title: Patients' experiences of postoperative health related to cytoreductive surgery and hyperthermic intraoperative chemotherapy.
abstract: OBJECTIVE
  To study patients' descriptions of their health after cytoreductive surgery (CRS) before discharge.
  
  
  BACKGROUND
  Cytoreductive surgery with hyperthermic intraperitoneal chemotherapy (HIPEC) affects the patient's recovery. The hospital stay is long, and it is important to study how patients experience their health postoperatively.
  
  
  METHODS
  Qualitative descriptive design.
  
  
  METHODS
  Between January-May 2012, individual interviews were conducted with 20 patients in a university hospital in central Sweden using a semi-structured interview guide. Data were analysed using qualitative content analysis.
  
  
  RESULTS
  Three themes (a process, body and mind, and support) and nine categories emerged. The surgery was described as a turning point, followed by a period of hope and thankfulness. Nevertheless, patients had difficulty taking in their positive feelings because they were overwhelmed by their bodily ailments. Despite the patients' descriptions of being on an emotional roller coaster, thinking about death and an uncertain future, or being in a state somewhere between sleep and wakefulness, they described themselves as being in good mental health. Continuous individualised information and support from the surgeon and staff members were described as being important for the recovery process, and none of the patients asked for counselling before discharge.
  
  
  CONCLUSIONS
  Surgery was described as a turning point followed by an uncertain future. Despite the overwhelming nature of their bodily ailments and being on an emotional roller coaster postoperatively, patients described themselves as being in good psychological health and not needing any professional counselling. Continuous individualised information from the surgeon and staff members played an important role in the recovery process.
  
  
  CONCLUSIONS
  Both staff and future patients may benefit from the patients' experiences after CRS and HIPEC described in this study. The knowledge gained from this study could be used in designing a care plan for future patients undergoing CRS and HIPEC.
authors.affiliation: Department of Surgical Sciences, Uppsala University, Uppsala, Sweden.
authors.forename: Hanna
authors.initials: H
authors.lastname: Eriksson
authors.forename: Kristina
authors.initials: K
authors.lastname: Haglund
authors.forename: Christine
authors.initials: C
authors.lastname: Leo Swenne
authors.forename: Erebouni
authors.initials: E
authors.lastname: Arakelian
mesh_terms: D000328:Adult; D000368:Aged; D000970:Antineoplastic Agents / Q000008:administration & dosage* / Q000627:therapeutic use; D004644:Emotions; D005260:Female; D006801:Humans; D006979:Hyperthermia, Induced; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000523:psychology / Q000601:surgery / Q000628:therapy; D011184:Postoperative Period; D013548:Sweden
chemical_list: D000970:Antineoplastic Agents
keywords: cancer; patients' experience; postoperative care; qualitative study