009
更新日期:2008-08-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:1989-01-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2008.02.003
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journal_title:International journal of nursing studies
pub_type: 杂志文章,随机对照试验
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更新日期:2009-09-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章,随机对照试验
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journal_title:International journal of nursing studies
pub_type: 杂志文章
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更新日期:1987-01-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2006.05.015
更新日期:2007-09-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
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journal_title:International journal of nursing studies
pub_type: 杂志文章
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更新日期:2014-02-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
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更新日期:2003-08-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
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更新日期:2010-05-01 00:00:00