Christie Patient Centred Research, The Christie NHS Foundation Trust, Manchester, United Kingdom.
School of Nursing, The Hong Kong Polytechnic University, Manchester, Kowloon, Hong Kong, SAR, China.
Semin Oncol Nurs. 2024 Aug;40(4):151679. doi: 10.1016/j.soncn.2024.151679. Epub 2024 Jun 17.
Recommended treatment for advanced ovarian cancer involves a combination of debulking surgery and chemotherapy. Surgery places a significant burden on a patient's physical, social, sexual, and emotional wellbeing. Existing research exploring the impact of surgery is often limited to questionnaire administration with large gaps between data collection time points, missing key aspects of the perioperative period. Little is known of the experience of ovarian cancer surgical treatment from a patient perspective. This research aims to qualitatively explore advanced ovarian cancer patients' experience of surgery and identify areas in which quality of life may be impacted.
Semi-structured telephone or face-to-face interviews were conducted with patients who had undergone combined surgical and chemotherapy treatment. Interviews were audio-recorded and transcribed verbatim. Transcripts were analyzed using an inductive approach to thematic analysis.
Twenty ovarian cancer patients who had undergone debulking surgery participated in interviews lasting between 33 and 68 minutes. Qualitative analysis generated five key themes: (1) care services; (2) experiences of a stoma; (3) preoperative experience; (4) impact of surgery; and (5) coping mechanisms.
Understanding the patient experience of surgical treatment for advanced ovarian cancer can help inform and improve future care. This research explored the ways in which a patient's quality of life is impacted by surgery and highlights areas in which further support may be needed. Knowledge of the patient experience may also aid decision-making for both clinicians and patients when considering different treatment pathways.
Results highlighted two crucial points in the surgical pathway where patients' need for emotional support was significant: during pre-op and recovering from surgery as an inpatient. Nursing staff are key to providing reassurance during this time. Specialized stoma nurses were also essential for supporting patients to adapt to their stomas both physically and psychologically.
晚期卵巢癌的推荐治疗方法包括肿瘤细胞减灭术和化疗的联合治疗。手术会给患者的身体、社交、性和情感健康带来巨大负担。现有的研究探索手术的影响通常仅限于问卷调查，且数据收集时间点之间存在较大差距，错过了围手术期的关键方面。从患者的角度来看，很少有人了解卵巢癌手术治疗的体验。本研究旨在从定性的角度探讨晚期卵巢癌患者对手术的体验，并确定可能影响生活质量的领域。
对接受联合手术和化疗治疗的患者进行了半结构化的电话或面对面访谈。访谈进行了录音，并逐字记录。使用归纳法对主题分析进行了转录分析。
20 名接受过肿瘤细胞减灭术的卵巢癌患者参加了访谈，访谈时间在 33 至 68 分钟之间。定性分析产生了五个主要主题：（1）护理服务；（2）造口经历；（3）术前体验；（4）手术影响；（5）应对机制。
了解晚期卵巢癌患者手术治疗的体验有助于为未来的护理提供信息和改进。本研究探讨了手术如何影响患者的生活质量，并强调了需要进一步支持的领域。对患者体验的了解也可能有助于临床医生和患者在考虑不同治疗途径时做出决策。
结果强调了手术途径中两个患者需要得到情感支持的关键时期：术前和作为住院患者从手术中恢复。护理人员在此期间提供安慰至关重要。专门的造口护士对于帮助患者在身体和心理上适应造口也非常重要。
