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Surviving the initial phase: Subjective theories of illness in patients suffering from acute leukaemia at the end of initial inpatient treatment   
Yazarlar
Katharina Koehler
Doç. Dr. Elif DOĞAN Doç. Dr. Elif DOĞAN
Kastamonu Üniversitesi
Michael Koehler
Viktoria Heine
Joerg Frommer
Özet
Studies concentrating on the temporal dependence of subjective concepts during oncological treatment are underrepresented. Subjective interpretation contexts develop in the course of illness. The study focuses on the ideal-typical gestalt of these contents. In a follow-up study on coping, 12 patients with acute leukaemia (AL) were interviewed using a semistructured interview at the end of initial inpatient treatment. Using qualitative methodology, we inductively developed categories and assigned them to formal main categories. The following categories were developed: causal uncertainty as burden; discrepancy between subjective and objective assessment of degree of threat; knowledge of disease: conflict between information-seeking and information-avoiding behavior; dominance of medical approach to treatment; pursuit of normality; defense of emotions; orientation to workflows on the ward; adjustment as a coping strategy; positive attitude as a resource; life between hope and fear; limited future; latent fear of death. Themes of coping with the disease become visible. Some of these contents are tacit and latent, although of high subjective relevance to the patient. Their consideration could improve the patient-physician relationship.
Anahtar Kelimeler
Subjective Theories of Illness | Cancer | Leukaemia | Qualitative Research
Makale Türü Özgün Makale
Makale Alt Türü ESCI dergilerinde yayımlanan tam makale
Dergi Adı ZEITSCHRIFT FUR PSYCHOSOMATISCHE MEDIZIN UND PSYCHOTHERAPIE
Dergi ISSN 1438-3608
Makale Dili İngilizce
Basım Tarihi 01-2011
Cilt No 57
Sayı 2
Sayfalar 141 / 156
Doi Numarası 10.13109/zptm.2011.57.2.141