Skip to main content
Erschienen in: Supportive Care in Cancer 4/2019

28.10.2018 | Original Article

A qualitative study exploring what it takes to be physically active with a stoma after surgery for rectal cancer

verfasst von: Stephanie Saunders, Jennifer Brunet

Erschienen in: Supportive Care in Cancer | Ausgabe 4/2019

Einloggen, um Zugang zu erhalten

Abstract

Purpose

Many adults must cope with the adverse effects of cancer and adjuvant therapies, which may limit their engagement in health-enhancing behaviors such as physical activity (PA). Furthermore, the placement of a stoma during surgery for rectal cancer may cause additional challenges to being physically active. The aim of this study was to explore the experiences of rectal cancer survivors who were living with a stoma and the impact on their engagement in PA.

Methods

Interpretive phenomenological analysis was used as the approach for this qualitative study. Fifteen rectal cancer survivors took part in a semi-structured interview post-chemotherapy, and thematic analysis was used to identify themes within their accounts.

Results

Three themes captured participants’ personal lived experience: (1) reasons for engaging in PA, (2) deterrents to engaging in PA, and (3) practical implications.

Conclusions

Participants’ accounts offered insight into both their cancer and stoma-related experiences, highlighting both reasons for and deterrents to engaging in PA. Further, findings helped to identify tangible strategies that those learning to be physically active with a stoma may find useful.
Literatur
1.
Zurück zum Zitat Stewart BW, Wild CP (2014) World cancer report 2014. International Agency for Research on Cancer, World Health Organization, Lyon Stewart BW, Wild CP (2014) World cancer report 2014. International Agency for Research on Cancer, World Health Organization, Lyon
20.
Zurück zum Zitat Larkin M, Watts S, Clifton E (2006) Giving voice and making sense in interpretative phenomenological analysis. Qual Res Psych 3(2):102–120CrossRef Larkin M, Watts S, Clifton E (2006) Giving voice and making sense in interpretative phenomenological analysis. Qual Res Psych 3(2):102–120CrossRef
21.
Zurück zum Zitat O’Reilly M, Parker N (2013) “Unsatisfactory saturation”: a critical exploration of the notion of saturated sample sizes in qualitative research. Qual Res 13:190–197CrossRef O’Reilly M, Parker N (2013) “Unsatisfactory saturation”: a critical exploration of the notion of saturated sample sizes in qualitative research. Qual Res 13:190–197CrossRef
22.
Zurück zum Zitat Smith B, Flowers L (2009) Interpretative phenomenological analysis: theory, method and research. Sage Publishers, London Smith B, Flowers L (2009) Interpretative phenomenological analysis: theory, method and research. Sage Publishers, London
23.
Zurück zum Zitat Braun V, Clarke V (2006) Using thematic analysis in psychology. Qual Res Psych 2:77–101CrossRef Braun V, Clarke V (2006) Using thematic analysis in psychology. Qual Res Psych 2:77–101CrossRef
26.
Zurück zum Zitat Guest G, MacQueen KM, Namey EE (2012) Validity and reliability (credibility and dependability) in qualitative research and data analysis. In: Knight V, Habib L, Koscielak K, Virding A, Rosenstein A (eds) Applied thematic analysis. Sage Publications, Thousand Oaks, pp 77–106. https://doi.org/10.4135/9781483384436.n4 Guest G, MacQueen KM, Namey EE (2012) Validity and reliability (credibility and dependability) in qualitative research and data analysis. In: Knight V, Habib L, Koscielak K, Virding A, Rosenstein A (eds) Applied thematic analysis. Sage Publications, Thousand Oaks, pp 77–106. https://​doi.​org/​10.​4135/​9781483384436.​n4
30.
Zurück zum Zitat Deci E, Ryan R (2000) The support of autonomy and the control of behavior. In: Higgins E, Kruglanski A (eds) Motivational science: social and personality perspectives. Psychology Press, New York, pp 128–145 Deci E, Ryan R (2000) The support of autonomy and the control of behavior. In: Higgins E, Kruglanski A (eds) Motivational science: social and personality perspectives. Psychology Press, New York, pp 128–145
35.
Zurück zum Zitat Prochaska JO, DiClemente CC (1986) Toward a comprehensive model of change. In: Miller WR, Heather N (eds) Treating addictive behaviors. Springer, New York, pp 3–27CrossRef Prochaska JO, DiClemente CC (1986) Toward a comprehensive model of change. In: Miller WR, Heather N (eds) Treating addictive behaviors. Springer, New York, pp 3–27CrossRef
37.
Zurück zum Zitat McMullen CK, Hornbrook MC, Grant M, Baldwin CM, Wendel CS, Mohler MJ et al (2008) The greatest challenges reported by long-term colorectal cancer survivors with stomas. J Support Oncol 6(4):175–182PubMed McMullen CK, Hornbrook MC, Grant M, Baldwin CM, Wendel CS, Mohler MJ et al (2008) The greatest challenges reported by long-term colorectal cancer survivors with stomas. J Support Oncol 6(4):175–182PubMed
38.
Zurück zum Zitat Bandura A (1997) Self-efficacy: the exercise of control. Freeman Publishers, New York Bandura A (1997) Self-efficacy: the exercise of control. Freeman Publishers, New York
Metadaten
Titel
A qualitative study exploring what it takes to be physically active with a stoma after surgery for rectal cancer
verfasst von
Stephanie Saunders
Jennifer Brunet
Publikationsdatum
28.10.2018
Verlag
Springer Berlin Heidelberg
Erschienen in
Supportive Care in Cancer / Ausgabe 4/2019
Print ISSN: 0941-4355
Elektronische ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-018-4516-3

Weitere Artikel der Ausgabe 4/2019

Supportive Care in Cancer 4/2019 Zur Ausgabe

Update Onkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.