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Supportive Care in Cancer

, Volume 20, Issue 10, pp 2433–2439 | Cite as

Scope of symptoms and self-management strategies for chemotherapy-induced peripheral neuropathy in breast cancer patients

  • Rebecca M. SpeckEmail author
  • Angela DeMichele
  • John T. Farrar
  • Sean Hennessy
  • Jun J. Mao
  • Margaret G. Stineman
  • Frances K. Barg
Original Article

Abstract

Purpose

This study explored the self-management strategies utilized by female breast cancer patients to cope with the impact of chemotherapy-induced peripheral neuropathy (CIPN) symptoms. We also examined the variety of taxane-related side effects in women with and without CIPN in order to discriminate the CIPN symptom experience.

Methods

A purposive sample of 25 patients treated with docetaxel or paclitaxel were recruited, half with and half without CIPN. Semistructured interviews and patient level data were utilized for this exploratory, descriptive study. Interview data were analyzed with the constant comparative method; patient level data were abstracted from the electronic medical record.

Results

Participants were aged 24–60 years, were currently receiving chemotherapy or within 6 months of having completed treatment, and 14 had CIPN. CIPN impacted routine activities, functions, and behaviors in the areas of domestic, work, and social/leisure life. Multiple self-management and coping strategies to minimize the impact of CIPN symptoms were reported; the focus was on movement to reduce symptoms, attitude awareness, logistics to simplify demands, and environmental change. Women with and without CIPN were similar in the quantity and type of other reported side effects.

Conclusions

CIPN affects breast cancer patients’ routine activities, functions, and behaviors, but they develop management strategies to reduce the impact. The management strategies reported in this study suggest breast cancer patients may adopt interventions that focus on exercise, mindfulness, occupational therapy, and environmental planning toward the goal of reducing the impact of CIPN symptoms on their lives.

Keywords

Chemotherapy-induced peripheral neuropathy Symptom management Coping strategies 

Notes

Conflicts of Interest

None

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Copyright information

© Springer-Verlag 2012

Authors and Affiliations

  • Rebecca M. Speck
    • 1
    • 2
    • 6
    Email author
  • Angela DeMichele
    • 1
    • 3
  • John T. Farrar
    • 1
    • 2
  • Sean Hennessy
    • 1
  • Jun J. Mao
    • 4
  • Margaret G. Stineman
    • 1
    • 5
  • Frances K. Barg
    • 4
  1. 1.Department of Biostatistics and EpidemiologyUniversity of PennsylvaniaPhiladelphiaUSA
  2. 2.Department of Anesthesiology and Critical CareUniversity of PennsylvaniaPhiladelphiaUSA
  3. 3.Division of Hematology and OncologyUniversity of PennsylvaniaPhiladelphiaUSA
  4. 4.Department of Family Medicine and Community HealthUniversity of PennsylvaniaPhiladelphiaUSA
  5. 5.Department of Physical Medicine and RehabilitationUniversity of PennsylvaniaPhiladelphiaUSA
  6. 6.PhiladelphiaUSA

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