The Experiences of Esophageal Cancer Patients Undergoing Both Esophagectomy and Laryngectomy

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  • Mori Keiko
    Department of Nursing, Hamamatsu University School of Medicine

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  • 食道切除術に加え喉頭合併切除術を受けた食道がん患者の体験
  • ショクドウ セツジョジュツ ニ クワエ コウトウ ガッペイ セツジョジュツ オ ウケタ ショクドウ ガン カンジャ ノ タイケン

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Abstract

<p>Abstract</p><p>The purpose of this study was to assess the experiences of esophageal cancer patients undergoing both esophagectomy and laryngectomy, and to identify the appropriate nursing intervention for these patients. </p><p>A semi―structured questionnaire was designed to gather the following data : disease information, and therapy received from the attending physician prior to surgery ; patient feelings when told of the necessity for laryngectomy ; factors that influenced the decision to undergo surgery ; feelings postoperatively due to loss of voice; difficulties related to activities of daily living other than loss of voice ; and lifestyle modifications made to cope with limitations due to surgery. Each patient was interviewed using open―ended questions, guided by the questionnaire. Verbal language was the main mode of communication during the interviews. Because the subjects had undergone laryngectomies, we confirmed the contents of interviews through writing and gesture. </p><p>Content analysis of the interviews was used to define the following seven major categories related to the experiences of esophageal cancer patients: “have burdensome symptoms related to respiration, sensation or eating” ; “have difficulty accepting that they can not resume their previous lifestyle” ; “become angry and frustrated when unable to communicate verbally” ; “feel self-hatred for troubling other people and living with a surgically altered body part” ; “have a continued fear of cancer and death” ; “can not calmly accept the surgically constructed tracheal stoma” ; and, “individually modify each activity of daily living based on the experiences of other patients in the same situation”.</p>

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