Cent Eur J Nurs Midw 2022, 13(1):603-610 | DOI: 10.15452/cejnm.2021.12.0035

The quality of life in colorectal cancer patients: a mixed-methods study

Dilek Gürçayır, Neziha Karabulut
Department of Surgical Nursing, The Nursing Faculty, Atatürk University, Erzurum, Turkey

Aim: This study was carried out to determine quality of life in patients who have had colorectal cancer surgery.

Design: A sequential explanatory mixed methods design was used.

Methods: The study sample consisted of 120 patients who had had colorectal cancer surgery, met the inclusion criteria for the study, and agreed to participate in the study. In-depth interviews were conducted with 20 of the patients from the study sample. The quantitative data were collected using the “Introductory information form” and the The Functional Assessment of Cancer Therapy-Colorectal Version “FACT-C scale”, while the qualitative data were collected using the “Introductory information form” and the “Semi-structured interview form”.

Results: The FACT-C scale total mean score of the patients was 100.95 (± 10.07) before the surgery and 88.90 (± 10.55) after the surgery. From the in-depth interviews performed with the patients, the factors affecting the patients’ physical, mental, and social well-being after discharge from hospital were identified.

Conclusion: According to the results of this research, following colorectal cancer surgery, the patients faced problems that affected their physical, mental, and social well-being, and their quality of life diminished.

Keywords: colorectal cancer surgery, FACT-C scale, mix methods, nursing, quality of life, qualitative research

Received: May 12, 2021; Revised: November 12, 2021; Accepted: November 23, 2021; Prepublished online: February 21, 2022; Published: March 5, 2022  Show citation

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Gürçayır D, Karabulut N. The quality of life in colorectal cancer patients: a mixed-methods study. Central European Journal of Nursing and Midwifery. 2022;13(1):603-610. doi: 10.15452/cejnm.2021.12.0035.
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    References

