Research Article
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Colorectal cancer patients' experiences with cancer life and medical care

Year 2020, Volume: 45 Issue: 4, 1418 - 1427, 27.12.2020
https://doi.org/10.17826/cumj.733414

Abstract

Purpose: The purpose of this study was to reveal experiences deal with medical care and living with cancer of Turkish colorectal cancer patients.
Materials and Methods: This study used a qualitative descriptive approach to understand the experiences’ of 17 adult Turkish patients with colorectal cancer receiving chemotherapy for at least 2 months in a training and research hospital oncology unit between August and December 2015. Semi-structured interview guides were developed from a literature review and reviewed by 5 experts. Participants were interviewed at 1-2 times for around 30 minutes. Data analysis comprised content analysis
Results: The 17 interviewees were between 19 and 80 years old. Most were male, married and had children. The experiences of the colorectal cancer patients receiving chemotherapy were classified into four main themes; Being diagnosed with cancer, Living despite of cancer, Treatment with chemotherapy, Medical care at home and fourteen sub-themes.
Conclusions: Oncology nurses can use to results of this research at patient care. They can learn their patient experiences and they can make their nursing plans according to patients’ experiences. In this way, patient satisfaction and care quality can be increased.

Supporting Institution

TÜBİTAK

Project Number

114S001

Thanks

We thank TÜBİTAK for supporting our research and to the participants for their valuable contributions to science.

