IDEAS home Printed from https://ideas.repec.org/a/wly/jocnur/v27y2018i7-8p1420-1430.html
   My bibliography  Save this article

Re‐embodying eating after surgery for oesophageal cancer: Patients' lived experiences of participating in an education and counselling nutritional intervention

Author

Listed:
  • Malene Missel
  • Mette Hansen
  • Rie Jackson
  • Mette Siemsen
  • Mai Nanna Schønau

Abstract

Aims and objectives To provide in‐depth insight into patients' lived experiences of participating in an education and counselling nutritional intervention after curative surgery for oesophageal cancer. Background Surgery for oesophageal cancer carries a risk of malnutrition. The consequences of nutritional problems may lead to increased morbidity and mortality postoperatively and have consequences for convalescence, rehabilitation and quality of life. Design Qualitative study based on a phenomenological approach. The theoretical framework was grounded in the philosophy of Merleau‐Ponty. Methods Qualitative interviews were conducted with 10 patients who participated in an education and counselling nutritional intervention after surgery for oesophageal squamous‐cell carcinoma. Data were analysed according to the principles of Kvale and Brinkmann, and their three levels of interpretation were applied. Findings The essence of experiencing the education and counselling nutritional intervention can be divided into three themes: embodied disorientation, living with increased attention to bodily functions and re‐embodying eating. Conclusions Patients were living with increased attention to bodily functions and tried to find a balance between the task of eating and nutritional needs. Despite the embodied perceptions of alterations after oesophageal cancer surgery, the patients developed high levels of bodily awareness and skills in self‐management. This process was characterised by reconnecting to the body and re‐embodying eating. The intervention empowered the patients to regain some control of their own bodies in an effort to regain agency in their own lives. Relevance to clinical practice There is a need for systematic long‐term follow‐up after surgery for oesophageal cancer regarding nutrition. The findings of this study can inform future supportive nutrition care service development aimed at supporting patients to learn to eat sufficiently after oesophageal resection.

Suggested Citation

  • Malene Missel & Mette Hansen & Rie Jackson & Mette Siemsen & Mai Nanna Schønau, 2018. "Re‐embodying eating after surgery for oesophageal cancer: Patients' lived experiences of participating in an education and counselling nutritional intervention," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(7-8), pages 1420-1430, April.
    • Handle: RePEc:wly:jocnur:v:27:y:2018:i:7-8:p:1420-1430
    DOI: 10.1111/jocn.14297
    as

    Download full text from publisher

    File URL: https://doi.org/10.1111/jocn.14297
    Download Restriction: no
    File URL: https://libkey.io/10.1111/jocn.14297?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Ragnhild JT Sekse & Målfrid Råheim & Gunnhild Blåka & Eva Gjengedal, 2012. "Living through gynaecological cancer: three typologies," Journal of Clinical Nursing, John Wiley & Sons, vol. 21(17‐18), pages 2626-2635, September.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Rikke Guldager & Karen Willis & Kristian Larsen & Ingrid Poulsen, 2019. "Relatives’ strategies in subacute brain injury rehabilitation: The warrior, the observer and the hesitant," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(1-2), pages 289-299, January.
    2. Ragnhild Johanne Tveit Sekse & Gail Dunberger & Mette Linnet Olesen & Maria Østerbye & Lene Seibæk, 2019. "Lived experiences and quality of life after gynaecological cancer—An integrative review," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(9-10), pages 1393-1421, May.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:wly:jocnur:v:27:y:2018:i:7-8:p:1420-1430. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: https://doi.org/10.1111/(ISSN)1365-2702 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.