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Patient experiences with isolated limb perfusion for malignant melanoma - A qualitative study

Artikel i vetenskaplig tidskrift
Författare M. Ekenberg
H. Wesslau
Roger Olofsson Bagge
My Engström
Publicerad i European Journal of Oncology Nursing
Volym 43
Nummer/häfte December
Sidor 6
ISSN 1462-3889
Publiceringsår 2019
Publicerad vid Institutionen för kliniska vetenskaper, Avdelningen för kirurgi
Institutionen för kliniska vetenskaper, Avdelningen för gastrokirurgisk forskning och utbildning
Institutionen för vårdvetenskap och hälsa
Sidor 6
Språk en
Länkar dx.doi.org/10.1016/j.ejon.2019.1016...
Ämnesord Patients, Cancer, Malignant melanoma, Isolated limb perfusion, Experiences, Qualitative, Content analysis, in-transit melanoma, term-follow-up, of-life, recurrent melanoma, metastases, melphalan, survival, infusion, care, fear, Oncology, Nursing
Ämneskategorier Cancer och onkologi


Purpose: In recent years, the incidence of malignant melanoma has rapidly increased worldwide. Among patients with recurrences, approximately 5% develop in-transit metastases, which can potentially be treated with isolated limb perfusion (ILP). However, little is known about patient experiences with this treatment. A more thorough understanding might guide future research and clinical care. In this study, we aimed to describe patients' experiences of ILP treatment. Methods: This study included eight patients who participated in a semi-strutted interviewed, conducted at one occasion between 3 and 11 months after their ILP treatment. The mean interview duration was 26 min. Data were analyzed using qualitative inductive content analysis according to the methods of Elo-Kyngas and Graneheim and Lundman. Results: Our analysis yielded three categories, each built on two subcategories: positive experiences after ILP treatment emerged from the sub-categories reduced tumor burden and living a less restricted life; negative experiences after ILP was built on the subcategories fear of relapse and complications and side effects; and experiences of healthcare was founded on the subcategories need for correct information and being viewed as sicker then experienced. Conclusion: Participants showed greater focus on the healthy parts of their lives, even when negative symptoms occurred after ILP treatment. They also described how healthcare workers focused on their illness. Based on these findings, we suggest the following means of providing good nursing care to ILP patients: give correct information, strive to reduce patients' negative symptoms, support their daily living needs, and provide emotional support to reduce fear of recurrence.

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