References

  • 1. Cancer Statistics,Statistics at a Glance: The Burden of Cancer in the United States. https://www.cancer.gov/about-cancer/understanding/statistics (accessed Apr 2018)
  • 2. Ferlay J, Steliarova-Fouchera E, Lortet-Tieulent J, Rosso S, Coebergh JW, Comber H et al. Cancer incidence and mortality patterns in Europe: Estimates for 40 countries in 2012. European Journal of Cancer 2013;49(6)April:1374-1403.
  • 3. T.C. Sağlık Bakanlığı. Halk Sağlığı Genel Müdürlüğü. Kanser istatistikleri. https://hsgm.saglik.gov.tr/depo/birimler/kanser-db/istatistik/2014-RAPOR._uzuuun.pdf (Accesses Apr 2018). (Turkish)
  • 4. Globocan 2012, Internatıonal Agency For Research On Cancer. http://kanser.gov.tr/Dosya/2017Haberler/2014-RAPOR._uzun.pdf. (accessed Feb 2018). (Turkish)
  • 5. Korkmaz M, Yangöz ŞT. Kanser tanısına hasta uyumunu sağlamada hemşirenin rolü. Uluslararası Hakemli Spor Sağlık ve Tıp Bilimleri Dergisi Temmuz, Ağustos, Eylül 2013;08(3):77-86. (Turkish)
  • 6. Fadıloğlu Ç, Özçelik H, Karabulut B, Uyar, M. Palliative care for cancer patients and their families. İzmir: Collegiate press; 2010. (Turkish)
  • 7. Gemalmaz A, Avşar G. “Cancer Diagnosis and after Experiences: A Qualitative Study”. Journal of Nursing Education and Research 2015;12(2):93-8.
  • 8. Hindistan S, Pekmezci H, Nural N, Güner GS. Kemoterapi alan hastalarda psikolojik semptomlar. Cumhuriyet Hemşirelik Dergisi 2015;4(1):1-9. (Turkish)
  • 9. Gülseven B, Oğuz S. Chronic conditions. Care at Internal and at Surgical Disease. Edit. Karakadakovan A, Aslan FE. Adana: Nobel, Özyurt press. 2010 (Turkish)
  • 10. Hanly P, Maguire R, Hyland P, Sharp L. Examining the role of subjective and objective burden in carer health-related quality of life: the case of colorectal cancer. Support Care Cancer 2015;Jul;23(7):1941-9.
  • 11. Grenon NN, Chan J. Managing toxicities associated with colorectal cancer chemotherapy and targeted therapy: a new guide for nurses. Clin J Oncol Nurs 2015;13:285–96.
  • 12. Kılıç E, Taycan O, Belli KA, Özmen M. Kalıcı ostomi ameliyatının beden algısı, benlik saygısı, eş uyumu ve cinsel işlevler üzerine etkisi. Türk Psikiyatri Dergisi 2007;18:302-10. (Turkish)
  • 13. Gürler H, Yılmaz M. Rektum kanserli bir olgunun standart hemşirelik bakımının planlanmasında bir model: “Fornksiyonel sağlık örüntüleri”. Fırat Tıp Dergisi 2011;16(3):141-46. (Turkish)
  • 14. Krouse R, Grant M, Ferrell B, Dean G, Nelson R, Chu D. Quality of life outcomes in 599 cancer and non-cancer patients with colostomies. J Surg Res 2007;138:79–87.
  • 15. Helgeson VS, Tomich PL. Surviving cancer: a comparison of 5-year disease-free breast cancer survivors with healthy women. Psychooncology 2005;14:307-17.
  • 16. Bag B. Long-Term Psychosocial Problems in Cancer Patients. Current Approaches in Psychiatry 2013;5(1):109-126.
  • 17. Schofield PE, Stockler MR, Zannino D, Tebbutt NC, Price TJ, Simes RJ et al. Hope, optimism and survival in a randomised trial of chemotherapy for metastatic colorectal cancer. Support Care Cancer 2016;24:401–8.
  • 18. Hindistan S, Çilingir D, Nural N, Gürsoy AA. Hematolojik Kanserli Hastaların Kemoterapiye Bağlı Yaşadıkları Semptomlara Yönelik Uygulamaları. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi 2012;1(3):153-64. (Turkish)
  • 19. Aslan Ö, Vural H, Kömürcü Ş, Özet A. Kemoterapi Alan Kanser Hastalarına Verilen Eğitimin Kemoterapi Semptomlarına Etkisi. Cumhuriyet Üniversitesi Hemşirelik Yüksekokulu Dergisi 2006;10(1):15-28. (Turkish)
  • 20. Middlemiss T, Lloyd-Williams M, Laird BJ, Fallon MT. Symptom Control Trials in Patients With Advanced Cancer: A Qualitative Study. Journal of Pain and Symptom Management 2015;50(5):642-49.
  • 21. Get-Kong S, Hanucharurnkul S, McCorkle R, Viwatwongkasem C, Junda T, Ittichaikulthol W. Symptom Experience, PalliativeCareandSpiritualWell-BeingamongThaiswith Advanced Cancer. Pacific Rim Int J Nurs Res 2010;14(3):219-34.
  • 22. Low EL, Whitaker KL, Simon AE, Sekhon M, Waller J. Women’s interpretation of and responses to potential gynaecological cancer symptoms: a qualitative interview study. BMJ Open 2015;Jul 6;5(7):1-9.
  • 23. Salihah N, Mazlan N, Lua PL. Chemotherapy-induced nausea and vomiting: exploring patients’ subjective experience. Journal of Multidisciplinary Healthcare 2016;9:145–51.
  • 24. Khamboon T, Pongthavornkamol K, Olson K, Wattanakitkrileart D, Viwatwongkasem C, Lausoontornsiri W. Symptom Experiences and Symptom Cluster across Dimensions in Thais with Advanced Lung Cancer. Pacific Rim Int J Nurs Res 2015;19(4):330-44.
  • 25. Wanchai A, Armer JM, Stewart BR. A Qualitative Study of Factors Influencing Thai Women with Breast Cancer to Use Complementary and Alternative Medicine. Pacific Rim Int J NursRes 2016;20(1):60-70.
  • 26. Beusterien K, Tsay S, Gholizadeh S, Su Y. Real-world experience with colorectal cancer chemotherapies: patient web forum analysis. e-cancer medical science 2013;7:361-70.
  • 27. Cameron J, Waterworth S. Patients’ experiences of ongoing palliative chemotherapy for metastatic colorectal cancer: a qualitative study. International Journal of PalliativeNursing 2014;20(5):218-24.
  • 28. Tantoy IY, Dhruva A, Cataldo J, Venook A, Cooper BA, Paul SM et al. Differences in symptom occurrence, severity, and distress ratings between patients with gastrointestinal cancers who received chemotherapy alone or chemotherapy with targeted therapy. J GastrointestOncol 2017;8(1):109-26.
  • 29. Coolbrandt A, Casterle DB, Wıldıers H, Aertgeerts B, Van der Elst E, van Achterberg T et al. “Dealing with chemotherapy-related symptoms at home: a qualitative study in adult patients with cancer”. European Journal of Cancer Care 2016;25(1):79–92.
  • 30. Erdoğan S. Nitel Araştırma. Hemşirelikte Araştırma süreç, uygulama ve kritik. (Eds S Erdoğan, N Nahçivan, MN Esin):131-64… İstanbul, Nobel tıp kitapevleri, 2014. (Turkish)
  • 31. Yıldırım A, Simsek H. Sosyal Bilimlerde kalitatif araştırma yöntemleri. 8. Baskı, Ankara, Seçkin yayıncılık, 2008. (Turkish)
  • 32. Guler A, Halicioglu MB, Tasgın S. Qualitative Research Methods in Social Sciences. 1th edition, Ankara: Seckin Publishing House; 2013.
  • 33. Lincoln SY, Guba GE. Naturalistic Inquiry. 1985. https://books.google.com.tr/books?id=2oA9aWlNeooC&printsec=frontcover&dq=Naturalistic+Inquiry&hl=tr&sa=X&ved=0ahUKEwj4j4_44Z_pAhXqxaYKHSXqDAkQ6AEIKDAA#v=onepage&q=Naturalistic%20Inquiry&f=false (accessed March, 2018).
  • 34. Mıtchell T. The social and emotional toll of chemotherapy – patients’ perspectives. European Journal of Cancer Care 2007;16:39–47.
  • 35. Magnusson K, Möller A, Ekman T, Wallgnen A. “A qualitative study to explore the experience of the fatigue in cancer patient”. European Journal of Cancer Care 1999;8:224-32.

