A supportive nursing care clinic: conceptions of patients with head and neck cancer.
Patients with head and neck cancer have complex long-lasting physical and psychosocial needs due to illness and treatment, and studies have shown deficiencies concerning support in these respects. The purpose of this study was to describe how head and neck cancer patients with eating problems conceived the significance of a supportive nursing care clinic before, during and after completion of radiotherapy. Thematic interviews were carried out in an open dialogue with 12 patients treated with radiotherapy for head and neck cancer. The phenomenologischer method was used in the analyses. The findings showed that the nurse clinic could meet head and neck cancer patients' needs of safety and security, which was especially important before and after completion of treatment when no other regular contacts in the health care system existed. The significance of the nurse clinic varied depending on where in the trajectory the patients were, what needs and problems they experienced, and how severe these were experienced by the individual patient. The supportive nursing care clinic could meet these patients' needs of knowledge, care and support both concerning practical measures related to the disease and its treatment, and emotional needs. This way of organising the care can contribute to these patients' health and wellbeing.
Larsson
Maria
M
Department of Nursing, Karlstad University, SE-651 88 Karlstad, Sweden. maria.larsson@kau.se
Hedelin
Birgitta
B
Athlin
Elsy
E
D000368:Aged; D000369:Aged, 80 and over; D000553:Ambulatory Care / Q000458:organization & administration / Q000523:psychology; D001294:Attitude to Health; D001068:Feeding and Eating Disorders / Q000209:etiology; D005260:Female; D006258:Head and Neck Neoplasms / Q000150:complications / Q000523:psychology* / Q000628:therapy*; D006301:Health Services Needs and Demand; D006766:Hospitals, County; D006801:Humans; D008297:Male; D008875:Middle Aged; D024802:Nurse's Role / Q000523:psychology; D009723:Nurse-Patient Relations; D015404:Nursing Methodology Research; D009859:Oncology Nursing / Q000458:organization & administration*; D010353:Patient Education as Topic; D036301:Qualitative Research; D011788:Quality of Life / Q000523:psychology; D011878:Radiotherapy / Q000009:adverse effects / Q000451:nursing / Q000523:psychology; D017751:Safety Management; D012944:Social Support; D013548:Sweden