生存曲线
主题分析
社会心理的
能力(人力资源)
心理学
定性研究
亲密度
社会支持
癌症存活率
癌症幸存者
医学
护理部
家庭医学
癌症
心理治疗师
社会心理学
社会学
数学分析
内科学
社会科学
数学
作者
Elna Hamilton Larsen,Elna Hamilton Larsen,Astrid Klopstad Wahl,Ellen Ruud,Ellen Ruud,Anneli Mellblom,Anette Ålykkja,Anette Ålykkja,Hanne C. Lie
出处
期刊:Journal of pediatric hematology/oncology nursing
日期:2024-04-24
标识
DOI:10.1177/27527530231214528
摘要
Background: Transitioning from active cancer treatment to survivorship represents a vulnerable yet underresearched phase for adolescents and their families. Knowledge of their support needs, the challenges they experience, and how they manage them are useful to inform tailored follow-up care. Thus, we aimed to explore their transition experiences. Method: We interviewed 15 adolescents (12–19 years) who had transitioned off of treatment 1 to 47 months prior at Oslo University Hospital’s Department of Paediatric Haematology and Oncology and their biological parents ( n = 16). The interviews were analyzed using inductive, reflexive thematic analysis inspired by Braun and Clarke. NVivo-12 was used for data management. Results: Four main themes were identified: (a) consequences of cancer beyond transition, (b) transition back to normalcy, (c) survivorship competence, and (d) changes in roles and relationships. The families described happiness and relief but also said that the lingering effects of cancer treatment had a profound impact on day-to-day living. The adolescents expressed closeness with and dependency on their parents, and they perceived family and friends as essential for social readjustment. Discussion: Although adolescent survivors and their parents described a wide variety of strategies for returning to “normalcy,” their perspectives also illustrate ongoing psychosocial and educational support needs that changed over time. Our findings indicate a need for improved preparation for and support through the transition. Nurses are well positioned to provide continuous and structured transition support tailored to the needs of the individual survivors and their families.
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