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Experiences of living with increased risk of developing colorectal and gynaecological cancer in individuals with no identified gene mutation.
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- Author(s): Persson, Eva; Lindholm, Elisabet; Berndtsson, Ina; Lundstam, Ulf; Hultén, Leif; Carlsson, Eva
- Source:
Scandinavian Journal of Caring Sciences; Mar2012, Vol. 26 Issue 1, p20-27, 8p- Subject Terms:
RECTUM tumors; COLON tumors; FEMALE reproductive organ tumors; ANXIETY; ATTITUDE (Psychology); CANCER; COLONOSCOPY; CONTENT analysis; DISEASE susceptibility; DISEASES; EMPLOYMENT; FEAR; GYNECOLOGIC examination; HEALTH attitudes; INTERVIEWING; RESEARCH methodology; MEDICAL screening; GENETIC mutation; PATIENT education; RESEARCH funding; UNCERTAINTY; QUALITATIVE research; THEMATIC analysis; HEALTH literacy; FAMILY history (Medicine); GENETIC carriers; DESCRIPTIVE statistics; GENETICS - Source:
- Additional Information
- Subject Terms:
- Abstract: Scand J Caring Sci; 2012; 26; 20-27 Experiences of living with increased risk of developing colorectal and gynaecological cancer in individuals with no identified gene mutation Background: In most families with familial cancers, mutations have not been demonstrated; thus, healthy individuals cannot be tested for mutation status. As a consequence, many persons at risk of familial cancer live with an unknown, but presumably high, risk of developing cancer. Aim: The aim of this study was to describe individuals' perceptions of living with an increased risk of colorectal and gynaecologic cancer where the gene mutation is unknown. Methods: Interviews were conducted with 30 individuals with familial colorectal cancer. These persons have no known mutation and therefore should be considered presumptive carriers. In connection with the interviews, all participants were offered to take part in a surveillance programme consisting of a colonoscopy and gynaecological examinations. The interview transcriptions were analysed by the use of qualitative content analysis. Results: Two themes emerged from the analyses: first, living under a threat with two subthemes, threat awareness and distancing oneself from the threat. The second theme, living with uncertainty, was divided into four subthemes: influencing one's family, being on the safe side, facing emotions evoked by examinations and trust and disappointment to the medical services. Conclusion: These persons live with a lifelong uncertainty with a varying intensity depending on what happens throughout the life trajectory. They have no diagnosis or patient group to relate to; therefore, the entire situation is often perceived as abstract. Thus, providing information and counselling needs to be more deeply elucidated, and we need to address both situational and existential ways of uncertainty. This will, however, require professionals of all disciplines to understand the meaning of uncertainty and help ensure that its adverse effects are decreased with adequate nursing interventions. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Scandinavian Journal of Caring Sciences is the property of Wiley-Blackwell 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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