School of Nursing, Nanjing Medical University, Nanjing, Jiangsu province, 211166, China; Department of Adult Nursing, Faculty of Nursing, Tishreen University, Latakia, Syria.
School of Nursing, The Hong Kong Polytechnic University, Hong Kong, 999077, China; WHO Collaborating Centre for Community Health Services (WHOCC), School of Nursing, The Hong Kong Polytechnic University, Hong Kong, 999077, China.
Eur J Oncol Nurs. 2024 Dec;73:102715. doi: 10.1016/j.ejon.2024.102715. Epub 2024 Oct 22.
Colorectal cancer (CRC) is one of the three most prevalent cancers globally, with incidence rates projected to increase. CRC survivors face various challenges due to the disease and its treatments. However, there is limited evidence on the experiences and needs of CRC survivors in resource-constrained countries. This study aimed to explore the experiences and needs of CRC survivors in Syria and to identify perceived opportunities for improvement.
A descriptive qualitative study design was employed, using semi-structured in-depth interviews with 12 adult CRC survivors who had completed treatment at least 6 months prior, selected through purposive sampling. Data were analyzed using an inductive thematic analysis approach.
The interviews revealed 15 major themes: 11 concerning the experiences of CRC survivors and four related to their needs. The survivors' experiences included physical burden, psychological expressions, economic burden, social withdrawal, stigmatization, family and friend supports, cultural and social impact, religion and coping mechanisms, relationship with healthcare professionals, support from healthcare system. Their needs encompassed emotional and psychological, informational, financial, and sexual needs.
This study highlights the unpredictable psychological, economic and physical burdens experienced by Syrian CRC survivors. Personalized care plans that address unmet needs of survivors are crucial to improving their quality of life. Prioritizing the development of comprehensive survivorship care plans that address the multifaceted needs of CRC survivors is crucial. Additionally, further qualitative research is essential to gain a deeper understanding of the challenges faced by these survivors and to inform the design of effective interventions.
结直肠癌(CRC)是全球最常见的三种癌症之一,其发病率预计会增加。CRC 幸存者由于疾病及其治疗而面临各种挑战。然而,在资源有限的国家,关于 CRC 幸存者的经验和需求的证据有限。本研究旨在探讨叙利亚 CRC 幸存者的经验和需求,并确定可改善的机会。
采用描述性定性研究设计,通过目的抽样选择了 12 名至少在 6 个月前完成治疗的成年 CRC 幸存者进行半结构化深入访谈。使用归纳主题分析方法对数据进行分析。
访谈揭示了 15 个主要主题:11 个涉及 CRC 幸存者的经验,4 个与他们的需求有关。幸存者的经历包括身体负担、心理表现、经济负担、社会退缩、污名化、家庭和朋友支持、文化和社会影响、宗教和应对机制、与医疗保健专业人员的关系、医疗保健系统的支持。他们的需求包括情感和心理、信息、财务和性需求。
本研究强调了叙利亚 CRC 幸存者经历的不可预测的心理、经济和身体负担。满足幸存者未满足的需求的个性化护理计划对于提高他们的生活质量至关重要。优先制定全面的生存护理计划,以满足 CRC 幸存者的多方面需求至关重要。此外,还需要进一步进行定性研究,以更深入地了解这些幸存者所面临的挑战,并为有效的干预措施提供信息。