Kolorektal kanser hastalarının kanserle yaşam ve tıbbi bakımla ilgili deneyimleri

Year 2020, Volume: 45 Issue: 4, 1418 - 1427, 27.12.2020
https://doi.org/10.17826/cumj.733414

Abstract

Amaç: Bu çalışmanın amacı Türk kolorektal kanser hastalarının kanserle yaşam ve tıbbi bakımla ilgili deneyimlerinin incelenmesidir
Gereç ve Yöntem: Bu çalışmada, Ağustos ve Aralık 2015 tarihleri arasında bir eğitim ve araştırma hastanesi onkoloji biriminde en az 2 ay boyunca kemoterapi alan kolorektal kanserli 17 yetişkin Türk hastanın deneyimlerini anlayabilmek için nitel tanımlayıcı bir yaklaşım kullanılmıştır. Literatür taraması sonucunda yarı yapılandırılmış görüşme formu hazırlanmış ve 5 uzman tarafından gözden geçirilmiştir. Katılımcılarla 1-2 kez yaklaşık 30 dakika görüşülmüştür. Veri değerlendirilmesinde içerik analizi yapılmıştır.
Bulgular: Katılımcıların yaşları 19-80 arasında olup çoğu erkek, evli ve çocuk sahibidir. Kemoterapi alan kolorektal kanserli hastaların deneyimleri dört ana ve on dört alt tema altında sınıflandırılmıştır. Ana temalar; kanser tanısı alma, kansere rağmen yaşamak, kemoterapi ile tedavi, evde tıbbi bakım şeklindedir.
Sonuç: Onkoloji hemşireleri hasta bakımında bu araştırmanın sonuçlarından yararlanabilirler. Hasta deneyimlerini öğrenebilir ve hasta deneyimlerine göre hemşirelik planlarını yapabilirler. Bu sayede hasta memnuniyeti ve bakım kalitesi artırılabilir.

