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Titre : | The preoperative reaction and decision-making process regarding colostomy surgery among Chinese rectal cancer patients (2017) |
Auteurs : | Jun-E Zhang ; Frances Kam Yuet Wong ; Mei-Chun Zheng |
Type de document : | Article |
Dans : | European Journal of Oncology Nursing (Vol. 28, June 2017) |
Article en page(s) : | p. 107-113 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Chine ; Chirurgie ; Oncologie médicale ; Prise de décision ; Recherche ; Recherche qualitative ; Tumeurs du côlon |
Résumé : |
Purpose
Patients with rectal cancer have issues in adjusting to their permanent colostomy after surgery, and support is required to help them resume normal life. However, few studies have explored the experience and factors that affect a patients decision-making and maladjustment prior to colostomy surgery. The aim of this study was to explore the experience of rectal cancer patients who have to undergo colostomy surgery. Method A descriptive, qualitative design was used. We studied a purposive sample of 18 patients who had received a diagnosis of primary rectal cancer and were expecting permanent colostomy surgery. The thematic analysis approach was used to analyze the data collected using semi-structured, open-ended questions. Results The overriding theme that emerged was stoma dilemma: a hard decision-making process. From this main theme, three themes were derived: the resistance stage, the hesitation stage, and the acquiescence stage. Conclusion It is hard for preoperative rectal patients to choose to undergo stoma surgery or a sphincter-saving operation. From the initial stage of definitive diagnosis to the final consent to stoma surgery, most patients experience the resistance and hesitation stages before reaching the acquiescence stage. Arriving at a decision is a process that nurses can facilitate by eliminating unnecessary misunderstanding surrounding colostomy surgery and by fully respecting patients right to choose at the various stages. |
Disponible en ligne : | Non |
Exemplaires (1)
Cote | Support | Localisation | Section | Disponibilité |
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REV | Périodique papier | Woluwe | Espace revues | Consultation sur place uniquement Exclu du prêt |