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首页> 外文期刊>Journal of Surgical Oncology >Qualitative assessment of patient experiences related to extended pelvic resection for rectal cancer.
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Qualitative assessment of patient experiences related to extended pelvic resection for rectal cancer.

机译：对直肠癌扩大盆腔切除术相关患者经验的定性评估。

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BACKGROUND: Patients with locally advanced rectal cancer (LARC) and locally recurrent rectal cancer (LRRC) represent a complex management challenge. While there is potential for cure in a subset of patients, the cost in terms of morbidity can be high. Few descriptions of the physical, psychological, social, and emotional experiences of these patients exist. METHODS: Face-to-face interviews were completed with ten LARC and LRRC patients treated with multimodal therapy that included surgery. Patient opinions and experiences were explored in depth until information redundancy and common themes were delineated using qualitative research methods. Clinical information was obtained from the database. RESULTS: Nine of the ten patients were male, seven had LARC, and the median age was 71. Six themes were identified from the patient interviews. Themes reflected patients' highly focused desire to seek wellness and cure, but also revealed misunderstanding of their disease biology, probability of cure, therapeutic options, and treatment morbidity. CONCLUSIONS: Patient experiences confirm that this is challenging treatment to complete, and that patient understanding of pre-operative information is incomplete. Our findings underscore the need for a multidisciplinary approach when managing this patient population, with emphasis on both supportive care needs and the technically skilled delivery of surgery, chemotherapy, and radiotherapy.
机译：背景：患有局部晚期直肠癌（LARC）和局部复发性直肠癌（LRRC）的患者面临着复杂的管理挑战。尽管一部分患者有治愈的潜力，但发病率方面的成本可能很高。对于这些患者的身体，心理，社交和情感体验的描述很少。方法：对十名接受包括外科手术在内的多模式疗法的LARC和LRRC患者进行了面对面访谈。深入探讨患者的意见和经验，直到使用定性研究方法确定信息冗余和共同主题。从数据库获得临床信息。结果：十名患者中有九名是男性，七名患有LARC，中位年龄为71岁。从患者访谈中确定了六个主题。主题反映了患者对寻求健康和治愈的高度集中的渴望，但也暴露出对他们的疾病生物学，治愈可能性，治疗选择和治疗发病率的误解。结论：患者的经验证实，这是完成治疗的挑战，并且患者对术前信息的理解不完整。我们的研究结果强调，在管理该患者人群时，需要采用多学科方法，同时强调支持性护理需求以及手术，化学疗法和放射疗法的技术熟练交付。

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