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Erschienen in: Supportive Care in Cancer 2/2018

26.08.2017 | Original Article

Caregiving and mutuality among long-term colorectal cancer survivors with ostomies: qualitative study

verfasst von: Andrea Altschuler, Petra Liljestrand, Marcia Grant, Mark C. Hornbrook, Robert S. Krouse, Carmit K. McMullen

Erschienen in: Supportive Care in Cancer | Ausgabe 2/2018

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Abstract

Purpose

The cancer caregiving literature focuses on the early phases of survivorship, but caregiving can continue for decades when cancer creates disability. Survivors with an ostomy following colorectal cancer (CRC) have caregiving needs that may last decades. Mutuality has been identified as a relationship component that can affect caregiving. This paper discusses how mutuality may affect long-term ostomy caregiving.

Methods

We conducted semi-structured, in-depth interviews with 31 long-term CRC survivors with ostomies and their primary informal caregivers. Interviewees were members of an integrated health care delivery system in the USA. We used inductive theme analysis techniques to analyze the interviews.

Results

Most survivors were 71 years of age or older (67%), female (55%), and with some college education (54%). Two thirds lived with and received care from spouses. Caregiving ranged from minimal support to intimate assistance with daily ostomy care. While some survivors received caregiving far beyond what was needed, others did not receive adequate caregiving for their health care needs. Low mutuality created challenges for ostomy caregiving.

Conclusions

Mutuality impacts the quality of caregiving, and this quality may change over time, depending on various factors. Emotional feedback and amplification is the proposed mechanism by which mutuality may shift over time. Survivorship care should include assessment and support of mutuality as a resource to enhance health outcomes and quality of life for survivors with long-term caregiving needs and their caregivers. Appropriate questionnaires can be identified or developed to assess mutuality over the survivorship trajectory.
Fußnoten
1
We use “ostomy” to refer to colostomy and ileostomy.
 
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Metadaten
Titel
Caregiving and mutuality among long-term colorectal cancer survivors with ostomies: qualitative study
verfasst von
Andrea Altschuler
Petra Liljestrand
Marcia Grant
Mark C. Hornbrook
Robert S. Krouse
Carmit K. McMullen
Publikationsdatum
26.08.2017
Verlag
Springer Berlin Heidelberg
Erschienen in
Supportive Care in Cancer / Ausgabe 2/2018
Print ISSN: 0941-4355
Elektronische ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-017-3862-x

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