Table 2 Focal, contextual and residual stimulant in children with cancer’s adaptation to their disease
From: Falling and rising in the vortex of cancer: children’s adaptation with cancer: a qualitative study
Category | Focal stimulant | Contextual stimulant | Residual stimulant |
|---|---|---|---|
Physical challenges: Disruption in nutritional pattern | Cancer | - Unwillingness to eat at the hospital - Taste and smelling of chemotherapy medications - Inadequate ventilation in the ward - Lack of a dining hall at the ward - Serving the food on the bed | - Experience of nausea during the first course of chemotherapy - A belief that all chemotherapy medications cause nausea and vomiting |
Physical challenges: Disruption in activity and rest pattern | Cancer | - Reduced playing due to physical weakness - Lack of a suitable play area at the hospital - Experience of unsuccessful play due to physical weakness | - The attitude that, due to cancer, they are not like their peers when playing - The belief that the patient should not have activity and should rest |
Fragile self-concept | Cancer | - Sex - Age - passage of time - Severity of complications | - Cultural values such as high esteem for beauty - Valuing other people’s opinions too much - Poor self-confidence - Lack of independence |
Difficulty of role transition | Cancer | - Age - Poor economic status - Inability to self-care | - Sense of value with continuing education and employment - Being the source of income for the family - Others’ culture |
Disruption of the path to independence | Cancer | - Long-term hospitalization - Hospitalization in an isolation room - Financial burden imposed on the family - Inability to self-care - Heavy costs of treatment - Family’s economic status - Lack of all-inclusive insurance or charity coverage for treatment costs | - Significant others’ culture |