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Patients' experiences of their everyday life 14 months after cytoreductive surgery and hyperthermic intraperitoneal chemotherapy: a qualitative follow-up study
Uppsala universitet, Vårdvetenskap.
Uppsala universitet, Sjuksköterskeutbildningar.
Uppsala universitet, Sjuksköterskeutbildningar.ORCID iD: 0000-0003-3790-3505
2017 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 31, no 4, p. 904-913Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Patients with peritoneal carcinomatosis treated with cytoreductive surgery and hyperthermic intraperitoneal chemotherapy have a long recovery process.

AIM: To describe patients' experiences of their everyday lives after cytoreductive surgery and hyperthermic intraperitoneal chemotherapy.

METHOD: A follow-up study with a qualitative, descriptive design. Data were collected by individual, in-depth telephone interviews with 16 patients who had been treated for peritoneal carcinomatosis 14 months earlier at a university hospital in Sweden. The interviews were performed between May and June 2013 and analysed using systematic text condensation.

RESULTS: Five themes were identified: (i) finding one's new self and relating to the new situation; (ii) the disease making its presence felt through bodily complications or mental fatigue; (iii) worrying about the return of the disease and passing it on to one's children; (iv) experiencing difficulties contacting various care facilities, not having a clear plan for ongoing rehabilitation; and (v) the need for online support through the Internet and counselling for both patients and their family members.

CONCLUSIONS: Despite bodily complications, mental fatigue and worries about the return of the disease, the patient's everyday life was focused on finding his/her new self and adapting to the new circumstances. Difficulties in contacting care facilities and the lack of an ongoing medical and nursing rehabilitation plan called for a need for network support for patients and their families.

CLINICAL RELEVANCE: After advanced surgery, patients require a continuous medical and nursing rehabilitation plan, and a platform of support such as meetings via social media and Internet which would connect former patients and their families with future patients and their family members. A contact nurse with specific expertise should design an individual rehabilitation plan and continuously identify the individual needs for long-term support.

Place, publisher, year, edition, pages
Wiley , 2017. Vol. 31, no 4, p. 904-913
Keywords [en]
cancer, everyday life, need for support, patients’ experiences, peritoneal carcinomatosis, rehabilitation plan
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:hig:diva-41681DOI: 10.1111/scs.12412ISI: 000416413000029PubMedID: 28124449OAI: oai:DiVA.org:hig-41681DiVA, id: diva2:1752716
Available from: 2017-03-30 Created: 2023-04-24Bibliographically approved

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Swenne, Christine LeoJangland, EvaArakelian, Erebouni

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