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. 2021 Nov;29(11):6343-6352.
doi: 10.1007/s00520-021-06217-6. Epub 2021 Apr 21.

Experiences of patients with cancer with information and support for psychosocial consequences of reduced ability to eat: a qualitative interview study

Nora Lize  1 , Vera IJmker-Hemink  2 , Rianne van Lieshout  3 , Yvonne Wijnholds-Roeters  3 , Manon van den Berg  2 , Maggy Youssef-El Soud  3 , Sandra Beijer  4 , Natasja Raijmakers  4   5
Affiliations

Experiences of patients with cancer with information and support for psychosocial consequences of reduced ability to eat: a qualitative interview study

Nora Lize et al. Support Care Cancer. 2021 Nov.

Abstract

Purpose: Patients with cancer may experience emotions such as anger or sadness due to tumour- or treatment-related reduced ability to eat. These emotions can be provoked by patients' own struggle with eating, by misunderstanding of their struggle by others, or by less pleasure in social activities. Literature indicates that patients with cancer may experience a lack of information and support regarding psychosocial consequences of reduced ability to eat. The aim of this qualitative study is to gain insights into experiences with this information and support.

Method: Transcripts of semi-structured interviews with 24 patients with cancer who experience(d) psychosocial consequences of reduced ability to eat were thematically analysed. Interviews were recorded, transcribed verbatim, and analysed using Atlas.ti.

Results: Patients expressed positive experiences with information and support for psychosocial consequences of reduced ability to eat while receiving multidisciplinary recognition and personalised care. Patients expressed negative experiences when healthcare professionals only assessed topics within their own expertise, or when healthcare professionals mainly focused on their nutritional intake. Informal support for reduced ability to eat was positively evaluated when informal caregivers tried to understand their situation. Evaluation of informal practical support varied among patients.

Conclusion: Patients with cancer who experience psychosocial consequences of reduced ability to eat both need professional and informal support. Recognition of these consequences from healthcare professionals is important, as well as understanding from informal caregivers.

Keywords: Cancer; Caregivers; Eating; Patients focused care; Psycho-oncology; Qualitative research.

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