Article

Communication Difficulties and the Experience of Loneliness in Patients With Cancer Dealing With Fertility Issues: A Qualitative Study


Sofie Verhaeghe

Ann Van Hecke

oncofertility, cancer, infertility, loneliness, communication, qualitative research
ONF 2015, 42(1), 34-43. DOI: 10.1188/15.ONF.34-43

Purpose/Objectives: To explore communication difficulties and the experience of loneliness among patients with cancer dealing with fertility issues.

Design: Qualitative study based on grounded theory principles.

Setting: One university hospital and two general hospitals in Flanders, Belgium.

Sample: 21 female and 7 male patients with cancer with potential fertility problems as a result of treatment.

Methods: Grounded theory approach using the constant comparison method; data collection (semistructured face-to-face interviews) and analysis occurred simultaneously.

Findings: Loneliness was a central theme in the experience of potential fertility loss among patients with cancer. Feelings of loneliness resulted from communication difficulties between the patient and members of his or her social environment or healthcare professionals because of several underlying processes and influencing factors.

Conclusions: Loneliness was a strong and common feeling among patients with cancer. Patients, members of their social environment, and healthcare professionals experienced difficulties in communicating about fertility in the context of cancer, leading to patients' feelings of loneliness.

Implications for Nursing: Healthcare professionals must be attentive to signs indicating loneliness regarding fertility concerns, and they should provide adequate information and appropriate guidance to support patients. Professionals need further training to improve knowledge and skills.

