Patients' Vulnerability in Follow-up After Colorectal Cancer: A Qualitative Action Research Study.

Abstract:

BACKGROUND:In the transition between being a hospitalized patient with cancer and resuming "normal" life, many patients experience physical, mental, and social challenges. Scientifically, as well as politically, it is therefore recommended to undertake research with a focus on rethinking and reorganizing follow-up after cancer treatment. OBJECTIVE:The aim of this study was to identify the perspectives of fast-track colorectal cancer surgery patients on challenges experienced in the transition from being a hospitalized patient with cancer to being a cancer survivor. METHODS:The current article represents phase 1 in an ongoing action research project. Data were analyzed by using the "interpretive description" method. RESULTS:Twelve patients (6 male and 6 female patients; mean age, 72.4 years) participated in the study. The analyses show that the patients physically experienced readiness to leave hospital after a few days; however, shortly after returning home, most of them became mentally overwhelmed by the feeling of vulnerability that was closely related to the feeling of being handed over the responsibility for a newly cancer-operated body and a fragile life situation. Four issues that challenged the patients emerged from the analysis: restore an everyday life, participate in a follow-up program, get relevant information, and manage contact with relevant health professionals. CONCLUSIONS:The study indicates that the transition to restoring a normal life after cancer surgery had been an experience characterized by more vulnerability than expected by the patients in the study. IMPLICATIONS FOR PRACTICE:The findings provide 4 well-defined themes, each of which constitutes a point of departure related to focused patient-centered interventions related to follow-up after cancer surgery.

journal_name

Cancer Nurs

journal_title

Cancer nursing

authors

Thomsen TG,Hølge-Hazelton B

doi

10.1097/NCC.0000000000000367

subject

Has Abstract

pub_date

2017-03-01 00:00:00

pages

152-159

issue

2

eissn

0162-220X

issn

1538-9804

journal_volume

40

pub_type

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