    1. Brown, F. (2017). Psychosocial health following stoma formation: a literature review. Gastrointestinal Nursing, 15(3), 43-49. https://doi.org/10.12968/gasn.2017.15.3.43 Go to original source...
    2. Creswell, J. W., & Plano Clark, V. L. (2007). Designing and conducting mixed methods research. Sage Publications.
    3. FACIT Measurement System (2013). FACT-C: for patients with colorectal cancer. http://www.facit.org/FACITOrg
    4. Globocan 2020. New global cancer data. https://www.uicc.org/news/globocan-2020-new-global-cancer-data
    5. Grant, M., & Dean, G. (2011). Evolution of quality of life in oncology and oncology nursing. In: C. King, & P. Hinds (Eds.), Quality of life from nursing and patient perspectives. (pp. 3-29). Jones and Bartlett Publishers.
    6. Gujral, S., Avery, K. N. L., & Blazeby, J. M. (2008). Quality of life after surgery for colorectal cancer: clinical implications of results from randomized trials. Supportive Care in Cancer, 16, 127-132. https://doi.org/10.1007/s00520-007-0356-2 Go to original source... Go to PubMed...
    7. Hokkam, E., Farrag, S., El Kammash, S., & Faisal, M. (2013). Assessment of quality of life of colorectal carcinoma patients after surgery. World Journal of Colorectal Surgery, 3(1), 1-18.
    8. Hoon Lim, S., Sally, C., & Hong-Gu, H. (2013). Effect of psychosocial interventions on outcomes of patients with colorectal cancer: a review of the literature. European Journal of Oncology Nursing, 17(6), 883-891. https://doi.org/10.1016/j.ejon.2013.05.001 Go to original source... Go to PubMed...
    9. Ihnát, P., Martínek, L., Mitták, M., Vávra, P., Ihnát Rudinská, L., & Zonèa, P. (2014). Quality of life after laparoscopic and open resection of colorectal cancer. Digestive Surgery, 31, 161-168. https://doi.org/10.1159/000363415 Go to original source... Go to PubMed...
    10. Jonsson, C. A., Stenberg, A., & Frisman, G. H. (2011). The lived experience of the early postoperative period after colorectal cancer surgery. European Journal of Cancer Care, 20(2), 248-256. https://doi.org/10.1111/j.1365-2354.2009.01168.x Go to original source... Go to PubMed...
    11. Karaveli, S., Özbayir, T., & Karacabay, K. (2014). Investigating the preoperative and postoperative experiences of patients undergoing colorectal cancer surgery. Journal of Anatolia Nursing and Health Sciences, 17(2), 90-96.
    12. Khorshid, L., & Gürol Arslan, G. (2006). Nursing and importance of the social support. Dirim, 81, 182-188.
    13. Kinoshita, Y., Nokes, K. M., Kawamoto, R., Kanaoka, M., Miyazono, M., Nakao, H., Chishaki, A., & Mibu, R. (2017). Health-related quality of life in patients with lower rectal cancer after sphincter-saving surgery: a prospective 6-month follow-up study. European Journal of Cancer Care, 26(4), e12417. https://doi.org/10.1111/ecc.12417 Go to original source... Go to PubMed...
    14. Landers, M., McCarthy, G., & Savage, E. (2012). Bowel symptom experiences and management following sphincter saving surgery for rectal cancer: a qualitative perspective. European Journal of Oncology Nursing, 16(3), 293-300. https://doi.org/10.1016/j.ejon.2011.07.002 Go to original source... Go to PubMed...
    15. Lim, S., Chan, S., & He, H. (2015). Patients' experiences of performing self-care of stomas in the initial postoperative period. Cancer Nursing, 38(3), 185-193. https://doi.org/10.1097/NCC.0000000000000158 Go to original source... Go to PubMed...
    16. Lithner, M., Jakobsson, U., Andersson, E., Klefsgård, R., Palmquist, I., & Johansson, J. (2015a). Patients' perception of information and health-related quality of life 1 month after discharge for colorectal cancer surgery. Journal of Cancer Education, 30, 514-521. https://doi.org/10.1007/s13187-014-0735-6 Go to original source... Go to PubMed...
    17. Lithner, M., Klefsgard, R., Johansson, J., & Andersson, E. (2015b). The significance of information after discharge for colorectal cancer surgery - a qualitative study. BMC Nursing, 14, 36. https://doi.org/10.1186/s12912-015-0086-6 Go to original source... Go to PubMed...
    18. Marijnen, C. A. M., van de Velde, C. J. H., Putter, H., van den Brink, M., Maas, C. P., Martijn, H., Rutten, H. M. J., Wiggers, T., Kranenbarg, E. K., Leer, J. W. H., & Stiggelbout, A. M. (2005). Impact of short-term preoperative radiotherapy on health-related quality of life and sexually functioning in primary rectal cancer. Journal of Clinical Oncology Nursing Forum, 23(9), 1847-1858. https://doi.org/10.1200/JCO.2005.05.256 Go to original source... Go to PubMed...
    19. McCaughan, E., Prue, G., Parahoo, K., McIlfatrick, S., & McKenna, H. (2011). Exploring and comparing the experience and coping behaviour of men and women with colorectal cancer at diagnosis and during surgery. Journal of Advance Nursing, 67(7), 1591-1600. https://doi.org/10.1111/j.1365-2648.2010.05594.x Go to original source... Go to PubMed...
    20. Oğuz, M., & Leventoğlu, S. (2010). Evaluation of quality of life in colorectal surgery. In: A. Baykan, A. Zorluoğlu, E. Geçim, & C. Terzi (Eds.), Colon and rectum cancers. (pp. 721-32). Seçil Offset Printing and Packaging Industry Ltd Şti.
