Women's experiences with recurrent ovarian cancer.
Most women with a diagnosis of ovarian cancer, because of the advanced nature of the disease at the time of diagnosis, will face the very real possibility of an early death. Thus the disease can have a significant impact on women who play a central role in the day-to-day management of family life, the nurture of children, and the care of extended family. This article reports the perspectives of women living with ovarian cancer regarding their experiences confronting recurrent disease. For this qualitative study 18 women were interviewed. Four primary themes emerged from the analysis of the verbatim interview transcripts: waiting for recurrence, facing the diagnosis of recurrence, managing treatment-related concerns, and attempting to regain control. The practice implications for oncology nurses involve understanding the significant meaning associated with monitoring tumor markers and recurrent disease, assisting women in accessing information and support, and engaging in sensitive communication.
Howell
Doris
D
Psychosocial and Behavioral Research Unit, Toronto Sunnybrook Regional Cancer Center, Ontario, Canada.
Fitch
Margaret I
MI
Deane
Karen A
KA
D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D001294:Attitude to Health; D017281:Cost of Illness; D005190:Family / Q000523:psychology; D005260:Female; D005783:Gender Identity; D006801:Humans; D007389:Internal-External Control; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy; D024802:Nurse's Role; D015404:Nursing Methodology Research; D009859:Oncology Nursing; D009864:Ontario; D010051:Ovarian Neoplasms / Q000175:diagnosis / Q000523:psychology* / Q000628:therapy; D010358:Patient Participation; D036301:Qualitative Research; D011795:Surveys and Questionnaires; D014930:Women / Q000523:psychology*