Simpson M F, Whyte F
Lead Colorectal Nurse Specialist, NHS Lanarkshire, Acute Division, Monklands Hospital, Airdrie, Scotland, UK.
Eur J Cancer Care (Engl). 2006 May;15(2):172-82. doi: 10.1111/j.1365-2354.2005.00634.x.
A review of the cancer literature from 1990 to 2003 indicated that some patients with cancer felt abandoned by healthcare professionals upon completion of treatment. With this in mind, a small qualitative study was undertaken to explore the experiences of patients completing treatment for colorectal cancer within a Scottish District General Hospital. A small purposeful sample of eight participants (surgery only n = 4 and surgery with adjuvant chemotherapy n = 4) who had completed treatment were recruited. Semi-structured interviews, in a venue chosen by the participants (home n = 7; hospital n = 1), were tape-recorded and transcribed verbatim. The mean time since completion of treatment was 30 weeks (range 9-95 weeks). Transcripts were read and reread several times to identify categories. By thematic analysis, five categories were identified: physical impact of treatment, completion of treatment, support of family and friends, impact of healthcare professionals and coping mechanisms. Despite the significant physical impact of treatment patients returned to their previous lifestyles and status. Although very optimistic and positive when treatment was completed, participants reflected upon their cancer recurring. Family and friends were the main providers of support during their experiences, and healthcare professionals impacted upon participants both positively and negatively. Overall, the completion of treatment was described as a 'great feeling' and 'relief', with patients reporting that they felt adequately supported by healthcare professionals after completion of treatment.
一项对1990年至2003年癌症文献的综述表明，一些癌症患者在完成治疗后感到被医护人员抛弃。考虑到这一点，开展了一项小型定性研究，以探索在苏格兰一家地区综合医院完成结直肠癌治疗的患者的经历。招募了一个由八名完成治疗的参与者组成的有目的的小样本（仅接受手术的n = 4，接受手术及辅助化疗的n = 4）。在参与者选择的场所（7人在家中，1人在医院）进行半结构化访谈，并进行录音和逐字转录。完成治疗后的平均时间为30周（范围9 - 95周）。对转录本进行多次阅读以确定类别。通过主题分析，确定了五个类别：治疗的身体影响、治疗的完成、家人和朋友的支持、医护人员的影响以及应对机制。尽管治疗对身体有重大影响，但患者恢复了以前的生活方式和状态。尽管治疗完成时非常乐观和积极，但参与者仍担心癌症会复发。家人和朋友是他们经历期间的主要支持提供者，医护人员对参与者既有积极影响也有消极影响。总体而言，治疗的完成被描述为一种“很棒的感觉”和“解脱”，患者报告称在完成治疗后他们感到得到了医护人员的充分支持。
