Department of Nutrition & Dietetics, Royal Prince Alfred Hospital, Missenden Road Camperdown, NSW, 2050, Sydney, Australia,
Support Care Cancer. 2013 Oct;21(10):2749-57. doi: 10.1007/s00520-013-1858-8. Epub 2013 May 29.
Few qualitative studies have explored patients' experience of food and eating following major upper gastrointestinal cancer surgery. The aim of this article was to explore the longer-term impact of different types of major upper gastrointestinal surgeries on people's relationship with food.
Twenty-six people having had major upper gastrointestinal cancer surgery greater than 6 months ago participated in semi-structured interviews. These interviews aimed to explore a person's physical, emotional and social relationship with food and eating following surgery. Interviews were tape-recorded, transcribed and analysed using an inductive thematic analysis approach.
Interview findings revealed a journey of adjustment, grieving and resignation. The physical symptoms and experiences of people differed between types of surgery, but the coping mechanisms remained the same.
The grieving and resignation people experienced suggest adjustment and coping similar to that of someone with a chronic illness. Remodeling of health services is needed to ensure this patient group receives ongoing management and support.
鲜有定性研究探讨过上消化道癌症手术后患者的食物摄入和进食体验。本文旨在探讨不同类型的上消化道手术对患者食物摄入相关的身体、情感和社会关系的长期影响。
26 名上消化道癌症手术后 6 个月以上的患者参与了半结构化访谈。这些访谈旨在探讨一个人在手术后对食物和进食的身体、情感和社会关系。采访以录音、转录和分析的方式进行，采用归纳主题分析方法。
访谈结果显示出调整、悲伤和无奈的过程。不同手术类型的患者身体症状和经历不同，但应对机制是相同的。
患者经历的悲伤和无奈表明，他们的调整和应对类似于慢性病患者。需要对卫生服务进行重塑，以确保这一患者群体得到持续的管理和支持。
