Coping in patients with pancreatic cancer: a scoping review and narrative synthesis

2021 ◽  
pp. bmjspcare-2021-003266
Author(s):  
Patrick Ristau ◽  
Claudia Oetting-Roß ◽  
Andreas Büscher

IntroductionPancreatic cancer is a malignant disease with one of the highest cancer-specific mortality rates. Coping with it probably differs from other malignant diseases. This scoping review was intended to explore and characterise academic literature related to the coping in patients with pancreatic cancer.MethodsEight databases were searched for primary and secondary studies and reviews reporting on coping with pancreatic cancer (adenocarcinoma) in adults in English or German language, regardless of publication date or study design, which were then analysed and summarised by narrative synthesis.ResultsOf 1472 publications identified, 9 articles and book contributions published from 1989 to 2020 in the USA, Europe and Australia met the inclusion criteria. The two main aspects covered were the confrontation with coping tasks, and the reciprocally associated coping with these challenges. In particular, the coping tasks revealed some pancreatic cancer-specific features, such as an increased incidence of depression and anxiety or certain digestive problems, whereas applying of coping strategies seems to be more like the coping behaviours known from the literature for other severe or cancer diseases.ConclusionsPatients with pancreatic cancer experience various health issues and face various quality of life changes and coping tasks. Disease-specific contextual factors, usually consisting of late diagnosis at an advanced stage, rapid progression and often poor prognosis, as well as disease-specific challenges are major differences compared with other malignancies or serious illnesses. However, the coping strategies applied do not seem to differ in principle. Currently, no pancreatic cancer-specific coping model exists.

2010 ◽  
Vol 53 (3) ◽  
pp. 379-392 ◽  
Author(s):  
Terence S. Yow ◽  
Kalyani Mehta

Persons with schizophrenia in Singapore suffer from lower perceived stigma compared with the USA and Canada. Secrecy is the most highly endorsed coping strategy and educating others is the least endorsed. This reflects Singapore patients’ preference to hide their illness and their lack of self-advocating compared with their western counterparts.


2021 ◽  
Vol 11 (2) ◽  
pp. 444-459
Author(s):  
Aisha Majrashi ◽  
Asmaa Khalil ◽  
Elham Al Nagshabandi ◽  
Abdulrahman Majrashi

COVID-19 has impacted every aspect of life around the world. Nursing education has moved classes online. Undoubtedly, the period has been stressful for nursing students. The scoping review aimed to explore the relevant evidence related to stressors and coping strategies among nursing students during the COVID-19 pandemic. The scoping review methodology was used to map the relevant evidence and synthesize the findings by framing the research question using PICOT, determining the keywords, eligibility criteria, searching the CINAHL, MEDLINE, and PubMed databases for the relevant studies. The review further involved study selection based on the PRISMA flow diagram, charting the data, collecting, and summarizing the findings. The critical analysis of findings from the 13 journal articles showed that the COVID-19 period has been stressful for nursing students with classes moving online. The nursing students feared the COVID-19 virus along with experiencing anxiety and stressful situations due to distance learning, clinical training, assignments, and educational workloads. Nursing students applied coping strategies of seeking information and consultation, staying optimistic, and transference. The pandemic affected the psychological health of learners as they adjusted to the new learning structure. Future studies should deliberate on mental issues and solutions facing nursing students during the COVID-19 pandemic.


2021 ◽  
Vol 74 (5) ◽  
Author(s):  
Vivian Jilou ◽  
Joyce Mara Gabriel Duarte ◽  
Rosa Helena Aparecida Gonçalves ◽  
Edson Elias Vieira ◽  
Ana Lúcia de Assis Simões

ABSTRACT Objectives: to identify the current state of knowledge on compassion fatigue in the work context of healthcare professionals; and how coping strategies are established in this scenario. Method: a scoping review with search applied to the databases: MEDLINE, LILACS, CINAHL, Scopus. Temporal limit: 2009 to 2019. The data was analyzed and synthesized in narrative form Results: thirty articles were selected, synthesized into two categories: a) Health work and compassion fatigue: conceptual analysis, context, and manifestations; b) Coping strategies for compassion fatigue. Conclusions: this study presented: a descriptive and general panorama about compassion fatigue in healthcare professionals, identifying a greater consolidation of the concept between 2015 and 2018; and some coping strategies. The association between health and spirituality is highlighted as one of the strategies in this scenario, enabling new research to be conducted in view of the importance of the theme in life, health work.


2021 ◽  
Author(s):  
Ken Hok Man HO ◽  
Ingrid M Wilson ◽  
Janet YH Wong ◽  
Lisa McKenna ◽  
Sonia Reisenhofer ◽  
...  

Abstract Migrant domestic workers have become a major international target population for issues of human rights. However, little is known about the stressors, problems, and coping strategies surrounding their health issues internationally. A scoping review identified 26 sources matching selection criteria through a systematic search on 10 databases with publications from January 1995 to December 2019. Analysis revealed that stressors to health included abuse, poor health services accessibility, ongoing financial hardship despite demanding working conditions and social isolation. Several physical and mental health problems were identified for which migrant domestic workers largely depended on social network and religion to cope with stressors and health problems. Marginalization in health and social care system was evidenced in various countries that formal health and social care for migrant domestic workers was lacking. Survey on health problems of migrant domestic workers and provision of formal support to them present a significant service gap.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S585-S585
Author(s):  
Iraida V Carrion ◽  
Tania Estapé ◽  
Malinee Neelamegam ◽  
Jane Roberts ◽  
Jorge Estapé

