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Experiencing and responding to chronic cancer‐related fatigue: A meta‐ethnography of qualitative research

OBJECTIVE: One of the most prevalent and disrupting symptoms experienced by cancer patients is chronic cancer‐related fatigue (CCRF). A better understanding of the chronic nature of CCRF can provide valuable insights for theory and practice. The purpose of this meta‐ethnography was to derive an over...

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Autores principales: Bootsma, Tom I., Schellekens, Melanie P.J., van Woezik, Rosalie A.M., van der Lee, Marije L., Slatman, Jenny
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7027742/
https://www.ncbi.nlm.nih.gov/pubmed/31442340
http://dx.doi.org/10.1002/pon.5213
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author Bootsma, Tom I.
Schellekens, Melanie P.J.
van Woezik, Rosalie A.M.
van der Lee, Marije L.
Slatman, Jenny
author_facet Bootsma, Tom I.
Schellekens, Melanie P.J.
van Woezik, Rosalie A.M.
van der Lee, Marije L.
Slatman, Jenny
author_sort Bootsma, Tom I.
collection PubMed
description OBJECTIVE: One of the most prevalent and disrupting symptoms experienced by cancer patients is chronic cancer‐related fatigue (CCRF). A better understanding of the chronic nature of CCRF can provide valuable insights for theory and practice. The purpose of this meta‐ethnography was to derive an overarching interpretative narrative on patients' experiences and responses to CCRF. METHODS: We conducted a comprehensive systematic literature search in five databases (05‐03‐2018). In addition, papers from reference lists were retrieved. Two researchers independently screened the papers for eligibility and appraised quality (CASP‐criteria). We followed the seven phases of meta‐ethnography to extract, translate, and synthesise first‐order constructs (ie, patients' views) and second‐order constructs (ie, authors' views) from the selected studies into third‐order constructs (ie, new interpretations). RESULTS: Of the 1178 collected articles, 16 articles were included. Through synthesis, a new figure of six interrelated third‐order constructs was developed: (1) embodied experience entails the dominating presence of the body; (2) (mis)recognition includes lack of recognition of CCRF by patients, relatives, and health providers; (3) small horizon describes a resultant narrowed world; (4) role change encompasses adopting other life roles; (5) loss of self refers to the impact on one's identity; and (6) regaining one's footing describes the struggle against CCRF, adaptation to CCRF and finally acceptance of a “new normal with CCRF.” CONCLUSION: A new embodiment figure of CCRF with social (eg, (mis)recognition), spatial (eg, small horizon) and temporal dimensions (eg, regaining one's footing) was developed. This figure can help professionals to recognise CCRF, inform patients, and personalise treatment.
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spelling pubmed-70277422020-02-24 Experiencing and responding to chronic cancer‐related fatigue: A meta‐ethnography of qualitative research Bootsma, Tom I. Schellekens, Melanie P.J. van Woezik, Rosalie A.M. van der Lee, Marije L. Slatman, Jenny Psychooncology Reviews OBJECTIVE: One of the most prevalent and disrupting symptoms experienced by cancer patients is chronic cancer‐related fatigue (CCRF). A better understanding of the chronic nature of CCRF can provide valuable insights for theory and practice. The purpose of this meta‐ethnography was to derive an overarching interpretative narrative on patients' experiences and responses to CCRF. METHODS: We conducted a comprehensive systematic literature search in five databases (05‐03‐2018). In addition, papers from reference lists were retrieved. Two researchers independently screened the papers for eligibility and appraised quality (CASP‐criteria). We followed the seven phases of meta‐ethnography to extract, translate, and synthesise first‐order constructs (ie, patients' views) and second‐order constructs (ie, authors' views) from the selected studies into third‐order constructs (ie, new interpretations). RESULTS: Of the 1178 collected articles, 16 articles were included. Through synthesis, a new figure of six interrelated third‐order constructs was developed: (1) embodied experience entails the dominating presence of the body; (2) (mis)recognition includes lack of recognition of CCRF by patients, relatives, and health providers; (3) small horizon describes a resultant narrowed world; (4) role change encompasses adopting other life roles; (5) loss of self refers to the impact on one's identity; and (6) regaining one's footing describes the struggle against CCRF, adaptation to CCRF and finally acceptance of a “new normal with CCRF.” CONCLUSION: A new embodiment figure of CCRF with social (eg, (mis)recognition), spatial (eg, small horizon) and temporal dimensions (eg, regaining one's footing) was developed. This figure can help professionals to recognise CCRF, inform patients, and personalise treatment. John Wiley and Sons Inc. 2019-09-10 2020-02 /pmc/articles/PMC7027742/ /pubmed/31442340 http://dx.doi.org/10.1002/pon.5213 Text en © 2019 The Authors. Psycho‐Oncology published by John Wiley & Sons Ltd This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Reviews
Bootsma, Tom I.
Schellekens, Melanie P.J.
van Woezik, Rosalie A.M.
van der Lee, Marije L.
Slatman, Jenny
Experiencing and responding to chronic cancer‐related fatigue: A meta‐ethnography of qualitative research
title Experiencing and responding to chronic cancer‐related fatigue: A meta‐ethnography of qualitative research
title_full Experiencing and responding to chronic cancer‐related fatigue: A meta‐ethnography of qualitative research
title_fullStr Experiencing and responding to chronic cancer‐related fatigue: A meta‐ethnography of qualitative research
title_full_unstemmed Experiencing and responding to chronic cancer‐related fatigue: A meta‐ethnography of qualitative research
title_short Experiencing and responding to chronic cancer‐related fatigue: A meta‐ethnography of qualitative research
title_sort experiencing and responding to chronic cancer‐related fatigue: a meta‐ethnography of qualitative research
topic Reviews
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7027742/
https://www.ncbi.nlm.nih.gov/pubmed/31442340
http://dx.doi.org/10.1002/pon.5213
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