Project Number

114S001

References

  • 1. Cancer Statistics,Statistics at a Glance: The Burden of Cancer in the United States. https://www.cancer.gov/about-cancer/understanding/statistics (accessed Apr 2018)
  • 2. Ferlay J, Steliarova-Fouchera E, Lortet-Tieulent J, Rosso S, Coebergh JW, Comber H et al. Cancer incidence and mortality patterns in Europe: Estimates for 40 countries in 2012. European Journal of Cancer 2013;49(6)April:1374-1403.
  • 3. T.C. Sağlık Bakanlığı. Halk Sağlığı Genel Müdürlüğü. Kanser istatistikleri. https://hsgm.saglik.gov.tr/depo/birimler/kanser-db/istatistik/2014-RAPOR._uzuuun.pdf (Accesses Apr 2018). (Turkish)
  • 4. Globocan 2012, Internatıonal Agency For Research On Cancer. http://kanser.gov.tr/Dosya/2017Haberler/2014-RAPOR._uzun.pdf. (accessed Feb 2018). (Turkish)
  • 5. Korkmaz M, Yangöz ŞT. Kanser tanısına hasta uyumunu sağlamada hemşirenin rolü. Uluslararası Hakemli Spor Sağlık ve Tıp Bilimleri Dergisi Temmuz, Ağustos, Eylül 2013;08(3):77-86. (Turkish)
  • 6. Fadıloğlu Ç, Özçelik H, Karabulut B, Uyar, M. Palliative care for cancer patients and their families. İzmir: Collegiate press; 2010. (Turkish)
  • 7. Gemalmaz A, Avşar G. “Cancer Diagnosis and after Experiences: A Qualitative Study”. Journal of Nursing Education and Research 2015;12(2):93-8.
  • 8. Hindistan S, Pekmezci H, Nural N, Güner GS. Kemoterapi alan hastalarda psikolojik semptomlar. Cumhuriyet Hemşirelik Dergisi 2015;4(1):1-9. (Turkish)
  • 9. Gülseven B, Oğuz S. Chronic conditions. Care at Internal and at Surgical Disease. Edit. Karakadakovan A, Aslan FE. Adana: Nobel, Özyurt press. 2010 (Turkish)
  • 10. Hanly P, Maguire R, Hyland P, Sharp L. Examining the role of subjective and objective burden in carer health-related quality of life: the case of colorectal cancer. Support Care Cancer 2015;Jul;23(7):1941-9.
  • 11. Grenon NN, Chan J. Managing toxicities associated with colorectal cancer chemotherapy and targeted therapy: a new guide for nurses. Clin J Oncol Nurs 2015;13:285–96.
  • 12. Kılıç E, Taycan O, Belli KA, Özmen M. Kalıcı ostomi ameliyatının beden algısı, benlik saygısı, eş uyumu ve cinsel işlevler üzerine etkisi. Türk Psikiyatri Dergisi 2007;18:302-10. (Turkish)
  • 13. Gürler H, Yılmaz M. Rektum kanserli bir olgunun standart hemşirelik bakımının planlanmasında bir model: “Fornksiyonel sağlık örüntüleri”. Fırat Tıp Dergisi 2011;16(3):141-46. (Turkish)
  • 14. Krouse R, Grant M, Ferrell B, Dean G, Nelson R, Chu D. Quality of life outcomes in 599 cancer and non-cancer patients with colostomies. J Surg Res 2007;138:79–87.
  • 15. Helgeson VS, Tomich PL. Surviving cancer: a comparison of 5-year disease-free breast cancer survivors with healthy women. Psychooncology 2005;14:307-17.
  • 16. Bag B. Long-Term Psychosocial Problems in Cancer Patients. Current Approaches in Psychiatry 2013;5(1):109-126.
  • 17. Schofield PE, Stockler MR, Zannino D, Tebbutt NC, Price TJ, Simes RJ et al. Hope, optimism and survival in a randomised trial of chemotherapy for metastatic colorectal cancer. Support Care Cancer 2016;24:401–8.
  • 18. Hindistan S, Çilingir D, Nural N, Gürsoy AA. Hematolojik Kanserli Hastaların Kemoterapiye Bağlı Yaşadıkları Semptomlara Yönelik Uygulamaları. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi 2012;1(3):153-64. (Turkish)
  • 19. Aslan Ö, Vural H, Kömürcü Ş, Özet A. Kemoterapi Alan Kanser Hastalarına Verilen Eğitimin Kemoterapi Semptomlarına Etkisi. Cumhuriyet Üniversitesi Hemşirelik Yüksekokulu Dergisi 2006;10(1):15-28. (Turkish)
  • 20. Middlemiss T, Lloyd-Williams M, Laird BJ, Fallon MT. Symptom Control Trials in Patients With Advanced Cancer: A Qualitative Study. Journal of Pain and Symptom Management 2015;50(5):642-49.
