The experiences of living with multiple myeloma and a palliative approach to care: A grounded theory study.

Canadian Oncology Nursing Journal Pub Date : 2024-11-01 eCollection Date: 2024-01-01 DOI:10.5737/23688076344539
Ambereen Weerahandi, Shane Sinclair, Shelley Raffin-Bouchal, Linda Christine Watson, Laurie Lemieux
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Abstract

Purpose: Multiple myeloma is an incurable hematologic cancer. A palliative approach to care can be used in conjunction with curative therapy to alleviate suffering, but is underutilized in the hemato- oncology population. The purpose of this study was to explore living with multiple myeloma and individuals' experiences with, and perceptions of a palliative approach in their care.

Methods: Straussian grounded theory was employed. Ten individuals with multiple myeloma participated between October 2021 and May 2022.

Results: A theoretical model depicting the process of living with multiple myeloma was developed. Seven categories emerged from the data, as well as a core category: 'existing in the liminal space between living with and dying from multiple myeloma'. Results demonstrate that a palliative approach to care was inconsistently utilized.

Conclusions: The model designed from the participant data offers an explanation of the process of living with multiple myeloma and how a palliative approach to care can be utilized to help these individuals.

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多发性骨髓瘤患者的生活体验与姑息治疗方法:基础理论研究。
目的:多发性骨髓瘤是一种无法治愈的血液肿瘤。姑息治疗方法可与治疗方法结合使用,以减轻患者的痛苦,但在血液肿瘤患者中使用不足。本研究的目的是探讨多发性骨髓瘤患者的生活状况以及个人对姑息治疗的体验和看法:方法:采用施特劳斯基础理论。10名多发性骨髓瘤患者在2021年10月至2022年5月期间参与了研究:结果:建立了一个描述多发性骨髓瘤患者生活过程的理论模型。从数据中产生了七个类别以及一个核心类别:存在于多发性骨髓瘤患者生存与死亡之间的边缘空间"。结果表明,姑息治疗方法的使用并不一致:根据参与者数据设计的模型解释了多发性骨髓瘤患者的生存过程,以及如何利用姑息治疗方法来帮助这些患者。
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期刊介绍: The Canadian Oncology Nursing Journal is published quarterly in the Winter, Spring, Summer and Fall. The CONJ is the only Canadian publication in cancer nursing. It is a bilingual, peer-reviewed journal dedicated to the interests of the professional nurse who provides care to patients with cancer and their families. The journal endeavours to publish timely papers, promote the image of the nurse involved in cancer care, stimulate nursing issues in oncology nursing and encourage nurses to publish in national media.
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