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Lived experiences and quality of life after gynaecological cancer—An integrative review

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  • Ragnhild Johanne Tveit Sekse
  • Gail Dunberger
  • Mette Linnet Olesen
  • Maria Østerbye
  • Lene Seibæk

Abstract

Aim and objectives To review the literature on Nordic women's lived experiences and quality of life (QoL) after gynaecological cancer treatment. Background While incidence and survival are increasing in all groups of gynaecological cancers in the Nordic countries, inpatient hospitalisation has become shorter in relation to treatment. This has increased the need for follow‐up and rehabilitation. Design Integrative literature review using the Equator PRISMA guidelines. Methods The review was selected, allowing inclusion of both experimental and nonexperimental research. The search included peer‐reviewed articles published 1995–2017. To frame the search strategy, we applied the concept of rehabilitation, which holds a holistic perspective on health. Results Fifty‐five articles were included and were contextualised within three themes. Physical well-being in a changed body encompasses bodily changes comprising menopausal symptoms, a changed sexual life, complications in bowels, urinary tract, lymphoedema and pain, bodily‐based preparedness and fear of recurrence. Mental well-being as a woman deals with questioned womanliness, the experience of revitalised values in life, and challenges of how to come to terms with oneself after cancer treatment. Psychosocial well-being and interaction deals with the importance of having a partner or close person in the process of coming to terms with oneself after cancer. Furthermore, the women needed conversations with health professionals around the process of coping with changes and late effects, including intimate and sensitive issues. Conclusion Years after gynaecological cancer, women have to deal with fundamental changes and challenges concerning their physical, mental and psychosocial well‐being. Future research should focus on how follow‐up programmes can be organised to target the multidimensional aspects of women's QoL. Research collaboration across Nordic countries on rehabilitation needs and intervention is timely and welcomed. Relevance to clinical practice To ensure that all aspects of cancer rehabilitation are being addressed, we suggest that the individual woman is offered an active role in her follow‐up.

Suggested Citation

  • 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.
    • Handle: RePEc:wly:jocnur:v:28:y:2019:i:9-10:p:1393-1421
    DOI: 10.1111/jocn.14721
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    References listed on IDEAS

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    1. Ragnhild Johanne Tveit Sekse & Karl Ove Hufthammer & Margrethe Elin Vika, 2017. "Sexual activity and functioning in women treated for gynaecological cancers," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(3-4), pages 400-410, February.
    2. Gunnar Steineck & Viktor Skokic & Fei Sjöberg & Cecilia Bull & Eleftheria Alevronta & Gail Dunberger & Karin Bergmark & Ulrica Wilderäng & Jung Hun Oh & Joseph O Deasy & Rebecka Jörnsten, 2017. "Identifying radiation-induced survivorship syndromes affecting bowel health in a cohort of gynecological cancer survivors," PLOS ONE, Public Library of Science, vol. 12(2), pages 1-15, February.
    3. 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.
    4. Ragnhild Johanne Tveit Sekse & Karl Ove Hufthammer & Margrethe Elin Vika, 2015. "Fatigue and quality of life in women treated for various types of gynaecological cancers: a cross‐sectional study," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(3-4), pages 546-555, February.
    5. Alessandro Liberati & Douglas G Altman & Jennifer Tetzlaff & Cynthia Mulrow & Peter C Gøtzsche & John P A Ioannidis & Mike Clarke & P J Devereaux & Jos Kleijnen & David Moher, 2009. "The PRISMA Statement for Reporting Systematic Reviews and Meta-Analyses of Studies That Evaluate Health Care Interventions: Explanation and Elaboration," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-28, July.
    6. Loni Ledderer & Karen Cour & Helle Hansen, 2014. "Outcome of Supportive Talks in a Hospital Setting: Insights from Cancer Patients and Their Relatives," The Patient: Patient-Centered Outcomes Research, Springer;International Academy of Health Preference Research, vol. 7(2), pages 219-229, June.
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