    21. Özkan, F. (2011). Colon cancer. Staging treatment and results. In: M. H. Floch (Ed.), Netterʼs gastroenterology. (pp. 511-515). Nobel Medical Bookstores.
    22. Pace, N. L., Carlisle, J., Eberhart, L. H. J., Kranke, P., Trivella, M., Lee, A., & Bennett, M. H. (2014). Prediction models for the risk of postoperative nausea and vomiting. Cochrane Database Systematic Reviews, CD011318. https://doi.org/10.1002/14651858.CD011318 Go to original source...
    23. Sharma, A., Walker, A. A., Sharp, D. M., Monson, J. R., & Walker, L. G. (2007). Psychosocial factors and quality of life in colorectal cancer. Surgeon, 5(6), 344-354. https://doi.org/10.1016/S1479-666X(07)80087-4 Go to original source... Go to PubMed...
    24. Sjövall, K., Gunnars, B., Olsson, H., & Thome, B. (2011). Experiences of living with advanced colorectal cancer from two perspectives-inside and outside. European Journal of Oncology Nursing, 15(5), 390-397. https://doi.org/10.1016/j.ejon.2010.11.004 Go to original source... Go to PubMed...
    25. Steginga, S. K., Lynch, B. M., Hawkes, A., Dunn, J., & Aitken, J. (2009). Antecedents of domain-specific quality of life after colorectal cancer. Psychooncology, 18(2), 216-220. https://doi.org/10.1002/pon.1388 Go to original source... Go to PubMed...
    26. Surrena, H. (2003). Management of patients with intestinal and rectal disorders. In: S. C. Smeltzer, & B. Bare (Eds.), Brunner & Suddarth's textbook of medical surgical nursing. (pp. 1056-1065). Lippincott Williams & Wilkins.
    27. Susanty, S., & Rangki, L. (2016). Changes and adaptation patient post colostomy. IOSR Journal of Nursing and Health Science, 5(6), 123-129.
    28. Taylor, C., Richardson, A., & Cowley, S. (2010). Restoring embodied control following surgical treatment for colorectal cancer: a longitudinal qualitative study. The International Journal of Nursing Studies, 47(8), 946-956. https://doi.org/10.1016/j.ijnurstu.2009.12.008 Go to original source... Go to PubMed...
    29. Taylor, C., & Morgan, L. (2011). Quality of life following reversal of temporary stoma after rectal cancer treatment. European Journal of Oncology Nursing, 15(1), 59-66. https://doi.org/10.1016/j.ejon.2010.06.002 Go to original source... Go to PubMed...
    30. Tjandra, J. J., & Chan, M. K. Y. (2006). Systematic review on the short-term outcome of laparoscopic resection for colon and rectosigmoid cancer. Colorectal Disease, 8(5), 375-388. https://doi.org/10.1111/j.1463-1318.2006.00974.x Go to original source... Go to PubMed...
    31. Turkish Public Health Institution. (2016). Türkiye Kanser İstatistikleri [Cancer Statistics in Turkey]. https://hsgm.saglik.gov.tr/depo/birimler/kanser-db/istatistik/Turkiye_Kanser_Istatistikleri_2016.pdf
    32. Uwer, L., Rotonda, C., Guillemin, F., Miny, J., Kaminsky, M. C., Mercier, M., Tournier Rangeard, L., Leonard, I., Montcuquet, P., Rauch, P., & Conroy, T. (2011). Responsiveness of EORTC QLQ-C30, QLQ-CR38 and FACT-C quality of life questionnaires in patients with colorectal cancer. Health and Quality of Life Outcomes, 9, 70. https://doi.org/10.1186/1477-7525-9-70 Go to original source... Go to PubMed...
    33. Vlug, M. S., Wind, J., van der Zaag, E., Ubbink, D. T., Cense, H. A., & Bemelman, W. A. (2009). Systematic review of laparoscopic versus open colonic surgery within an enhanced recovery programme. Colorectal Disease, 11(4), 335-343. https://doi.org/10.1111/j.1463-1318.2008.01679.x Go to original source... Go to PubMed...
    34. Wilson, T. R., Birks, Y. F., & Alexander, D. J. (2010). A qualitative study of patient perspectives of health-related quality of life in colorectal cancer: comparison with disease-specific evaluation tools. Colorectal Disease, 12(8), 762-769. https://doi.org/10.1111/j.1463-1318.2009.01857.x Go to original source... Go to PubMed...
    35. Wong, C. K. H., Lam, C. L. K., Mulhern, B., Law, W. L., Poon, J. T. C., Kwong, D. L. W., & Tsang, J. (2013). Measurement invariance of the functional assessment of cancer therapy-colorectal quality-of-life instrument among modes of administration. Quality of Life Research, 22, 1415-1426. https://doi.org/10.1007/s11136-012-0272-x Go to original source... Go to PubMed...
    36. Worster, B., & Holmes, S. (2008). The preoperative experience of patients undergoing surgery for colorectal cancer: a phenomenological study. European Journal of Oncology Nursing, 12(5), 418-424. https://doi.org/10.1016/j.ejon.2008.05.007 Go to original source... Go to PubMed...
    37. Yoo, H. J., Kim, J. C., Eremenco, S., & Han, O. S. (2005). Quality of life in colorectal cancer patients with colectomy and the validation of the Functional Assessment of Cancer Therapy-Colorectal (FACT-C), Version 4. Journal of Pain and Symptom Management, 30(1), 24-32. https://doi.org/10.1016/j.jpainsymman.2004.12.009 Go to original source... Go to PubMed...

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