PATIENT-REPORTED EXPERIENCE IN COLORECTAL CANCER CONTINUUM OF CARE. HOW TO TRANSLATE THEM IN A HELPING PROGRAM FOR PATIENTS AND FAMILY?

Cristina Carvalho Pinto; Filipe Pereira; Cristina Mendes Santos; Fátima Teixeira; Daniel Moreira-Gonçalves; Lúcio Lara Santos

doi:10.34635/rpc.950

Cristina Carvalho Pinto Nursing School of Porto; Porto, Portugal http://orcid.org/0000-0003-1068-738X
Filipe Pereira Nursing School of Porto; Porto, Portugal http://orcid.org/0000-0002-3480-6243
Cristina Mendes Santos Fraunhofer Portugal AICOS, Portugal; Experimental Pathology and Therapeutics research Group
Fátima Teixeira Gastrointestinal Cancer Unit in the Portuguese Institute of Oncology in Porto, Portugal
Daniel Moreira-Gonçalves Research Centre in Physical Activity, Health, and Leisure (CIAFEL), Faculty of Sport, University of Porto, Porto, Portugal http://orcid.org/0000-0002-7404-7405
Lúcio Lara Santos Experimental Pathology and Therapeutics research Group; Surgical Oncology Department of Portuguese Institute of Oncology of Porto FG, EPE (IPO-Porto), Portugal http://orcid.org/0000-0002-0521-5655

Abstract

Background: Patient-focused interventions recognize the role of patients as active participants in the process of delivering effective, safe and responsible healthcare. When equipped with appropriate knowledge, patients can play an important role in their own care by early diagnosing self-limiting conditions and establishing a beneficial relationship with the healthcare team. The purpose of this study was to identify the main changes in bodily processes and their impact on dependency and self-care during colorectal cancer multimodal treatment to further develop a consistent patient-focused intervention protocol.

Methods: A prospective longitudinal design was chosen to describe the evolution of the health condition of colorectal cancer patients during multimodal treatment. Patients were assessed (N = 129) in three separate moments, namely: T1 – after multi-disciplinary-team treatment decision; T2 – three months after T1; and T3 – six months after T1.

Results: The results of this study show that, during treatment, patients with colon or rectal cancer experience significant changes in their health condition. They present a negative evolution on health status related with impairment in the gastrointestinal, circulatory and nervous systems and in psychological, neurovascular and resting processes. Chemotherapy adverse effects significantly reduce the ability to self-care. These patients reveal a higher dependency level in self-care areas, such as: instrumental activities of daily life (IADL) “bathing”, “to dress and undress”, “rising”, “taking medication” and “colostomy”.

Conclusion: The results of this study pose a challenge to health care providers in the sense that these professionals are in a privileged position to help with an appropriate program, patients with colorectal cancer and their family in transition from dependence to supported self-care.

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