Not like it used to be, but a new life: social reintegration of adolescents after childhood cancer treatment

Abstract

This study aimed to examine the social reintegration processes of adolescent survivors of childhood cancer. Methods: A descriptive phenomenological qualitative study was conducted with 11 childhood cancer survivors using face-to-face interviews. All interviews were audio-recorded and professionally transcribed. Two members of the research team analyzed the transcripts using MAXQDA software. The study also adhered to the Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist. Results: The analysis revealed that adolescent survivors of childhood cancer encountered various factors that either facilitated or hindered their social reintegration process. Two main themes and seven sub-themes were identified. The first main theme, Facilitators of the Social Reintegration Process, includes Family and Social Support Resources, Maintaining Daily Routines, and Exploring New Passions and Outlooks. The second theme, Challenges to the Social Reintegration Process, encompasses Discomfort with Body Image, Reconstructing Social Relationships, Exposure to Stigma and Bullying, and Forced Break from the School Setting. Conclusions: Family and peer support, maintaining daily routines, and exploring new passions can ease adolescents' adjustment to life after treatment, while challenges such as body image concerns, difficulties rebuilding friendships, stigma, and school reintegration issues persist. Implications for nursing practice: Nurses who work with pediatric oncology patients should strive to integrate comprehensive psychosocial support and peer mentoring into routine care in collaboration with mental health professionals. This approach can improve patient outcomes, enhance quality of life, and ensure holistic support for adolescent cancer survivors.