  • 21. Get-Kong S, Hanucharurnkul S, McCorkle R, Viwatwongkasem C, Junda T, Ittichaikulthol W. Symptom Experience, PalliativeCareandSpiritualWell-BeingamongThaiswith Advanced Cancer. Pacific Rim Int J Nurs Res 2010;14(3):219-34.
  • 22. Low EL, Whitaker KL, Simon AE, Sekhon M, Waller J. Women’s interpretation of and responses to potential gynaecological cancer symptoms: a qualitative interview study. BMJ Open 2015;Jul 6;5(7):1-9.
  • 23. Salihah N, Mazlan N, Lua PL. Chemotherapy-induced nausea and vomiting: exploring patients’ subjective experience. Journal of Multidisciplinary Healthcare 2016;9:145–51.
  • 24. Khamboon T, Pongthavornkamol K, Olson K, Wattanakitkrileart D, Viwatwongkasem C, Lausoontornsiri W. Symptom Experiences and Symptom Cluster across Dimensions in Thais with Advanced Lung Cancer. Pacific Rim Int J Nurs Res 2015;19(4):330-44.
  • 25. Wanchai A, Armer JM, Stewart BR. A Qualitative Study of Factors Influencing Thai Women with Breast Cancer to Use Complementary and Alternative Medicine. Pacific Rim Int J NursRes 2016;20(1):60-70.
  • 26. Beusterien K, Tsay S, Gholizadeh S, Su Y. Real-world experience with colorectal cancer chemotherapies: patient web forum analysis. e-cancer medical science 2013;7:361-70.
  • 27. Cameron J, Waterworth S. Patients’ experiences of ongoing palliative chemotherapy for metastatic colorectal cancer: a qualitative study. International Journal of PalliativeNursing 2014;20(5):218-24.
  • 28. Tantoy IY, Dhruva A, Cataldo J, Venook A, Cooper BA, Paul SM et al. Differences in symptom occurrence, severity, and distress ratings between patients with gastrointestinal cancers who received chemotherapy alone or chemotherapy with targeted therapy. J GastrointestOncol 2017;8(1):109-26.
  • 29. Coolbrandt A, Casterle DB, Wıldıers H, Aertgeerts B, Van der Elst E, van Achterberg T et al. “Dealing with chemotherapy-related symptoms at home: a qualitative study in adult patients with cancer”. European Journal of Cancer Care 2016;25(1):79–92.
  • 30. Erdoğan S. Nitel Araştırma. Hemşirelikte Araştırma süreç, uygulama ve kritik. (Eds S Erdoğan, N Nahçivan, MN Esin):131-64… İstanbul, Nobel tıp kitapevleri, 2014. (Turkish)
  • 31. Yıldırım A, Simsek H. Sosyal Bilimlerde kalitatif araştırma yöntemleri. 8. Baskı, Ankara, Seçkin yayıncılık, 2008. (Turkish)
  • 32. Guler A, Halicioglu MB, Tasgın S. Qualitative Research Methods in Social Sciences. 1th edition, Ankara: Seckin Publishing House; 2013.
  • 33. Lincoln SY, Guba GE. Naturalistic Inquiry. 1985. https://books.google.com.tr/books?id=2oA9aWlNeooC&printsec=frontcover&dq=Naturalistic+Inquiry&hl=tr&sa=X&ved=0ahUKEwj4j4_44Z_pAhXqxaYKHSXqDAkQ6AEIKDAA#v=onepage&q=Naturalistic%20Inquiry&f=false (accessed March, 2018).
  • 34. Mıtchell T. The social and emotional toll of chemotherapy – patients’ perspectives. European Journal of Cancer Care 2007;16:39–47.
  • 35. Magnusson K, Möller A, Ekman T, Wallgnen A. “A qualitative study to explore the experience of the fatigue in cancer patient”. European Journal of Cancer Care 1999;8:224-32.
There are 35 citations in total.

Details

Primary Language English
Subjects Oncology and Carcinogenesis
Journal Section Research
Authors

Figen Çavuşoğlu 0000-0001-9789-2006

İlknur Aydın Avcı 0000-0002-5379-3038

Ayşe Çal 0000-0002-2890-156X

Project Number 114S001
Publication Date December 27, 2020
Acceptance Date August 28, 2020
Published in Issue Year 2020 Volume: 45 Issue: 4

Cite

MLA Çavuşoğlu, Figen et al. “Colorectal Cancer patients’ Experiences With Cancer Life and Medical Care”. Cukurova Medical Journal, vol. 45, no. 4, 2020, pp. 1418-27, doi:10.17826/cumj.733414.