Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/19706
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: An Interpretative Phenomenological Analysis of the lived experience of multiple concurrent symptoms in patients with lung cancer: A contribution to the study of symptom clusters
Authors: Maguire, Roma
Stoddart, Kathleen
Flowers, Paul
McPhelim, John
Kearney, Nora
Contact Email: k.m.stoddart@stir.ac.uk
Keywords: Multiple symptoms
Symptom clusters
Lung cancer
Qualitative research
Interpretative Phenomenological Analysis
Meaning
Patient experience
Issue Date: Jun-2014
Publisher: Elsevier
Citation: Maguire R, Stoddart K, Flowers P, McPhelim J & Kearney N (2014) An Interpretative Phenomenological Analysis of the lived experience of multiple concurrent symptoms in patients with lung cancer: A contribution to the study of symptom clusters, European Journal of Oncology Nursing, 18 (3), pp. 310-315.
Abstract: Purpose of the research: To explore the lived experience of multiple concurrent symptoms in people with advanced lung cancer to contribute to the understanding of the experience of symptom clusters. Methods and sample: Purposive sampling recruited ten people with advanced lung cancer who were experiencing three or more concurrent symptoms, were at least 18 years of age and were able to provide written informed consent. The participants took part in two consecutive, in-depth interviews, 3-5 weeks apart. Interpretative Phenomenological Analysis was used to analyse the data. Findings: Participants experienced 4-11 concurrent symptoms with fatigue, cough, pain and breathlessness featuring prominently in their interviews. The participants commonly identified associations between the symptoms that they experienced, with the occurrence of one symptom often used to explain the occurrence of another. Reductions in physical and social functioning were often associated with the experience of multiple concurrent symptoms, particularly at times of high symptom severity. The participants' highlighted breathlessness and cough as being of particular salience, due to the association of these symptoms with fear of death and visibility and embarrassment in public. Conclusions: People with lung cancer experience multiple concurrent symptoms and perceive relationships between the symptoms experienced. Within the experience of multiple symptoms, people with lung cancer highlight individual symptoms that are of particular importance, based on their concomitant meanings. Such findings provide vital information for the future development of meaning-based symptom cluster interventions.
Type: Journal Article
URI: http://hdl.handle.net/1893/19706
DOI Link: http://dx.doi.org/10.1016/j.ejon.2014.02.004
Rights: The publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study.
Affiliation: University of Surrey
HS Research - Stirling
Glasgow Caledonian University
Hairmyers Hospital Lanarkshire
University of Surrey

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