A radical change: A qualitative study of patients' experiences of eating and daily living through the first year after oesophageal resection

Sjeltoft, Jaqueline Rosenstand; Donsel, Pernille Orloff; Vad, Henrik; Larsen, Malene Kaas; Missel, Malene

doi:10.1016/j.ejon.2020.101800

Cited by 10 publications

(14 citation statements)

References 22 publications

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“…Patients with oesophageal cancer underwent surgical removal of the diseased oesophagus and reported difficulty swallowing when starting to eat after surgery (Hao, 2018; Song, 2019). Most patients felt bloated after eating a small amount of food (Bennett, 2020; Jaromahum, 2010; Sjeltoft, 2020; Yu, 2018). The patients were prone to loss of appetite and gastrointestinal reflux, resulting in nausea and vomiting (O'Neill, 2021; Yu, 2018).…”

Section: Resultsmentioning

confidence: 99%

“…At present, qualitative studies have explored the postoperative survival experience of patients with oesophageal cancer, for example, focusing on the patient's dietary changes within 1 year after surgery (Sjeltoft, 2020), the patient's understanding of their own identity after surgery (Clarke, 2011), experience of long-term supportive care from the patient's perspective (Malmström & Klefsgård, 2013), and the understanding of recovery needs based on the patient's postoperative physical recovery (O'Neill, 2021).…”

Section: Backg Rou N Dmentioning

confidence: 99%

“…Patients had solutions to the adverse effects of their new diet, such as some who chose to raise their bedside at night to fight acid reflux or who carried vomit bags with them when needed (Nielsen, 2021), and others avoided eating before going out (O'Neill, 2021). Patients emphasised diet as the most difficult challenge during recovery, and postoperative diet reconstruction was a lengthy process, starting with repeated attempts to determine the type of food they could swallow (Sjeltoft, 2020;Ueda, 2020);…”

Section: Reconstruct Eating Behavioursmentioning

confidence: 99%

“…In practice, patients gradually established eating behaviours and mastered their secrets (McCorry, 2009;Sjeltoft, 2020;Song, 2019;Ueda, 2020); Finally, some patients reported the need to rely on willpower and self-control to maintain the stability of their eating behaviours (Ueda, 2020).…”

Section: Reconstruct Eating Behavioursmentioning

confidence: 99%

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Survival experience of patients undergoing oesophagectomy during the recovery period: A meta‐synthesis of qualitative studies

Zhang

et al. 2023

Journal of Clinical Nursing

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Aims and ObjectiveTo systematically review and synthesise existing qualitative research evidence describing the survival experience of patients undergoing oesophagectomy during recovery.BackgroundPatients with oesophageal cancer undergoing surgical treatment have severe physical and psychological burdens during the recovery period. Qualitative studies on the survival experience of patients undergoing oesophagectomy are increasing annually, but there is no integration of qualitative evidence.DesignA systematic review and synthesis of qualitative studies were conducted following the ENTREQ.MethodsFive English (CINAHL, Embase, PubMed, Web of Science and Cochrane Library) and three Chinese (Wanfang, CNKI and VIP) databases were searched for literature on the survival of patients undergoing oesophagectomy during the recovery period from its establishment in April 2022. The quality of the literature was evaluated by the ‘Qualitative Research Quality Evaluation Criteria for the JBI Evidence‐Based Health Care Centre in Australia’, and the data were synthesised by the thematic synthesis method of Thomas and Harden.ResultsA total of 18 studies were included, and four themes were identified: physical and mental dual challenges, impaired social functioning, efforts to return to normal life, lack of knowledge and skills in post‐discharge care, and thirst for external support.ConclusionsFuture research should focus on the problem of reduced social interaction during the recovery of patients with oesophageal cancer, formulating individualised exercise intervention programs and establishing a sound social support system.Relevance to Clinical PracticeThe results of this study provide evidence‐based support for nurses to carry out targeted interventions and reference methods for patients with oesophageal cancer to rebuild their lives.No Patient or Public ContributionThe report was a systematic review and did not involve a population study.

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Section: Resultsmentioning

confidence: 99%

Section: Backg Rou N Dmentioning

confidence: 99%

Section: Reconstruct Eating Behavioursmentioning

confidence: 99%

Section: Reconstruct Eating Behavioursmentioning

confidence: 99%

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Survival experience of patients undergoing oesophagectomy during the recovery period: A meta‐synthesis of qualitative studies

Zhang

et al. 2023

Journal of Clinical Nursing

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“…Eating is a social process and contributes to quality of life [69,102,121,[151][152][153][154][155]. Optimal nutrition care is a human right and cannot be delivered in the absence of effective communication strategies [156,157].…”

Section: Accessible Patient-centred Nutrition Information Empowers Pa...mentioning

confidence: 99%

Nutrition care is an integral part of patient-centred medical care: a European consensus

Erickson

Sullivan

Kalliostra³

et al. 2023

Med Oncol

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While healthcare is becoming more patient-centred, evidence-based nutrition interventions are still not accessible to all patients with cancer. As nutrition interventions directly improve clinical and socioeconomic outcomes, patient-centred care is not complete without nutrition care. While awareness of the negative impact of malnutrition on clinical outcomes, quality of life, and functional and emotional wellbeing in cancer is growing, there is relatively poor awareness amongst patients, clinicians, policymakers, and payers that nutrition interventions -particularly those begun in the early stages of the disease course- are an effective method for improving such outcomes. The European Beating Cancer Plan recognises the need for a holistic approach to cancer but lacks actionable recommendations to implement integrated nutrition cancer care at member state level. When considering nutrition care as a human right, the impact on quality of life and functional status must be prioritized, as these may be equally as important to patients, especially in advanced cancer where improvements in clinical outcomes such as survival or tumour burden may not be attainable. We formulate actions needed at the regional and the European level to ensure integrated nutrition care for all patients with cancer. The 4 main Take Home Messages are as follows: 1. The goals of Europe’s Beating Cancer Plan cannot be achieved without integrating nutrition across the cancer care continuum. 2. Malnutrition negatively impacts clinical outcomes and has socioeconomic consequences for patients and healthcare systems. 3. Championing integrating nutrition care into cancer care is therefore the duty and ethical responsibility of clinicians (Hippocratic Oath—primum non nocere) and 4. Nutrition care is a cost effective, evidence-based therapy.

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Weight, nutrition, quality of life—Perspective of oncological patients

Fuhse

2023

Innere Medizin

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A radical change: A qualitative study of patients' experiences of eating and daily living through the first year after oesophageal resection

Cited by 10 publications

References 22 publications

Survival experience of patients undergoing oesophagectomy during the recovery period: A meta‐synthesis of qualitative studies

Survival experience of patients undergoing oesophagectomy during the recovery period: A meta‐synthesis of qualitative studies

Nutrition care is an integral part of patient-centred medical care: a European consensus

Weight, nutrition, quality of life—Perspective of oncological patients

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