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Symptoms, Illness Perceptions, Self-Efficacy and Health-Related Quality of Life Following Colorectal Cancer Treatment
University West, Department of Health Sciences, Section for nursing - graduate level.ORCID iD: 0000-0002-2037-2114
Malmö University, Department of Care Science, Faculty of Health and Society, Malmö, Sweden.
University West, Department of Social and Behavioural Studies, Division of Psychology, Pedagogy and Sociology.ORCID iD: 0000-0002-1673-6288
University West, Department of Health Sciences, Section for nursing - graduate level.ORCID iD: 0000-0002-7182-511X
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2018 (English)In: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 8, no 9, p. 591-604Article in journal (Refereed) Published
Abstract [en]

Introduction: Lower health-related quality of life (HRQoL) is associated with fatigue, poor mental and poor gastrointestinal health during the first three months after colorectal cancer (CRC) treatment. Research indicates that maintaining usual activities has a positive impact on HRQoL after treatment for CRC. Illness perceptions have been associated with HRQoL in other cancer diseases, and self-efficacy has been associated with HRQoL in gastrointestinal cancer survivors. Our knowledge about illness perceptions and self-efficacy in relation to maintaining everyday activities and HRQoL following CRC treatment is incomplete. Aim: To explore associations between HRQoL, fatigue, mental health, gastrointestinal health, illness perceptions and self-efficacy in relation to maintaining everyday activities, three months after surgical CRC treatment. A further aim was to test the Maintain Function Scale in a CRC population. Method: The study was cross-sectional. Forty-six persons participated. Data were collected using questionnaires. Descriptive and analytical statistics were used. Results: Persons who were more fatigued, depressed, worried, and had more diarrhea were more likely to report lower HRQoL. Increased fatigue and diarrhea were associated with decreased HRQoL. Concerning illness perceptions, persons who reported negative emotions and negative consequences of CRC were more likely to report lower HRQoL. Persons scoring higher on self-efficacy were more likely to report higher HRQoL. Increased self-efficacy was associated with increased HRQoL. The Maintain Function Scale was suitable for assessing self-efficacy in relation to maintaining everyday activities. Conclusions: Nursing support to improve self-efficacy and illness perceptions and to minimize symptoms during recovery should have a favorable impact on HRQoL.

Place, publisher, year, edition, pages
2018. Vol. 8, no 9, p. 591-604
Keywords [en]
Colorectal Cancer, Health-Related Quality of Life, Illness Perceptions, Recovery, Self-Efficacy
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
URN: urn:nbn:se:hv:diva-12949DOI: 10.4236/ojn.2018.89044OAI: oai:DiVA.org:hv-12949DiVA, id: diva2:1251661
Available from: 2018-09-27 Created: 2018-09-27 Last updated: 2019-05-24Bibliographically approved

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Johansson, Ann-CarolineGrankvist, GunneBerndtsson, InaBrink, Eva

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Section for nursing - graduate levelDivision of Psychology, Pedagogy and Sociology
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