Patients' experiences of ongoing palliative chemotherapy for metastatic colorectal cancer: a qualitative study.
BACKGROUND
Colorectal cancer is the second most common cause of cancer death in New Zealand. With new chemotherapy regimens, patients with metastatic colorectal cancer are now living longer with the condition and its treatment.


OBJECTIVE
This study aimed to explore patients' experiences of extended palliative chemotherapy for metastatic colorectal cancer.


METHODS
A convenience sample of 10 outpatients who had been receiving palliative chemotherapy for more than 12 months from a teaching hospital and regional cancer centre in New Zealand participated in face-to-face semi-structured interviews. The data was analysed using a general inductive approach.


RESULTS
Three key themes were identified: the importance of relationships, presenting a positive face, and life is for living. The importance of interpersonal relationships with health professionals and a sense of comradery with other chemotherapy patients positively affected the patients' experiences of treatment. Positivity was a key coping strategy that also has negative implications as patients may not reveal their concerns and needs.


CONCLUSIONS
The key to improving the care of people with advanced cancer is understanding their experiences of care. Communication between the patient, family, and health-care team ensures assumptions that misinterpret attributes of positivity are not made.
Nurse Coordinator, Cancer Trials, Waikato Hospital, Hamilton, New Zealand.
Jenny
J
Cameron
Senior Lecturer, School of Nursing, University of Auckland, Private Bag 92019, Auckland 1142, New Zealand.
Susan
S
Waterworth
D000970:Antineoplastic Agents / Q000627:therapeutic use*; D015179:Colorectal Neoplasms / Q000188:drug therapy* / Q000473:pathology / Q000523:psychology; D006801:Humans; D007398:Interpersonal Relations; D009362:Neoplasm Metastasis; D010166:Palliative Care; D036301:Qualitative Research
D000970:Antineoplastic Agents