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Psycho- Oncology Journal (Jurnal Vol 28 No 2 2019)
Objective
The purpose of this metaâ€synthesis was to explore the experience of living with symptoms caused by colorectal cancer (CRC) and its treatment from the perspectives of those affected.
Methods
In a systematic search of qualitative studies published up to September 2017, 21 relevant papers were identified. The metaâ€ethnography followed the approach developed by Noblit and Hare. To relate key themes from one paper to similar themes of different papers, a “reciprocal translation†was carried out.
Results
Through synthesis, a new model was developed during treatment (“linesâ€ofâ€argument synthesisâ€). Two constructs of experiences took place before the illness. Six thirdâ€order constructs were developed to capture patients' experiences during treatment, including “disruption in life through CRC†as well as the complex and circular experiences summarized as “experiences of symptoms and challenges by CRCâ€. In contrast, experiences in dealing with changes that CRC and the treatment imply were “making sense of the experienceâ€, “sharing the experienceâ€, “experiences with controlling ones' bodyâ€, and “experiences with reforming lifeâ€.
Conclusions
This metaâ€ethnography clarifies fundamental aspects of patients' experience in very different settings or starting points by specifying a more complete and holistic spectrum of experiences with CRC and its treatment.
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