Abstract Prior studies have indicated that older Latinos/as diagnosed with cancer experience social inequalities and other barriers due to their limited English language proficiency and access to health care (Fernández & Morales, 2007). In addition, for Latinos, a cancer diagnosis magnifies health disparities substantially (Gehlert & Colditz, 2011). Despite the impact of the cancer experience, Latinos manifest meaning-based beliefs and coping strategies in dealing with cancer diagnoses (Carrion, Nedjat-Haiem, Macip-Billbe, Black, 2017). However, little is known about older Latinos’ (60 years and older) transmission of knowledge, beliefs, and attitudes to family members and friends. Understanding older Latinos’ advice regarding cancer is essential, given their role in the transmission of knowledge. This study disseminates the latest qualitative findings on older Latinos/as and explores the perspectives shared with family members and friends by non-cancer participants. It explores the types of knowledge, beliefs, attitudes, and advice older Latinos provide to family members and friends about cancer. The data represent individuals without cancer (n=168) residing in the Greater Tampa Bay area. Latinos manifest meaning-based beliefs and coping strategies that assist in dealing with their cancer diagnoses and access to care. Recruitment occurred in community-based settings, with interviews conducted in Spanish and transcribed into English. Qualitative data were analyzed using a constant comparison method and coded in ATLAS.ti to identify emerging themes, including knowledge that a cancer diagnosis is beyond individual control and is in God’s hands, careful choice of a doctor to ensure proper prevention and treatment, and a positive attitude despite the cancer diagnosis.


Author(s):  
Natalie Anderson ◽  
Julia Slark ◽  
Merryn Gott

IntroductionResearch shows that ambulance personnel can find it challenging to withhold or terminate resuscitation and manage patient death in the field. This scoping review provides a synthesis of published research that has addressed three main questions. Each relates to ambulance personnel enacting decisions to withhold or terminate resuscitation and manage patient death: How are they prepare; what supports and coping strategies are utilised; and what preparation and support needs have been identified?MethodsUsing Arksey and O’Malley’s five-stage scoping review framework this review identifies what is known and what further research is needed in this area.ResultsSixteen methodologically heterogenous papers were located. Half of the studies were conducted in the United States, with the remainder in Canada, Singapore, Spain, Sweden and the United Kingdom. Ambulance personnel receive little formal training and feel unprepared to manage situations where resuscitation is unsuccessful or unwarranted, particularly communicating with family, breaking bad news and managing death scenes. These aspects of termination of resuscitation are so challenging that distancing and avoidance are sometimes used as coping strategies, even when medical futility has been established. In addition to formal counselling for personal loss and stressors, ambulance personnel value downtime and informal peer debriefing, following difficult resuscitation decisions and patient deaths.ConclusionAmbulance personnel feel inadequately prepared to withhold or terminate resuscitation and manage patient death in the field. They want more opportunities to learn about death notification, communication with bereaved families and safe, sensitive management of death scenes. More research is needed to determine how best to prepare and support ambulance personnel for the challenges of resuscitation decision-making and patient death.


2020 ◽  
Vol 3 ◽  
pp. 1-15
Author(s):  
Patrick Ristau ◽  
Claudia Oetting-Roß ◽  
Andreas Büscher

Background: Pancreatic cancer is one of the malignant diseases with the highest cancer-specific mortality. At the time of diagnosis, life expectancy is often already very limited, as it is usually discovered late and in an advanced stage. Coping with cancer is a complex process. Coping strategies of patients with pancreatic cancer probably differ from those of other malignancies. Yet to date, there exists no pancreatic cancer-specific coping model. Objective: The objective of this scoping review is to explore and characterize the academic literature related to coping processes in patients with pancreatic cancer. Methods/Design: The JBI's three-step search strategy, combined with the Arksey and O'Malley framework, will be used to identify articles via PubMed/MEDLINE, CINAHL, Cochrane Library, Google Scholar, CAMbase, CareLit, CC Med, Scopus, and PsycARTICLES (Arksey & O'Malley, 2005; Peters et al., 2017). It follows the PRISMA guidelines for scoping reviews (Tricco et al., 2018). Primary and secondary studies and reviews which report on coping with pancreatic cancer (adenocarcinoma) in adults in English or German language will be included in this scoping review, regardless of publication date or study design. Discussion: This scoping review will add new insights on coping with pancreatic cancer by summarizing current knowledge, and identifying research 


2018 ◽  
Vol 34 (5) ◽  
pp. 352-360 ◽  
Author(s):  
Silvia Bonino ◽  
Federica Graziano ◽  
Martina Borghi ◽  
Davide Marengo ◽  
Giorgia Molinengo ◽  
...  

Abstract. This research developed a new scale to evaluate Self-Efficacy in Multiple Sclerosis (SEMS). The aim of this study was to investigate dimensionality, item functioning, measurement invariance, and concurrent validity of the SEMS scale. Data were collected from 203 multiple sclerosis (MS) patients (mean age, 39.5 years; 66% women; 95% having a relapsing remitting form of MS). Fifteen items of the SEMS scale were submitted to patients along with measures of psychological well-being, sense of coherence, depression, and coping strategies. Data underwent Rasch analysis and correlation analysis. Rasch analysis indicates the SEMS as a multidimensional construct characterized by two correlated dimensions: goal setting and symptom management, with satisfactory reliability coefficients. Overall, the 15 items reported acceptable fit statistics; the scale demonstrated measurement invariance (with respect to gender and disease duration) and good concurrent validity (positive correlations with psychological well-being, sense of coherence, and coping strategies and negative correlations with depression). Preliminary evidence suggests that SEMS is a psychometrically sound measure to evaluate perceived self-efficacy of MS patients with moderate disability, and it would be a valuable instrument for both research and clinical applications.


Sign in / Sign up

Export Citation Format

Share Document