The Process of Life Reconstruction in Rectal Cancer Patients after Total Pelvic Exenteration

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  • Maeda Emi
    Osaka University Hospital
  • Oishi Fumiko
    Department of Nursing, Faculty of Nursing, Nagano College of Nursing
  • Hayama Yuka
    Department of Nursing, Faculty of Nursing, Baika Woman’s University

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Other Title
  • 骨盤内臓全摘術後に直腸がん患者が生活を再構築していくプロセス
  • コツバン ナイゾウ ゼンテキジュツゴ ニ チョクチョウ ガン カンジャ ガ セイカツ オ サイコウチク シテ イク プロセス

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<p>Abstract</p><p>The purpose of this study was to clarify the process for rectal cancer patients to rebuild their lives following total pelvic exenteration. The subjects in this study were 8 rectal cancer patients who had undergone total pelvic exenteration within the past 5 years, and who currently return for outpatients follow-up visits. The study data was collected by semi-structured interviews, and were analyzed by a qualitative and inductive method. This study was approved by the clinical ethics committee of the concerned hospital. </p><p>Subjects experienced “problems encountered following total pelvic exenteration”, and pursued “coping behavior to rebuild their lives following total pelvic exenteration”. In the course of dealing with these problems repeatedly, the subjects experienced a “development of a sense of self-affirmation”, and obtained “a sense of satisfaction with the meaning of life”. In addition, it was clarified that the “need to pursue being happy with themselves” promoted the acquisition of coping behavior, and the “support situation provided by a supportive environment to the patients following total pelvic exenteration” affected the whole process of life reconstruction. </p><p>The core thing of the process that rectal cancer patients rebuilding their lives after total pelvic exenteration was their “development of a sense of self-affirmation”, which was promoted by the success of such coping behavior. Deficiencies in these coping behavior and the lack of a supportive environment caused failures in the “development of a sense of self-affirmation”. </p><p>In conclusion, it was found that encouraging the “development of a sense of self-affirmation” was the most important factor in rebuilding patients’ lives following total pelvic exenteration, and in feeling satisfaction in their lives.</p>

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