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Asia Pac J Oncol Nurs. 2019 Jun 24;7(1):81-87. doi: 10.4103/apjon.apjon_20_19. eCollection 2020 Jan-Mar.

Using Mixed-Methods Research to Study Coping Strategies among Colorectal Cancer Patients.

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Nursing Department, Faculty of Nursing, AL-Zaytoonah University of Jordan, Amman, Jordan.
Adult Health and Critical Care Department, College of Nursing, Sultan Qaboos University, Amman, Jordan.



The objective was to identify and understand the coping strategies of colorectal cancer (CRC) patients.


A mixed-methods approach including quantitative and qualitative methods was used to collect data from Jordanian patients. In the quantitative phase, we aimed to determine the coping strategies employed in a representative sample (n = 200) of Jordanian adult patients with CRC using the Jalowiec Coping Scale. In the qualitative phase, we aimed to understand these coping strategies through an in-depth and detailed exploration. A sample of ten participants was chosen purposefully based on their coping score in the quantitative phase, and interviews were conducted. Quantitative data were analyzed using SPSS software version 23. Qualitative data were analyzed using directed content analysis.


Results from the quantitative phase indicated that evasive coping strategies were used predominantly, followed by confrontive coping strategies and optimistic coping strategies. In contrast, fatalistic and emotive coping strategies had the lowest scores. In addition, the results indicated that the total scores for the effectiveness of coping strategies ranged from 42 to 143, with a mean of 93.45 (standard deviation 13.67); higher scores reflected greater effectiveness. Content analysis in the qualitative phase identified three themes, and subcategories emerged, including perceived collaborative support, increased awareness of treatment, and internal power.


CRC patients used different coping strategies to face the new challenge. Oncology nurses can play a pivotal role in enhancing these coping strategies through implementing multidisciplinary programs.


Colorectal cancer; coping strategies; mixed-methods

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