Abstract

Objective

Advances in detection and treatment mean that over 50% of people diagnosed with colorectal cancer can expect to live for more than ten years following treatment. Studies show that colorectal cancer patients can experience numerous physical and psychological late effects. The aim of this study was to conduct a systematic review and qualitative synthesis on the experiences of living with colorectal cancer as a chronic illness.

Methods

Electronic searches of online databases were undertaken of peer reviewed and grey literature. Forty-seven papers were eligible for inclusion in the review, capturing the experiences of over 700 participants, the findings from which were analysed using thematic synthesis.

Results

Three higher order concepts were identified which were prevalent across studies and countries and which related to the supportive care needs of patients; common physical and psychological late effects of cancer; and methods of psychosocial adjustment to living with and beyond colorectal cancer.

Conclusion

The results are considered in the context of existing theoretical approaches to chronic illness and the need to develop a theoretical approach which fully encapsulates the experience of living with colorectal cancer as a chronic illness in order to inform interventions to support patient adjustment.

中文翻译：

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结直肠癌作为一种慢性疾病的生活经验的系统评价和定性综合

摘要

客观的

检测和治疗的进步意味着超过 50% 的被诊断患有结直肠癌的人在治疗后可以预期存活 10 年以上。研究表明，结直肠癌患者会经历许多身体和心理上的晚期影响。本研究的目的是对结直肠癌作为一种慢性疾病的生活经历进行系统回顾和定性综合。

方法

对同行评审和灰色文献进行了在线数据库的电子搜索。47 篇论文有资格被纳入审查，收集了 700 多名参与者的经验，并使用主题综合分析了其中的发现。

结果

确定了三个高级概念，它们在研究和国家中普遍存在，并且与患者的支持性护理需求相关；癌症常见的生理和心理晚期影响；以及适应和超越结直肠癌的心理社会适应方法。

结论

这些结果是在现有慢性病理论方法的背景下考虑的，并且需要开发一种理论方法，将结肠直肠癌作为一种慢性疾病的生活经验完全概括，以便为干预措施提供信息以支持患者调整。