McCahill Laurence E, Hamel-Bissell Brenda P
College of Medicine and College of Nursing & Health Sciences, The University of Vermont, Burlington, Vermont 05405, USA.
Palliat Support Care. 2009 Mar;7(1):65-73. doi: 10.1017/S1478951509000091.
The treatment experience for patients undergoing surgical treatment of colorectal cancer (CRC) liver metastasis is understudied. This study sought to identify common themes in this experience in order to identify factors of importance in treatment decision making.
The study utilized the phenomenological qualitative research approach. In-depth patient interviews conducted by a nurse researcher were tape-recorded and analyzed using the Colaizzi procedural steps.
All participants were interviewed and included 7 men and 5 women, ages 43-75, each with treatment experience with both chemotherapy and major surgery. Participants did not recall their decision to undergo liver surgery as a single event, rather as another in a series of health care choices during the long continuum of their CRC cancer disease experience. Seven common themes that emerged from the analyses of interviews as having significant impact on their treatment experience were communication with the health care provider, support from others, the patient's own attitude, cure uncertainty, coping strategies, hospital care concerns, and Internet information.
This study identified factors of importance to patients that may serve to enhance communication, education, treatment satisfaction, and access to surgery for patients with CRC liver metastases. Further validation of our findings with a broader patient population is necessary.
结直肠癌（CRC）肝转移患者接受手术治疗的经验研究不足。本研究旨在确定这一经验中的共同主题，以确定治疗决策中重要的因素。
本研究采用现象学定性研究方法。由一名护士研究员进行的深入患者访谈进行了录音，并使用科莱齐程序步骤进行分析。
所有参与者均接受了访谈，包括7名男性和5名女性，年龄在43 - 75岁之间，每人都有化疗和大手术的治疗经历。参与者并不将他们决定接受肝脏手术视为一个单一事件，而是将其视为在CRC疾病漫长病程中一系列医疗保健选择中的又一个选择。从访谈分析中出现的对他们的治疗经历有重大影响的七个共同主题是与医疗保健提供者的沟通、他人的支持、患者自己的态度、治愈的不确定性、应对策略、医院护理问题和互联网信息。
本研究确定了对患者重要的因素，这些因素可能有助于加强CRC肝转移患者的沟通、教育、治疗满意度和手术可及性。有必要在更广泛的患者群体中进一步验证我们的研究结果。
