Inner conflict in patients receiving oral anticancer agents

A qualitative study

Kaori Yagasaki, Hiroko Komatsu, Tsunehiro Takahashi

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Objectives: To explore the experiences of patients receiving oral anticancer agents. Design: A qualitative study using semistructured interviews with a grounded theory approach. Setting: A university hospital in Japan. Participants: 14 patients with gastric cancer who managed their cancer with oral anticancer agents. Results: Patients with cancer experienced inner conflict between rational belief and emotional resistance to taking medication due to confrontation with cancer, doubt regarding efficacy and concerns over potential harm attached to use of the agent. Although they perceived themselves as being adherent to medication, they reported partial non-adherent behaviours. The patients reassessed their lives through the experience of inner conflict and, ultimately, they recognised their role in medication therapy. Conclusions: Patients with cancer experienced inner conflict, in which considerable emotional resistance to taking their medication affected their occasional non-adherent behaviours. In patient-centred care, it is imperative that healthcare providers understand patients' inner conflict and inconsistency between their subjective view and behaviour to support patient adherence.

Original languageEnglish
Article numbere006699
JournalBMJ Open
Volume5
Issue number4
DOIs
Publication statusPublished - 2015

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Antineoplastic Agents
Neoplasms
Patient-Centered Care
Mouth Neoplasms
Patient Compliance
Health Personnel
Stomach Neoplasms
Conflict (Psychology)
Japan
Interviews

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Inner conflict in patients receiving oral anticancer agents : A qualitative study. / Yagasaki, Kaori; Komatsu, Hiroko; Takahashi, Tsunehiro.

In: BMJ Open, Vol. 5, No. 4, e006699, 2015.

Research output: Contribution to journalArticle

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