The Concerns of Patients and Spouses After the Diagnosis of Colon Cancer

Northouse, Laurel; Schafer, Jo Ann; Tipton, Janelle; Metivier, Leslie

doi:10.1097/00152192-199901000-00001

Cited by 4 publications

(2 citation statements)

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“…Previous studies have shown that colostomy patients have complicated and multitudinous psychosocial behaviour reactions before and after surgery. Prior to a surgical procedure, some patients express far more worries and adopt evasive strategies to keep a distance from the upcoming operation, while others may show active reactions, trying to learn more about the surgery and colostomy (Moene, Bergbom, & Skott, 2006;Northouse, Schafer, Tipton, & Metivier, 1999). Shortly after surgery, many patients show avoidant reactions, including resistance to colostomy and fear of sexual activity and other interpersonal activities (Persson & Hellstrom, 2002).…”

Section: Backg Rou N Dmentioning

confidence: 99%

Psychosocial behaviour reactions, psychosocial needs, anxiety and depression among patients with rectal cancer before and after colostomy surgery: A longitudinal study

Jin

Zhang

Zheng

et al. 2019

Journal of Clinical Nursing

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Aims and objectives To compare the differences in psychosocial behaviour reactions, psychosocial needs, anxiety and depression before and after colostomy surgery and to explore the predictors of psychosocial behaviour reactions. Background Colorectal cancer is increasing worldwide. Abdominoperineal resection accompanied by permanent colostomy can cause complicated psychosocial reactions and needs. However, colostomy patients' trajectories of psychosocial adjustment at different time points must be discussed. Design A longitudinal study. Methods Using a convenience sampling method, 67 patients planning to undergo colostomy surgery were recruited from a tertiary cancer centre in southern China from January 2013–January 2014. Data collection consisted of two phases, conducted 1–2 days before surgery and 1–2 days prior to discharge. The Ostomy Psychosocial Behaviour Reaction Questionnaire, the Ostomy Psychosocial Needs Questionnaire, the Hospital Anxiety and Depression Scale and a self‐designed demographic questionnaire were used to collect data. STROBE guidelines were followed. Results The participants had a moderate level of psychosocial behaviour reactions, a deep and wide range of psychosocial needs and a high incidence of anxiety and depression before and after surgery. Anxiety before surgery was significantly higher than that after surgery. Psychosocial needs and anxiety were significant predictors of psychosocial behaviour reactions. Conclusions Patients' anxiety was alleviated after surgery. The combination of ascertaining and meeting various psychosocial needs and managing negative emotions was helpful in alleviating patients' stress responses before and after surgery. Relevance to clinical practice An increased focus on the relationships among psychosocial behaviour reactions, psychosocial needs, anxiety and depression at different time points in colostomy patients is necessary for future research and practice.

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Section: Backg Rou N Dmentioning

confidence: 99%

Psychosocial behaviour reactions, psychosocial needs, anxiety and depression among patients with rectal cancer before and after colostomy surgery: A longitudinal study

Jin

Zhang

Zheng

et al. 2019

Journal of Clinical Nursing

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“…Until the age of fifty, there is no gender difference in colorectal cancer incidence and mortality rates, but in later life the mortality rate in males is much greater than that in females (National Cancer Institute, 2006;Cancer Research UK, 2007). As with any cancer diagnosis, individuals with colorectal cancer face many challenges and concerns during their cancer journey (Northouse et al, 1999). It is a highly traumatic experience (Mills and Sullivan, 1999) and can elicit a range of emotions and psychological demands on an individual for an extended period of time (Taylor, 2001;Ramfelt et al, 2002).…”

Section: Introductionmentioning

confidence: 99%