title: Perspectives on coping among patients with head and neck cancer receiving radiation.
abstract: OBJECTIVE
  To describe coping among patients with laryngeal and oropharyngeal cancer during definitive radiation with or without chemotherapy.
  
  
  METHODS
  Qualitative content analysis conducted within a larger study.
  
  
  METHODS
  Two radiation oncology outpatient clinics in Baltimore, MD.
  
  
  METHODS
  21 patients with oropharyngeal or laryngeal cancer.
  
  
  METHODS
  Interviews with open-ended questions were conducted during treatment. Questions covered topics such as coping during treatment, treatment-related issues, and resources.
  
  
  METHODS
  Coping, treatment, and coping resources.
  
  
  RESULTS
  Patients' self-assessments suggested they were coping or that coping was rough or upsetting. Issues that required coping varied over four time points. Physical side effects were problematic during and one month after treatment completion. Patients used coping to manage the uncertainties of physical and psychological aspects of their experience. Family and friend support was a common coping strategy used by patients, with the intensity of side effects corresponding with the support provided across time points.
  
  
  CONCLUSIONS
  Findings confirm previous research, but also provide new information about ways in which patients with head and neck cancer cope with their illness experience. Emergent themes provide insight into patients' feelings, issues, and assistance received with coping.
  
  
  CONCLUSIONS
  Patients with head and neck cancer need education on the amount and severity of side effects and should be appraised of potential difficulties with scheduling, driving, and other logistic issues. Patients also should be informed of helpful types of support and coping strategies. Additional research is needed to expand the findings related to patients' coping with treatment and to explore the experiences of family and friends who provide social support.
authors.affiliation: Acute and Chronic Care Department, Johns Hopkins University, Baltimore, MD, USA. mhais002@umaryland.edu
authors.forename: Mary Ellen
authors.initials: ME
authors.lastname: Haisfield-Wolfe
authors.forename: Deborah B
authors.initials: DB
authors.lastname: McGuire
authors.forename: Sharon
authors.initials: S
authors.lastname: Krumm
mesh_terms: D000223:Adaptation, Psychological; D000368:Aged; D005260:Female; D006258:Head and Neck Neoplasms / Q000451:nursing / Q000523:psychology / Q000532:radiotherapy; D006801:Humans; D007822:Laryngeal Neoplasms / Q000451:nursing / Q000523:psychology / Q000532:radiotherapy; D008297:Male; D008875:Middle Aged; D009723:Nurse-Patient Relations; D009859:Oncology Nursing / Q000379:methods; D009959:Oropharyngeal Neoplasms / Q000451:nursing / Q000523:psychology / Q000532:radiotherapy; D036301:Qualitative Research; D011878:Radiotherapy / Q000451:nursing* / Q000523:psychology*; D012944:Social Support