Responses to a cancer diagnosis: a qualitative patient-centred interview study.

Purpose: A cancer diagnosis is an emotive and challenging time for patients. This study aimed to systematically explore patients' accounts of experiencing their cancer diagnosis. The purpose of this article is to offer a typology of patient responses to receiving a cancer diagnosis as a means throug...

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Publicado en:Supportive Care in Cancer Vol. 28; no. 1; pp. 229 - 239
Autores principales: Kirby, Emma R., Kenny, Katherine E., Broom, Alexander F., Oliffe, John L., Lewis, Sophie, Wyld, David K., Yates, Patsy M., Parker, Rhiannon B., Lwin, Zarnie
Formato: research tables/charts Journal Article
Publicado: Springer Nature Jan2020
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
      place: New York, New York
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        atl: Responses to a cancer diagnosis: a qualitative patient-centred interview study.
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          Kirby, Emma R.
          Kenny, Katherine E.
          Broom, Alexander F.
          Oliffe, John L.
          Lewis, Sophie
          Wyld, David K.
          Yates, Patsy M.
          Parker, Rhiannon B.
          Lwin, Zarnie
        affil: Practical Justice Initiative, Centre for Social Research in Health, Level 3 John Goodsell Building, UNSW Sydney, 2052, Kensington, Australia
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          Neoplasms Psychosocial Factors
          Emotions
          Neoplasms Diagnosis
          Neoplasms Epidemiology
          Adult
          Physician-Patient Relations
          Interviews Methods
          Health Status
          Aged
          Male
          Aged, 80 and Over
          Australia
          Qualitative Studies
          Female
          Oncology
          Communication
          Attitude to Health
          Middle Age
          Funding Source
          Human
          Adult: 19-44 years
          Aged: 65+ years
          Aged, 80 & over
          Middle Aged: 45-64 years
          Male
          Female
      ab: Purpose: A cancer diagnosis is an emotive and challenging time for patients. This study aimed to systematically explore patients' accounts of experiencing their cancer diagnosis. The purpose of this article is to offer a typology of patient responses to receiving a cancer diagnosis as a means through which to affirm the range of patients' experiences and to guide clinicians' practice.Methods: Qualitative semi-structured interviews were conducted between 2015 and 2017 with 80 patients living with cancer: 34 females and 46 males, aged between 31 and 85, diagnosed with a range of cancer types, stages and treatment trajectories, from two metropolitan hospitals on the east coast of Australia. Interview data were analysed thematically, using the framework approach.Results: A typology of responses to the cancer diagnosis was derived from the analysis and included (1) the incongruent diagnosis, unexpected because it did not 'fit' with the patient's 'healthy' identity; (2) the incidental diagnosis, arising from seemingly unrelated or minor medical investigations; (3) the validating diagnosis, as explanation and confirmation of previously unexplained symptoms, pain or feelings; (4) the life context diagnosis, where the cancer diagnosis was positioned relative to other challenging life events, or as relatively inconsequential compared with the hardship of others.Conclusions: A diagnosis of cancer is not always (or only) experienced by patients with shock and despair. Diagnosis is perceived and experienced in diverse ways, shaped by broader social or life contexts, and with important implications for the clinical encounter and communication from an oncology perspective.
      pubtype: Academic Journal
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        tables/charts
        Journal Article
      ougenre: Article
    language: English
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