Advanced

Concerns and quality of life before surgery and during the recovery period in patients with rectal cancer and an ostomy

Carlsson, Eva; Berndtsson, Ina E; Hallén, Anne-Marie; Lindholm, Elisabet A and Persson, Eva LU (2010) In Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society 37(6). p.61-654
Abstract

PURPOSE: Rectal cancer is the most common reason for a person to undergo ostomy surgery. The aim of this study was to assess concerns and health-related quality of life (HRQOL) before surgery and during the first 6 months following ostomy surgery in the presence of rectal cancer.

SUBJECTS AND SETTINGS: The sample comprised 57 patients at a university hospital in Gothenburg, Sweden. Their median age was 66 years (range, 30-87); 35 men and 22 women participated in the study.

METHODS: Participants prospectively answered questionnaires preoperatively, and at 1, 3, and 6 months postoperatively. Concerns were assessed using the rating form of the Inflammatory Bowel Disease Patient Concerns, and HRQOL was evaluated using the... (More)

PURPOSE: Rectal cancer is the most common reason for a person to undergo ostomy surgery. The aim of this study was to assess concerns and health-related quality of life (HRQOL) before surgery and during the first 6 months following ostomy surgery in the presence of rectal cancer.

SUBJECTS AND SETTINGS: The sample comprised 57 patients at a university hospital in Gothenburg, Sweden. Their median age was 66 years (range, 30-87); 35 men and 22 women participated in the study.

METHODS: Participants prospectively answered questionnaires preoperatively, and at 1, 3, and 6 months postoperatively. Concerns were assessed using the rating form of the Inflammatory Bowel Disease Patient Concerns, and HRQOL was evaluated using the 36-Item Short Form Health Survey. Results were compared with population norms.

RESULTS: Participants expressed concerns associated with developing cancer, being a burden on others, and related to the uncertain nature of disease. Health-related quality of life scores dropped significantly in 6 of 8 domains when preoperative scores were compared to those obtained 1 month postoperatively, but scores improved at 6 months. There were significant differences between preoperative study group scores and population norms on physical and emotional role function, social function, and for mental health domains. Significant differences persisted when population norms were compared to study group scores 6 months following surgery on all these domains except mental health. Participants identified good relations with significant others, social and leisure activities, psychological issues, and health as important for maintaining QOL. Obstacles to maintaining QOL included fatigue, pain, illness-induced limitations in life, and worries over what their new life would entail.

CONCLUSION: Surgical management of rectal cancer raises concerns and profoundly impairs QOL during the first several postoperative months.

(Less)
Please use this url to cite or link to this publication:
author
publishing date
type
Contribution to journal
publication status
published
keywords
Adult, Aged, Aged, 80 and over, Colostomy, Female, Humans, Male, Middle Aged, Prospective Studies, Quality of Life, Rectal Neoplasms, Sweden, Journal Article, Research Support, Non-U.S. Gov't
in
Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society
volume
37
issue
6
pages
8 pages
publisher
Lippincott Williams and Wilkins
external identifiers
  • scopus:78651513796
ISSN
1071-5754
DOI
10.1097/WON.0b013e3181f90f0c
language
English
LU publication?
no
id
d9083171-1542-4204-954a-1e1eb90c8dd9
date added to LUP
2017-03-14 16:32:46
date last changed
2018-06-10 05:17:04
@article{d9083171-1542-4204-954a-1e1eb90c8dd9,
  abstract     = {<p>PURPOSE: Rectal cancer is the most common reason for a person to undergo ostomy surgery. The aim of this study was to assess concerns and health-related quality of life (HRQOL) before surgery and during the first 6 months following ostomy surgery in the presence of rectal cancer.</p><p>SUBJECTS AND SETTINGS: The sample comprised 57 patients at a university hospital in Gothenburg, Sweden. Their median age was 66 years (range, 30-87); 35 men and 22 women participated in the study.</p><p>METHODS: Participants prospectively answered questionnaires preoperatively, and at 1, 3, and 6 months postoperatively. Concerns were assessed using the rating form of the Inflammatory Bowel Disease Patient Concerns, and HRQOL was evaluated using the 36-Item Short Form Health Survey. Results were compared with population norms.</p><p>RESULTS: Participants expressed concerns associated with developing cancer, being a burden on others, and related to the uncertain nature of disease. Health-related quality of life scores dropped significantly in 6 of 8 domains when preoperative scores were compared to those obtained 1 month postoperatively, but scores improved at 6 months. There were significant differences between preoperative study group scores and population norms on physical and emotional role function, social function, and for mental health domains. Significant differences persisted when population norms were compared to study group scores 6 months following surgery on all these domains except mental health. Participants identified good relations with significant others, social and leisure activities, psychological issues, and health as important for maintaining QOL. Obstacles to maintaining QOL included fatigue, pain, illness-induced limitations in life, and worries over what their new life would entail.</p><p>CONCLUSION: Surgical management of rectal cancer raises concerns and profoundly impairs QOL during the first several postoperative months.</p>},
  author       = {Carlsson, Eva and Berndtsson, Ina E and Hallén, Anne-Marie and Lindholm, Elisabet A and Persson, Eva},
  issn         = {1071-5754},
  keyword      = {Adult,Aged,Aged, 80 and over,Colostomy,Female,Humans,Male,Middle Aged,Prospective Studies,Quality of Life,Rectal Neoplasms,Sweden,Journal Article,Research Support, Non-U.S. Gov't},
  language     = {eng},
  month        = {11},
  number       = {6},
  pages        = {61--654},
  publisher    = {Lippincott Williams and Wilkins},
  series       = {Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society},
  title        = {Concerns and quality of life before surgery and during the recovery period in patients with rectal cancer and an ostomy},
  url          = {http://dx.doi.org/10.1097/WON.0b013e3181f90f0c},
  volume       = {37},
  year         = {2010},
}