Experiences of Post Esophagectomy Patients Admitted in Lady Reading Hospital Peshawar Pakistan: Experiences of Post Esophagectomy Patients

Ishrat  Shaheen; Dildar  Muhammad; Sehrish  Naz; Hina  Ajmal; Israr  Ahmad

doi:10.54393/pjhs.v4i02.515

Authors

Ishrat Shaheen College of Nursing Khyber Teaching Hospital, Peshawar, Pakistan
Dildar Muhammad Institute of Nursing Sciences Khyber Medical University, Peshawar, Pakistan
Sehrish Naz Institute of Nursing Sciences Khyber Medical University, Peshawar, Pakistan
Hina Ajmal Naseem Nursing Institute and Public Health School, Peshawar, Pakistan
Israr Ahmad Ruphaida College of Nursing, Peshawar, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v4i02.515

Keywords:

Experiences, Perspectives, Esophagectomy

Abstract

Patients having esophageal cancer can experience psychological, emotional, physical, social, financial and spiritual changes following surgery. Exploration of such challenges, particularly from the Patient’s perspective has been limited in Pakistan. Objective: To explore the experiences of post-esophagectomy patients admitted in Lady Reading Hospital Peshawar Pakistan. Methods: A qualitative phenomenological study was conducted on ten patients having esophagectomy admitted at Lady Reading Hospital Peshawar. Participants were selected through None Probability purposive sampling technique. Permission was taken from concerned departments as well as from participants before data collection. An interview topic guide was used for Face-to-face individual, in-depth interviews. Audio recorded, transcribed, and analyzed through thematic analysis. Results: Five major themes were constructed i.e., Physical changes, psychological effects, social issues and support, financial issues, acceptance, and adjustment to a new changed way of life. Conclusions: Post-esophagectomy patients need full support in adjustment to their physical, psychological, emotional, social, financial, and spiritual aspects of life. Family, friends, and society could be an effective channel in this regard. Government should provide medical and financial support to such patients for their treatment as well as for their rehabilitation.

References

Malmström M, Klefsgard R, Ivarsson B, Roman M, Johansson J. Quality of life measurements as an indicator for timing of support after oesophagectomy for cancer: a prospective study. BMC Health Services Research. 2015 Dec; 15(1): 1-7. doi: 10.1186/s12913-015-0747-x

Casson AG and van Lanschot JJ. Improving outcomes after esophagectomy: the impact of operative volume. Journal of Surgical Oncology. 2005 Dec; 92(3): 262-6. doi: 10.1002/jso.20368

Zeb A, Rasool A, Nasreen S. Cancer incidence in the districts of Dir (North West Frontier Province), Pakistan: a preliminary study. Journal of the Chinese Medical Association. 2008 Feb; 71(2): 62-5. doi: 10.1016/S1726-4901(08)70076-5

Booka E, Takeuchi H, Nishi T, Matsuda S, Kaburagi T, Fukuda K, et al. The impact of postoperative complications on survivals after esophagectomy for esophageal cancer. Medicine. 2015 Aug; 94(33): e1369. doi: https://doi.org/10.1097/MD.0000000000001369

Scarpa M, Valente S, Alfieri R, Cagol M, Diamantis G, Ancona E, et al. Systematic review of health-related quality of life after esophagectomy for esophageal cancer. World Journal of Gastroenterology: WJG. 2011 Nov; 17(42): 4660. doi: 10.3748/wjg.v17.i42.4660

McCorry NK, Dempster M, Clarke C, Doyle R. Adjusting to life after esophagectomy: the experience of survivors and carers. Qualitative Health Research. 2009 Oct; 19(10): 1485-94. doi: 10.1177/1049732309348366

Mackenzie DJ, Popplewell PK, Billingsley KG. Care of patients after esophagectomy. Critical Care Nurse. 2004 Feb; 24(1): 16-31. doi: 10.4037/ccn2004.24.1.16

Pakzad R, Mohammadian-Hafshejani A, Khosravi B, Soltani S, Pakzad I, Mohammadian M, et al. The incidence and mortality of esophageal cancer and their relationship to development in Asia. Annals of Translational Medicine. 2016 Jan; 4(2): 29. doi: 10.1016/j.prnil.2015.09.001

Bukhari U, Siyal R, Memon FA, Memon JH. Oesophageal carcinoma: a review of endoscopic biopsies. Pakistan Journal of Medical Sciences. 2009 Oct; 25(5): 845-8.

Muslim M, Khan MA, Ahmad N, Zarin M, Ahmad M, Aurangzeb M, et al. Perioperative morbidity and mortality in 100 cases of transhiatal esophagectomy-a single surgical unit experience of Khyber teaching hospital, Peshawar. Journal of Postgraduate Medical Institute. 2015 May; 29(2): 97-100.

Ahmed WU, Qureshi H, Alam E, Zuberi SJ, Jamal Q, Alam SM. Oesophageal carcinoma in Karachi. Journal of Pakistan Medical Association. 1992 Jun; 42(6): 133-5.