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    References

    Ajala, T., Rafi, J., Larsen-Disney, P., & Howell, R. (2010). Fertility preservation for cancer patients: A review. Obstetrics and Gynecology International, 2010, 160386. doi:10.1155/2010/160386
    Allison, J. (2011). Conceiving silence: Infertility as discursive contradiction in Ireland. Medical Anthropology Quarterly, 25, 1-21. doi:10.1111/j.1548-1387.2010.01123.x
    Burrage, J., & Demi, A. (2003). Buddy programs for people infected with HIV. Journal of the Association of Nurses in AIDS Care, 14, 52-62. doi:10.1177/1055329002239190
    Carter, J., Raviv, L., Applegarth, L., Ford, J. S., Josephs, L., Grill, E., … Barakat, R. R. (2010). A cross-sectional study of the psychosexual impact of cancer-related infertility in women: Third-party reproductive assistance. Journal of Cancer Survivorship, 4, 236-246. doi:10.1007/s11764-010-0121-2
    Carter, J., Rowland, K., Chi, D., Brown, C., Abu-Rustum, N., Castiel, M., & Barakat, R. (2005). Gynecologic cancer treatment and the impact of cancer-related infertility. Gynecologic Oncology, 97, 90-95. doi:10.1016/j.ygyno.2004.12.019
    Crawshaw, M. (2013). Male coping with cancer-fertility issues: Putting the ‘social’ into biopsychosocial approaches. Reproductive BioMedicine Online, 27, 261-270. doi:10.1016/j.rbmo.2013.04.017
    Diedrich, K., Fauser, B. C., & Devroey, P. (2011). Cancer and fertility: Strategies to preserve fertility. Reproductive BioMedicine Online, 22, 232-248. doi:10.1016/j.rbmo.2010.11.001
    Gardino, S. L., & Emanuel, L. L. (2010). Choosing life when facing death: Understanding fertility preservation decision-making for cancer patients. Cancer Treatment and Research, 156, 447-458. doi:10.1007/978-1-4419-6518-9_34
    Glaser, B. G., & Strauss, A. L. (1967). The discovery of grounded theory: Strategies for qualitative research. Chicago, IL: Aldine.
    Goossens, J., Delbaere, I., Decoene, E., Soetens, J., Grypdonck, M., Verhaeghe, S., & Van Hecke, A. (2013). [Fertility and cancer. Guide for caregivers: Insights and recommendations]. Retrieved from https://biblio.ugent.be/input/download?func=downloadFile&recordOId=4287906&fileOId=4287939
    Goossens, J., Delbaere, I., Van Lancker, A., Beeckman, D., Verhaeghe, S., & Van Hecke, A. (2014). Cancer patients' and professional caregivers' needs, preferences and factors associated with receiving and providing fertility-related information: A mixed-methods systematic review. International Journal of Nursing Studies, 51, 300-319. doi:10.1016/j.ijnurstu.2013.06.015
    Gorman, J. R., Bailey, S., Pierce, J. P., & Su, H. I. (2012). How do you feel about fertility and parenthood? The voices of young female cancer survivors. Journal of Cancer Survivorship, 6, 200-209. doi:10.1007/s11764-011-0211-9
    Herbst, R. S., Bajorin, D. F., Bleiberg, H., Blum, D., Hao, D., Johnson, B. E., … Mayer, R. J. (2006). Clinical cancer advances 2005: Major research advances in cancer treatment, prevention, and screening—A report from the American Society of Clinical Oncology. Journal of Clinical Oncology, 24, 190-205. doi:10.1200/JCO.2005.04.8678
    Hinton, L., Kurinczuk, J. J., & Ziebland, S. (2010). Infertility; isolation and the Internet: A qualitative interview study. Patient Education and Counseling, 81, 436-441. doi:10.1016/j.pec.2010.09.023
    Howlader, N., Noone, A. M., Krapcho, M., Neyman, N., Aminou, R., Waldron, W., … Cronin, K. A. (Eds.). (2012). SEER cancer statistics review, 1975-2009 (Vintage 2009 populations). Retrieved from http://seer.cancer.gov/csr/1975_2009_pops09
    Imeson, M., & McMurray, A. (1996). Couples' experiences of infertility: A phenomenological study. Journal of Advanced Nursing, 24, 1014-1022. doi:10.1111/j.1365-2648.1996.tb02938.x
    Kessels, R. P. C. (2003). Patients' memory for medical information. Journal of the Royal Society of Medicine, 96, 219-222. doi:10.1258/jrsm.96.5.219
    Kirkman, M. (2001). Thinking of something to say: Public and private narratives of infertility. Health Care for Women International, 22, 523-535. doi:10.1080/07399330127193
    Lee, S. J., Schover, L. R., Partridge, A. H., Patrizio, P., Wallace, W. H., Hagerty, K., … Oktay, K. (2006). American Society of Clinical Oncology recommendations on fertility preservation in cancer patients. Journal of Clinical Oncology, 24, 2917-2931. doi:10.1200/JCO.2006.06.5888
    Matthews, M. L., Hurst, B. S., Marshburn, P. B., Usadi, R. S., Papadakis, M. A., & Sarantou, T. (2012). Cancer, fertility preservation, and future pregnancy: A comprehensive review. Obstetrics and Gynecology International, 2012, 953937. doi:10.1155/2012/953937
    Patterson, P., Millar, B., Desille, N., & McDonald, F. (2012). The unmet needs of emerging adults with a cancer diagnosis: A qualitative study. Cancer Nursing, 35, E32-E40. doi:10.1097/NCC.0b013e31822d9105
    Penrose, R., Beatty, L., Mattiske, J., & Koczwara, B. (2013). The psychosocial impact of cancer-related infertility on women: A review and comparison. Clinical Journal of Oncology Nursing, 17, 188-193. doi:10.1188/13.CJON.188-193
    Perz, J., Ussher, J., & Gilbert, E. (2014). Loss, uncertainty, or acceptance: Subjective experience of changes to fertility after breast cancer. European Journal of Cancer Care, 23, 514-522. doi:10.1111/ecc.12165
    Preyde, M., & Ardal, F. (2003). Effectiveness of a parent "buddy" program for mothers of very preterm infants in a neonatal intensive care unit. Canadian Medical Association Journal, 168, 969-973.
    Quinn, G. P., Murphy, D., Wang, H., Sawczyn, K. K., & Knapp, C. (2013). Having cancer does not change wanting a baby: Healthy adolescent girls' perceptions of cancer-related infertility. Journal of Adolescent Health, 52, 164-169. doi:10.1016/j.jadohealth.2012.05.011
    Rokach, A. (2003). Causes of loneliness of those afflicted with life-threatening illnesses. Social Behavior and Personality, 31, 663-674. doi:10.2224/sbp.2003.31.7.663
    Sattoe, J. N., Jedeloo, S., & van Staa, A. (2013). Effective peer-to-peer support for young people with end-stage renal disease: A mixed methods evaluation of Camp COOL. BMC Nephrology, 14, 279. doi:10.1186/1471-2369-14-279
    Sevil, U., Ertem, G., Kavlak, O., & Coban, A. (2006). The loneliness level of patients with gynecological cancer. International Journal of Gynecological Cancer, 16, 472-477. doi:10.1111/j.1525-1438.2006.00516.x
    Valdivieso, M., Kujawa, A. M., Jones, T., & Baker, L. H. (2012). Cancer survivors in the United States: A review of the literature and a call to action. International Journal of Medical Sciences, 9, 163-173. doi:10.7150/ijms.3827
    Wells, M., & Kelly, D. (2008). The loneliness of cancer. European Journal of Oncology Nursing, 12, 410-411. doi:10.1016/j.ejon.2008.11.003
    Woodruff, T. K. (2010). The Oncofertility Consortium—Addressing fertility in young people with cancer. Nature Reviews. Clinical Oncology, 7, 466-475. doi:10.1038/nrclinonc.2010.81
    Zebrack, B. J., Casillas, J., Nohr, L., Adams, H., & Zeltzer, L. K. (2004). Fertility issues for young adult survivors of childhood cancer. Psycho-Oncology, 13, 689-699. doi:10.1002/pon.784
    Zhang, A. Y., & Siminoff, L. A. (2003). Silence and cancer: Why do families and patients fail to communicate? Health Communication, 15, 415-429. doi:10.1207/S15327027HC1504_03