Patients' perceptions of quality of life during active treatment for locally advanced rectal cancer: the importance of preoperative exercise
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The purpose of this longitudinal study was to explore advanced rectal cancer patients' perceptions of quality of life (QoL) during participation in a pre-surgery structured exercise program.
Patients (n = 10) participated in repeated semi-structured in-depth interviews which covered four broad QoL domains (i.e., physical, psychological, social, and spiritual well-being). Patients' personal accounts of QoL were explored prior to (0 weeks), midway (3 weeks), and at completion (6 weeks) of the program. Data were analyzed using strategies grounded in a phenomenological approach.
Participation in the program facilitated positive changes in QoL over time by (1) fostering a greater sense of vitality, (2) cultivating a positive attitude, (3) enhancing social connections, and (4) fostering a strong sense of purpose in life for these patients.
Based on these data, preoperative exercise programs can be effective in promoting QoL among patients diagnosed and treated for locally advanced rectal cancer during a particularly difficult time in the cancer trajectory. Additional research is needed to develop and evaluate implementation strategies to facilitate the delivery of preoperative exercise programs as part of routine care in this population.
KeywordsAdvanced cancer Preoperative exercise Quality of life Qualitative
The authors would like to express their gratitude to Lisa Loughney for supervising the exercise training of all patients, Ben Bolland for conducting the interviews, and all of the patients for sharing their experiences with us.
Conflict of interest
The authors report no declarations of interest. They have full control of all primary data and agree to allow the journal to review their data if requested.
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