老年人结直肠癌手术后的长期恢复:一项定性研究。
Long-term Recovery After Colorectal Cancer Surgery Among the Old: A Qualitative Study.
发表日期:2023 Apr 24
作者:
Kristina Sundt Eriksen, Sissel I E Husebø, Hartwig Kørner, Kirsten Lode
来源:
MEDICINE & SCIENCE IN SPORTS & EXERCISE
摘要:
结直肠癌是全球第三常见的癌症,老年人群体成为不成比例的受害者。随着现代治疗方法的发展,老年人接受治疗和康复的成功率也在不断提高。然而,针对老年人康复体验的研究非常有限。了解80岁及以上老年人的康复体验非常重要,以优化他们的恢复和随访护理。本研究的目的是探索手术治愈结直肠癌后80岁及以上的患者在康复期至2年内的经历。本研究采用探索性归纳质性研究方法,于2020年7月至2021年6月间进行18个个体深入访谈,采用内容分析法对数据进行分析。主题是“老年人的康复是一个复杂的过程”,这表明与癌症和治疗相比,手术治疗结直肠癌的老年人可能存在复杂的健康挑战,这会影响其康复。主题是建立在子主题“个体因素影响结直肠癌的康复”和“外部支持系统促进和阻碍结直肠癌的康复”之上。重要的资源包括老年患者自己的应对能力以及社交网络和医疗服务的支持。识别老年人康复过程中的障碍非常重要,包括其他健康问题和医疗服务交付的问题。与老年患者接触的医疗人员必须意识到影响康复的因素,以识别和保留老年人的资源,并在需要时实施促进健康的举措,以优化康复。版权所有 © 2023 年作者。 Wolters Kluwer Health, Inc. 发表。
Colorectal cancer is the third most frequently diagnosed cancer worldwide, disproportionally affecting older people. With modern treatment, older people are surviving cancer treatment and recovery. However, only a limited number of studies on the older person's experience of recovery exist. Knowledge of the experience of recovery among people 80 years or older is essential to optimize recovery and follow-up care.The aim of this study was to explore the experiences of persons 80 years or older during recovery up to 2 years after curative colorectal cancer surgery.This exploratory inductive qualitative study was conducted through 18 individual in-depth interviews between July 2020 and June 2021. Content analysis was used to analyze the data.The main theme identified was Recovery among the old is a complex process. It indicated that older people operated on for colorectal cancer may have intricate health challenges that affect recovery in addition to their cancer and treatment. The main theme is built upon the subthemes Individual factors affect colorectal cancer recovery and External support systems facilitate and impede colorectal recovery.Important resources for recovery among old patients included their own coping ability and support from social networks and healthcare services. The identified barriers to recovery included other health problems and issues with healthcare services delivery.It is essential for healthcare personnel in contact with older patients to be aware of factors that influence their recovery to identify and preserve the older person's resources and implement health-promoting initiatives to optimize recovery when needed.Copyright © 2023 The Authors. Published by Wolters Kluwer Health, Inc.