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TMR Integrative Nursing  2018, Vol. 2 Issue (1): 27-33    DOI: 10.12032/TMRIN20180311
Concept Analysis     
Coping: a concept analysis in the cancer context
Yang Hua1,*()
1MSn, RN, Department of Otorhinolaryngology-Head and Neck Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, China.
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Objectives: The aim of this paper is to analyse the concept of coping in the cancer context. This concept analysis will provide a theoretical framework for oncology nurses to help patients cope with the influences of cancer and adapt to their new situations. Methods: The concept analysis of coping was conducted according to Walker and Avant's method. Results: Coping is defined as a process of dealing with stressful events by means of cognitive appraisal, purposeful efforts, and use of available supports and resources in order to achieve physiological and psychological adjustment. Antecedents to coping involve stressful events, individual personality, individual experience, and available supports and resources. Different coping strategies based on patients’ responses to suffering from cancer bring about positive or negative results. Effective coping means being well-adapted, which is conducive to patients’ health and optimum quality of life. Roy’s middle range theory of coping and adaptation processing provides a theoretical framework for the study of coping.The Mental Adjustment to Cancer scale and the 15-item Coping and Adaptation Processing Scale are considered practical and effectual instruments to measure coping in the cancer context. Conclusions: This concept analysis contributes to understanding the process of coping with cancer. Oncology nurses should identify cancer patients’ coping patterns, provide timely and proper professional support and educate effective coping strategies in order to help patients adapt to their new situations both physiologically and psychologically.

Highlights  Highlights This paper is to analyse the concept of coping in the cancer context.A model case and a contrary case are presented to help comprehensively and precisely understand the concept of coping. Roy’s middle range theory of coping and adaptation processing provides a theoretical framework for nurses to identify cancer patients’ coping patterns and take timely and appropriate interventions to help patients cope with the influences of cancer and adapt to their new situations both physiologically and psychologically. Editor’s Summary Coping is a widely used term to express the meaning of dealing with change. When facing change, different individuals react in different ways. Coping strategies are closely related to a person’s physical and mental health. This study analyses the concept of coping in the context of cancer. Four attributes of coping are derived from previous literature, and are as follows: cognitive appraisal, purposeful efforts, use of available supports and resources, and physiological and psychological adjustment.
Key wordsCoping      Cope with cancer      Adaptation      Concept analysis     
Received: 18 February 2018      Published: 20 March 2018
Corresponding Authors: Yang Hua     E-mail:
Cite this article:

Yang Hua. Coping: a concept analysis in the cancer context. TMR Integrative Nursing, 2018, 2(1): 27-33.

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