The older patient's experience of the healthcare chain and information when undergoing colorectal cancer surgery according to the enhanced recovery after surgery concept

Samuelsson, Katja Schubert; Egenvall, Monika; Klarin, Inga; Lökk, Johan; Gunnarsson, Ulf; Iwarzon, Marie

doi:10.1111/jocn.14328

Cited by 27 publications

(91 citation statements)

References 27 publications

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“…Lack of trust can lead to non-adherence to prescribed therapies [13,25] because the patients either do not understand what to do, or feel that the information received is not trustworthy. The importance of a good relationship with the patient that enables HPs to build trust and adapt to the patient's information processing ability in complex situations has been highlighted in earlier studies [2,13,16,18,19,21,25].…”

Section: General Discussion and Resultsmentioning

confidence: 99%

“…Evidence indicates that good quality information provided in a way that the patient can understand has a number of positive effects for her/him [12,16,19].…”

Section: Introductionmentioning

confidence: 99%

“…[12,13,16]. Receiving information in such a positive way not only helps the patient to adjust her/his expectations by evoking a sense of security but can also counteract unjustified expectations caused by incorrect information obtained from other sources [16,17,19,20].…”

Section: Introductionmentioning

confidence: 99%

“…Continuity means that patients experience security when treated by the same HP and not confronted with "new faces" [18]. Likewise, some studies demonstrate the importance of individual adaptation and care for patients in stressful situations such as impending major surgery [19]. Treating the patient as an individual and providing information in a manner that facilitates easy assimilation also seems to help her/him to adjust outcome expectations [16,18,19].…”

Section: Introductionmentioning

confidence: 99%

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Quality and availability of information in primary healthcare: the patient perspective

Abelsson

Morténius

Bergman

et al. 2020

Scandinavian Journal of Primary Health Care

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Objective: To explore lived experiences of patients communicating with and receiving information from primary health care. Design: Qualitative study analysing transcribed interviews by descriptive content analysis. Setting: Recruitment and interviews took place in southern Sweden in three primary care centres where privacy and undisturbed interview environments was ensured. Subjects: 17 primary care patient informants, 9 men and 8 women aged 31-84 years with varying educational levels from primary school to post graduates. Main outcome measures: Thematic categories and subcategories reporting the lived experience of the patients. Results: The analysis yielded three categories and identified as a main theme a feeling of unpredictability based on the emotional aspects of feeling lost and vulnerable when trying to access primary care. The category" Need for easy access" illustrated emotional aspects of importance to patients when contacting primary health care." Need for individual adaptation" described the need to individually adapt health related information." Information exchange" comprised experiences of information evaluation and understanding new information. Conclusions: Patients generally trusted the information received, but experienced a lack of communication, which evoked feelings of unpredictability and abandonment. Experiences of limited access to primary health care and the need for varying degrees of adaptation on the part of the individual were factors of concern for how patients experienced the care. KEY POINTS Smooth communication and understandable information are fundamental for quality primary health care. This qualitative interview study identified the following key points from analysing the views of 17 patients: Patients indicated a feeling of unpredictability due to lack of access to and communication with health professionals. Patients sometimes reported an inability to understand information conveyed by health professionals. Being able to form relationships with health professionals was crucial for patients' trust and understanding.

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Section: General Discussion and Resultsmentioning

confidence: 99%

“…Evidence indicates that good quality information provided in a way that the patient can understand has a number of positive effects for her/him [12,16,19].…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Quality and availability of information in primary healthcare: the patient perspective

Abelsson

Morténius

Bergman

et al. 2020

Scandinavian Journal of Primary Health Care

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“…It was divided into 3 categories consisting of (1) using the information to make daily life work, Experiences of colorectal cancer patients a recurrent symptom, and patients still needed to sleep a lot and did not have much stamina for up to one month after leaving. This left them unable to carry out common tasks like housework or even their daily routines [18]. Three studies reported that when returning home, some patients intended to perform daily activities or exercise on their own.…”

Section: Theme 1: Sufferingmentioning

confidence: 99%

The experiences of colorectal cancer patients in postoperative recovery: integrative review

Changyai¹,

Kongvattananon

Somprasert

2020

JHR

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Purpose The purpose of this paper is to synthesize the experiences and needs of colorectal cancer patients during postoperative recovery. Design/methodology/approach This study is an integrative review, conducted by CINAHL, PubMed, ScienceDirect and ThaiJO from 2009 to 2019. Ten research articles published have been selected by PRISMA process. Findings Results show the experiences of colon cancer patients during postoperative recovery consisted of four themes, namely suffering, decreased activity, ambivalent feeling and need of caring. Research limitations/implications The health care personnel should be aware of these experiences and give holistic care in order to let the patients free from unpleasant experiences and receive the responses which really meet their needs. Originality/value Knowledge about the experience and needs of colorectal cancer patients after surgery is of great benefit to healthcare providers who are planning the care, so as to achieve complete holistic care in the future research.

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Identification of risk factors for postoperative complications after right colectomy and low anterior resection in patients ≥85 years old with colorectal cancer using the National Clinical Database

Akagi,

Nishimura,

Ueda

et al. 2024

Annals of Gastroent Surgery

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AimThe purpose of this study was to evaluate factors associated with surgical outcomes and postoperative complications (Grade ≥3 by Clavien–Dindo classification) of right hemicolectomy (RH) and low anterior resection (LAR) for colorectal cancer in patients ≥85 years old.MethodsWe retrospectively analyzed National Clinical Database (NCD) data on patients aged ≥85 years who underwent RH and LAR for colorectal cancer between 2017 and 2020. All possible preoperative factors were used to explore the risk factors for serious postoperative complication in these very elderly patients with colorectal cancer.ResultsFor RH, the operative mortality rate was 1.1% (98 cases), and the rate of serious postoperative complications was 5.2% (480 cases). Similarly, the mortality rate was 1.1% (27 cases), and the rate of serious complications (Clavien–Dindo Grade ≥3) was 8.7% (206 cases) for LAR. Based on multivariate analysis, independent risk factors for serious postoperative complications were male sex, ADL (partially dependent), hypertension, platelets (<150 000/μL), serum Na (<138 mEq/L), and PT‐INR (>1.1) for RH, and ASA‐PS (Grade ≥3), history of pneumonia, creatinine (>1.2 mg/day), and serum Na (<138 mEq/L) for LAR.ConclusionsThe present results for RH and LAR suggest that surgical treatment for patients aged ≥85 years old is safe and feasible. Surgeons need to pay special attention more to physical status and past medical history than to tumor factors to prevent serious postoperative complications in these older patients with colorectal cancer.

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The older patient's experience of the healthcare chain and information when undergoing colorectal cancer surgery according to the enhanced recovery after surgery concept

Abstract: Patient information must be personalised and made understandable. This can improve self-preparation and participation in the own recovery. Special needs must be addressed early and followed up.

Cited by 27 publications

References 27 publications

Quality and availability of information in primary healthcare: the patient perspective

Quality and availability of information in primary healthcare: the patient perspective

The experiences of colorectal cancer patients in postoperative recovery: integrative review

Identification of risk factors for postoperative complications after right colectomy and low anterior resection in patients ≥85 years old with colorectal cancer using the National Clinical Database

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