Experience of Colorectal Cancer Survival Journeys: Born Again after Going Through an Altered Self Image

Purpose: This microethnographic study was performed to understand the survival experiences of patients after surgical resection of colorectal cancer. Methods: In-depth interviews of seven male and six female patients with colorectal cancer were conducted after being observed. Digital-audio recordings of the interviews were transcribed verbatim and then qualitatively analyzed. Results: The survival journeys of patients with colorectal cancer surgery were described as 'born again after going through an altered self-image'. This consists of 4 phases: 'Confrontation of the cancer diagnosis', 'Fierce compliance', 'Leveling off', and 'Born again'. Their self-images were significantly altered subsequent to confronting their cancer diagnosis. While they were in the phase of fierce compliance, patients were introverted from the outside world, but upon receiving help from a substantial supportive system including family, health professionals, peer patients, and religion, their internalized self-image was reinforced. This would significantly boost the patients' morale. Finally they felt born again with an emotional and spiritual self-image. Conclusion: Nursing intervention should be differentiated and specified according to the specific phase of the long term colorectal cancer survival journey. Colorectal cancer patients should be provided with a specialized nursing program to improve their self-images.