Hannah Claire, Eriksson Lars E, Ramwell Andrew, Llahana Sofia
Cambridge University Hospitals NHS Foundation Trust, Hills Road, Cambridge, CB2 0QQ, United Kingdom.
School of Health and Medical Sciences, City St George's, University of London, London, EC1V 0HB, United Kingdom; Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, SE-141 83, Sweden.
Eur J Oncol Nurs. 2025 Feb;74:102794. doi: 10.1016/j.ejon.2025.102794. Epub 2025 Jan 17.
This study aimed to explore the experiences of patients with colorectal cancer undergoing surgical treatment, capturing their perspectives from diagnosis through to post-discharge recovery.
A qualitative methodology was adopted, utilising semi-structured virtual interviews with ten patients recruited from a specialist colorectal clinic. Interviews were transcribed verbatim, and data analysed by the process of inductive thematic analysis, using interpretive description.
Themes emerged across the domains of clinical and external, patient-level, and interpersonal and social factors affecting patient experience at diagnosis, surgery, and recovery stages. Clinical and external factors included the impact of the hospital environment, resource limitations, and the attributes of the clinical team, including ward nurses, clinical nurse specialists, and consultant surgeons, in providing compassionate support. Patient-level factors encompassed perceptions and emotional impacts of the diagnosis, and physical challenges post-surgery. Interpersonal and social factors included family support and the psychosocial impact of role changes during recovery.
Findings highlight the need for comprehensive, compassionate communication and tailored support across the patient journey. Recommendations include enhanced patient education on lifestyle impacts, resources to support family and peer networks, and more attention to psychosocial and emotional challenges in patient-centred care.
本研究旨在探讨接受手术治疗的结直肠癌患者的经历，记录他们从诊断到出院后康复期间的观点。
采用定性研究方法，对从一家专业结直肠诊所招募的10名患者进行半结构化虚拟访谈。访谈内容逐字转录，并采用解释性描述的归纳主题分析法进行数据分析。
在影响患者诊断、手术和康复阶段体验的临床与外部、患者层面以及人际与社会因素等领域出现了一些主题。临床与外部因素包括医院环境的影响、资源限制以及临床团队（包括病房护士、临床护理专家和顾问外科医生）在提供关怀支持方面的特质。患者层面的因素包括诊断的认知和情感影响，以及术后的身体挑战。人际与社会因素包括家庭支持以及康复期间角色变化的心理社会影响。
研究结果强调了在患者就医过程中进行全面、富有同情心的沟通和提供个性化支持的必要性。建议包括加强对生活方式影响的患者教育、支持家庭和同伴网络的资源，以及在以患者为中心的护理中更加关注心理社会和情感挑战。
