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Unexpressed psychosocial needs in cancer patients at the beginning of inpatient rehabilitation

  • Cancer patients often need professional help to alleviate their psychosocial distress. However, not all patients express their needs. In this study, we explored possible barriers to patients’ expressing needs, contents of needs difficult to express, and conditions facilitating expressing needs. Methods We conducted semi-structured interviews with 29 oncological inpatient rehabilitation patients, 7 members of self-help groups, and 10 health professionals. We analyzed data with structuring content analysis. Results Fear of stigmatization and difficulties in the physician-patient-relationship were the most critical expression barriers reported. Sexuality deemed to be one of the most challenging themes for patients. Changes in the physician’s behavior and sufficient resources were mentioned as the main facilitating conditions. Our results indicate a wide diversity within the barriers and topics, but a general consistency between patients and health professionals. Conclusion This study provides evidence for the existence of a variety of barriers to cancer patients’ expressing their needs. Practice Implications Health professionals should be aware of the different possible expression barriers to facilitate patient communication.

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Author:Verena Heß, Karin Meng, Thomas Schulte, Silke Neuderth, Jürgen Bengel, Elisabeth Jentschke, Mario Zoll, Hermann Faller, Michael Schuler
DOI:https://doi.org/10.1080/07347332.2020.1819931
Parent Title (German):Journal of psychosocial oncology
Publisher:Taylor & Francis Online
Document Type:Article
Language:English
Year of publication:2021
Release Date:2023/08/17
Volume:39
Issue:2
First Page:173
Last Page:188
Institutes and faculty:Fakultäten / Fakultät Angewandte Sozialwissenschaften
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