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Living an everyday life with head and neck cancer 2-2.5 years post-diagnosis - A qualitative prospective study of 56 patients
Umea Univ, Dept Social Work, S-90187 Umea, Sweden..
Umea Univ, Dept Social Work, S-90187 Umea, Sweden..
Umea Univ, Dept Social Work, S-90187 Umea, Sweden.;Umea Univ, Dept Radiat Sci Oncol, S-90187 Umea, Sweden..
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Otolaryngology and Head and Neck Surgery.
2016 (English)In: Social Science and Medicine, ISSN 0277-9536, E-ISSN 1873-5347, Vol. 154, 54-61 p.Article in journal (Refereed) PublishedText
Abstract [en]

Rationale: There are many studies available describing how patients are affected by head and neck cancer (HNC) and its treatment. Usually these studies are quantitative and focus on assessing patients' quality of life or distress post-treatment. These studies are important, but they are of limited value if we are interested in understanding more about HNC in an everyday life context. Objective: The purpose was to determine how life was lived and valued during and after treatment for HNC and to detect different transitions in returning to everyday life. Methods: During 2009-2012, 56 patients with HNC were consecutively included, and interviewed at 6, 12, and 24 months post-treatment about how they lived their lives. All patients received primary treatment at a tertiary referral university hospital in Sweden. Results: Four different trajectories and transitions emerged. The first group (n = 15) evaluated their illness experience as a past parenthesis in their life suggesting that they had psychologically left the illness behind. In the second group (n = 9), the impact of the disease seemed to be diluted by other strains in their life, and although these patients to some extent were still hampered by side effects, they regarded them as `no big deal'. The cancer really made a difference in the third group (n = 12) in both positive and negative ways and seemed to reflect a balance between such effects. In the fourth group (n = 20), the physical and/or psychological problems predominated and the patients' lives had changed for the worse. Conclusion: The narratives showed that being afflicted by HNC has different impacts depending on how the patients live their lives it is a matter of individual transition in an everyday life context. This idiosyncrasy challenges the meaningfulness of screening efforts to identify vulnerable groups for psychosocial intervention.

Place, publisher, year, edition, pages
2016. Vol. 154, 54-61 p.
Keyword [en]
Head and neck cancer, Everyday life, Trajectory, Prospective, Qualitative study
National Category
Public Health, Global Health, Social Medicine and Epidemiology Cancer and Oncology
Identifiers
URN: urn:nbn:se:uu:diva-300320DOI: 10.1016/j.socscimed.2016.02.031ISI: 000374073400007PubMedID: 26945172OAI: oai:DiVA.org:uu-300320DiVA: diva2:951262
Funder
Swedish Cancer Society
Available from: 2016-08-08 Created: 2016-08-08 Last updated: 2016-08-08Bibliographically approved

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Laurell, Göran
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Otolaryngology and Head and Neck Surgery
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