Logue B and Griffin S. Road Map to esophagectomy for nurses. Critical Care Nurse. 2011 Aug; 31(4): 69-86. doi: 10.4037/ccn2011426

Sadat Yousefi M, Sharifi-Esfahani M, Pourgholam-Amiji N, Afshar M, Sadeghi-Gandomani H, Otroshi O, et al. Esophageal cancer in the world: incidence, mortality and risk factors. Biomedical Research and Therapy. 2018 Jul; 5(7) :2504-17. doi: 10.15419/bmrat.v5i7.460

Malmström M. Quality of life and supportive care after oesophageal cancer surgery. Long-term experiences and evaluation of a telephone based nurse-led supportive care programme (Doctoral thesis). Sweden: Media-Tryck, Lund University. 2013. Available at: https://lucris.lub.lu.se/ws/portalfiles/portal/3994318/4015992.pdf

Verschuur EM, Steyerberg EW, Kuipers EJ, Essink‐bot ML, Tran KT, van der Gaast A, et al. Experiences and expectations of patients after oesophageal cancer surgery: an explorative study. European Journal of Cancer Care. 2006 Sep; 15(4): 324-32. doi: 10.1111/j.1365-2354.2006.00659.x

Cha E, Burgoyne GB, Heitmiller RF. Patient Age Significantly Influences Post-Esophagectomy Inpatient Mortality, Length of Stay, Hospital Charges, and Discharge Disposition. Journal of the American College of Surgeons. 2016 Oct; 223(4): S24-5. doi: 10.1016/j.jamcollsurg.2016.06.063

Lagergren P, Avery KN, Hughes R, Barham CP, Alderson D, Falk SJ, et al. Health‐related quality of life among patients cured by surgery for esophageal cancer. Cancer: Interdisciplinary International Journal of the American Cancer Society. 2007 Aug; 110(3): 686-93. doi: 10.1002/cncr.22833

Adam C, Patiraki E, Lemonidou C, Radwin L, Charalambous A, Charalambous M, et al. Quality of nursing care as perceived by cancer patients : A cross-sectional survey in doi: four European countries. Journal of Balkan Union of Oncology. 2017 May; 22(3): 777–82.

Andreassen S, Randers I, Ternulf Nyhlin K, Mattiasson AC. A meta-analysis of qualitative studies on living with oesophageal and clinically similar forms of cancer, seen from the perspective of patients and family members. International Journal of Qualitative Studies on Health and Well-being. 2007 Jan; 2(2): 114-27. doi: 10.1080/17482620701305589

Jaromahum J and Fowler S. Lived experiences of eating after esophagectomy: a phenomenological study. Medsurg Nursing. 2010 Mar; 19(2): 96-100.

Tatematsu N, Park M, Tanaka E, Sakai Y, Tsuboyama T. Association between physical activity and postoperative complications after esophagectomy for cancer: a prospective observational study. Asian Pacific Journal of Cancer Prevention. 2013; 14(1): 47-51. doi: 10.7314/APJCP.2013.14.1.47

Shomura M, Okabe H, Iwamoto S, Nakagawa E, Nakamura K. A prospective observational study on changes in physical activity, quality of life, and self-efficacy in perioperative patients with gastric cancer. International Journal of Nursing & Clinical Practices. 2017 Jan; 4(219): 1-6. doi: 10.15344/2394-4978/2017/219

Sun V, Kim J, Kim JY, Raz DJ, Merchant S, Chao J, et al. Dietary alterations and restrictions following surgery for upper gastrointestinal cancers: key components of a health-related quality of life intervention. European Journal of Oncology Nursing. 2015 Aug; 19(4): 343-8. doi: 10.1016/j.ejon.2015.01.008

Rouvelas I, Zeng W, Lindblad M, Viklund P, Ye W, Lagergren J. Survival after surgery for oesophageal cancer: a population-based study. The Lancet Oncology. 2005 Nov; 6(11): 864-70. doi: 10.1016/S1470-2045(05)70347-8

Hellstadius Y. Psychological Distress Following Oesophageal Cancer Treatment: Is There a Need for Psychological Support? (Doctoral dissertation, Karolinska Institute (Sweden)). 2017. Available at: https://www.proquest.com/docview/2570011647?pq-origsite=gscholar&fromopenview=true

Hellstadius Y, Lagergren J, Zylstra J, Gossage J, Davies A, Hultman CM, et al. A longitudinal assessment of psychological distress after oesophageal cancer surgery. Acta Oncologia. 2017 May; 56(5): 746-52. doi: 10.1080/0284186X.2017.1287945.

Allmon AL. Spiritual growth and decline among patients with cancer. Number 6/November 2013. 1969 Dec; 40(6): 559-65. doi: 10.1188/13.ONF.559-565

Malmström M, Klefsgård R, Johansson J, Ivarsson B. Patients' experiences of supportive care from a long-term perspective after oesophageal cancer surgery–A focus group study. European Journal of Oncology Nursing. 2013 Dec; 17(6): 856-62. doi: 10.1016/j.ejon.2013.05.003

Ahmad F, binti Muhammad M, Abdullah AA. Religion and spirituality in coping with advanced breast cancer: perspectives from Malaysian Muslim women. Journal of Religion and Health. 2011 Mar; 50: 36-45. doi: 10.1007/s10943-010-9401-4

Peteet JR and Balboni MJ. Spirituality and religion in oncology. CA: A Cancer Journal for Clinicians. 2013 Jul; 63(4): 280-9. doi: 10.3322/caac.21187