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A Qualitative Study on Psychosocial Challenges of Patients With Cancer in Ethiopia Using the Social-Ecological Model.
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- Author(s): Wondimagegnehu, Abigiya1,2 ; Assefa, Mathewos3; Teferra, Solomon4; Kantelhardt, Eva J.2,5; Zebrack, Bradley6; Addissie, Adamu1,2
- Source:
Qualitative Health Research. Jul2024, Vol. 34 Issue 8/9, p828-841. 14p.- Subject Terms:
*MIDDLE-income countries; *FEAR; *CONCEPTUAL models; *QUALITATIVE research; *PSYCHOLOGICAL distress; *SUICIDAL ideation; *ATTITUDES toward illness; *RESEARCH funding; *RURAL hospitals; *QUESTIONNAIRES; *DESCRIPTIVE statistics; *ANXIETY; *PSYCHOLOGY; *THEMATIC analysis; *CONCEPTUAL structures; *URBAN hospitals; *SOCIAL skills; *ATTITUDES of medical personnel; *TUMORS; *CANCER patient psychology; *RESOURCE-limited settings; *SOCIAL support; *NEEDS assessment; *COMPARATIVE studies; *DATA analysis software; *LOW-income countries; *RELIGIOUS leaders; *MENTAL depression; *PATIENTS' attitudes - Source:
- Additional Information
- Subject Terms:
- Abstract: Cancer diagnosis and treatment can be physically arduous, disrupting patients' social and work lives. Understanding the extent of these problems is key to addressing patients' needs, but specific psychosocial challenges have not yet been well studied in resource-limited settings. A qualitative study was conducted in the capital and two regions of Ethiopia with the aim of exploring psychosocial challenges among cancer patients. A total of 14 in-depth interviews (IDIs) and 16 focus group discussions (FGDs) were done with cancer patients, health professionals, community representatives, and religious leaders. Four separate interview guides were used to facilitate the interviews and discussions. All transcribed documents, field notes, and reflexive memos were entered into NVivo 12 software, and deductive thematic analysis using the social-ecological model was applied to summarize the main findings. At an individual level, emotional distress, suicidal risk, denial, and refusal of treatment were identified immediately after diagnosis while hopelessness, feeling depressed, and fear of death were commonly reported psychosocial challenges during the course of treatment. Involvement of family members in major treatment decisions was recognized at an interpersonal level. Our result also revealed that cancer patients had strong social support from family members and close friends. In the community, traditional medicine and religious rituals were considered an alternative treatment for cancer. The findings indicate that counselling and psychoeducation are crucial for cancer patients, family members, and close friends. Awareness creation programmes should be delivered through collaboration with religious leaders and traditional healers. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Qualitative Health Research is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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