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Coping strategies among patients with malignant lymphoma– a qualitative study from the perspectives of Swedish patients

Glasdam, Stinne LU ; Bjerström, Charlotta and Engberg de Carvalho, Cecilia (2020) In European Journal of Oncology Nursing 44.
Abstract
Purpose
There is a dearth of research on coping strategies of patients with malignant lymphoma. The aim of this article is to explore how these patients cope with cancer in everyday life.
Method
Semi-structured interviews were conducted with nine patients in Sweden. A thematic analysis was made, inspired by Antonovsky's theory of sense of coherence. The SRQR checklist was used.
Results
Patient's coping strategies are shown within three themes: ‘Life experiences supported coping strategies during treatment’, ‘Between completed treatment and (possible) cure’, and ‘Illness brought closeness and distance in social relationships’. Three different coping strategies were identified during treatment: trying to control the... (More)
Purpose
There is a dearth of research on coping strategies of patients with malignant lymphoma. The aim of this article is to explore how these patients cope with cancer in everyday life.
Method
Semi-structured interviews were conducted with nine patients in Sweden. A thematic analysis was made, inspired by Antonovsky's theory of sense of coherence. The SRQR checklist was used.
Results
Patient's coping strategies are shown within three themes: ‘Life experiences supported coping strategies during treatment’, ‘Between completed treatment and (possible) cure’, and ‘Illness brought closeness and distance in social relationships’. Three different coping strategies were identified during treatment: trying to control the situation, seeing opportunities in difficulties, and doing other activities to limit thoughts about disease and treatment. Four different coping strategies were identified after treatment ended, namely projecting responsibility and anger onto the healthcare system, maintaining the outer facade as a strong person who had control over the situation, talking about disease, side effects and emotions and putting the focus on the future, and managing life by anticipating death. Family =and friends were a part of patients' coping strategies, but to different extents and in different ways. Diagnosis and treatment for malignant lymphoma brought closeness and distance in social relationships.
Conclusion

Patients with malignant lymphoma cope with cancer in different ways in everyday life influenced by their life experiences and life conditions. Further research should focus on cancer patients’ coping strategies in a relational perspective, as coping and coping opportunities are embedded in social context and social relationships. (Less)
Abstract (Swedish)
PURPOSE: There is a dearth of research on coping strategies of patients with malignant lymphoma. The aim of this article is to explore how these patients cope with cancer in everyday life.
METHOD: Semi-structured interviews were conducted with nine patients in Sweden. A thematic analysis was made, inspired by Antonovsky’s theory of sense of coherence. The SRQR checklist was used.
RESULTS: Patient’s coping strategies is shown within three themes: ‘Life experiences supported coping strategies during treatment’, ‘Between completed treatment and (possible) cure’, and ‘Illness brought closeness and distance in social relationships. Three different coping strategies were identified during treatment: trying to control the situation,... (More)
PURPOSE: There is a dearth of research on coping strategies of patients with malignant lymphoma. The aim of this article is to explore how these patients cope with cancer in everyday life.
METHOD: Semi-structured interviews were conducted with nine patients in Sweden. A thematic analysis was made, inspired by Antonovsky’s theory of sense of coherence. The SRQR checklist was used.
RESULTS: Patient’s coping strategies is shown within three themes: ‘Life experiences supported coping strategies during treatment’, ‘Between completed treatment and (possible) cure’, and ‘Illness brought closeness and distance in social relationships. Three different coping strategies were identified during treatment: trying to control the situation, seeing opportunities in difficulties, and doing other activities to limit thoughts about disease and treatment. Four different coping strategies were identified after ended treatment, namely projecting responsibility and anger onto the healthcare system, maintaining the outer facade as a strong person who had control over the situation, talking about disease, side effects and emotions and putting the focus on the future, and managing life by anticipating death. Family and friends were a part of patients’ coping strategies, but to different extents and in different ways. Diagnosis and treatment for malignant lymphoma brought closeness and distance in social relationships.
CONCLUSION: Patients with malignant lymphoma cope with cancer in different ways in everyday life influenced by their life experiences and life conditions. Further research must focus on cancer patients’ coping strategies in a relational perspective, as coping and coping opportunities are embedded in social context and social relationships.
(Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
malignant lymphoma, Chemotherapy, sense of coherence, Antonovsky, everyday life, interview study
in
European Journal of Oncology Nursing
volume
44
article number
101693
publisher
Elsevier
external identifiers
  • scopus:85075330832
  • pmid:31783326
ISSN
1462-3889
DOI
10.1016/j.ejon.2019.101693
language
English
LU publication?
yes
id
f42de982-886d-4cff-b6e0-b09eee8325d9
date added to LUP
2019-11-29 11:24:13
date last changed
2020-02-29 03:00:19
@article{f42de982-886d-4cff-b6e0-b09eee8325d9,
  abstract     = {Purpose<br/>There is a dearth of research on coping strategies of patients with malignant lymphoma. The aim of this article is to explore how these patients cope with cancer in everyday life.<br/>Method<br/>Semi-structured interviews were conducted with nine patients in Sweden. A thematic analysis was made, inspired by Antonovsky's theory of sense of coherence. The SRQR checklist was used.<br/>Results<br/>Patient's coping strategies are shown within three themes: ‘Life experiences supported coping strategies during treatment’, ‘Between completed treatment and (possible) cure’, and ‘Illness brought closeness and distance in social relationships’. Three different coping strategies were identified during treatment: trying to control the situation, seeing opportunities in difficulties, and doing other activities to limit thoughts about disease and treatment. Four different coping strategies were identified after treatment ended, namely projecting responsibility and anger onto the healthcare system, maintaining the outer facade as a strong person who had control over the situation, talking about disease, side effects and emotions and putting the focus on the future, and managing life by anticipating death. Family =and friends were a part of patients' coping strategies, but to different extents and in different ways. Diagnosis and treatment for malignant lymphoma brought closeness and distance in social relationships.<br/>Conclusion<br/><br/>Patients with malignant lymphoma cope with cancer in different ways in everyday life influenced by their life experiences and life conditions. Further research should focus on cancer patients’ coping strategies in a relational perspective, as coping and coping opportunities are embedded in social context and social relationships.},
  author       = {Glasdam, Stinne and Bjerström, Charlotta and Engberg de Carvalho, Cecilia },
  issn         = {1462-3889},
  language     = {eng},
  publisher    = {Elsevier},
  series       = {European Journal of Oncology Nursing},
  title        = {Coping strategies among patients with malignant lymphoma– a qualitative study from the perspectives of Swedish patients},
  url          = {http://dx.doi.org/10.1016/j.ejon.2019.101693},
  doi          = {10.1016/j.ejon.2019.101693},
  volume       = {44},
  year         = {2020},
}