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Restoring a sense of wellness following colorectal cancer: a grounded theory.
- Source :
- Journal of Advanced Nursing (John Wiley & Sons, Inc.); May2012, Vol. 68 Issue 5, p1134-1144, 11p, 1 Diagram, 2 Charts
- Publication Year :
- 2012
-
Abstract
- beech n., arber a. & faithfull s. (2011) Restoring a sense of wellness following colorectal cancer: a grounded theory. Journal of Advanced Nursing 68(5), 1134-1144. Abstract Aim. This paper reports a study to develop a grounded theory to explain the experience of recovery following surgery for colorectal cancer. Background. Studies have adopted a biomedical framework to measure quality of life and symptom distress following surgery for colorectal cancer. These studies suggest that symptoms of pain, insomnia and fatigue, may persist for many months following treatment. Fewer studies have considered the individual's experiences and perspective of the emotional, social and cultural aspects of recovery. Methods. A longitudinal study using grounded theory was conducted with 12 individuals, who had received surgery for colorectal cancer. Semi-structured interviews were conducted at four time points over 1 year following surgery, between 2007 and 2009. Grounded theory analysis was undertaken using Strauss and Corbin's framework. Findings. Recovery is described in three phases: disrupting the self; repairing the self; restoring the self. The core category is Restoring a sense of wellness; fostered through awareness and enjoyment of the physical, emotional, spiritual and social aspects of life. A sense of wellness exists as a duality with a sense of illness, where both perspectives may co-exist but one usually takes precedence. A sense of illness pervades when the individual is preoccupied with illness and the illness continues to disrupt their daily life. Conclusion. Recovery takes time and energy, particularly when the individual is at home and in relative isolation from health professionals. Opportunities exist for nurses to provide information and support to facilitate the individual in their progress towards achieving a sense of wellness. [ABSTRACT FROM AUTHOR]
- Subjects :
- ADAPTABILITY (Personality)
PSYCHOLOGICAL adaptation
ATTITUDE (Psychology)
CANCER patient medical care
CANCER patient psychology
COLON tumors
CONVALESCENCE
DISEASES
GROUNDED theory
HEALTH
HEALTH attitudes
PATIENT aftercare
INTERVIEWING
LONGITUDINAL method
MARITAL status
RESEARCH methodology
PATIENTS
RECTUM tumors
STATISTICAL sampling
SELF-perception
SURGERY
COMORBIDITY
SYMPTOMS
PATIENT discharge instructions
HEALTH literacy
DESCRIPTIVE statistics
Subjects
Details
- Language :
- English
- ISSN :
- 03092402
- Volume :
- 68
- Issue :
- 5
- Database :
- Complementary Index
- Journal :
- Journal of Advanced Nursing (John Wiley & Sons, Inc.)
- Publication Type :
- Academic Journal
- Accession number :
- 73552405
- Full Text :
- https://doi.org/10.1111/j.1365-2648.2011.05820.x