Restoring embodied control following surgical treatment for colorectal cancer: A longitudinal qualitative study
Abstract
Background This article presents the findings of a study about recovery following surgery for colorectal cancer. Most patients diagnosed with this cancer are treated with surgery. Few studies have employed a qualitative approach to examine their experiences and perceptions of recovering from this treatment.Objectives The purpose of this study was to discover the process of recovery for individuals following curative surgery for colorectal cancer.Design This qualitative study drew on grounded theory methods and used a prospective longitudinal design.Settings Ethical approval was granted by three Local Research Ethics Committees enabling patients to be recruited from three different hospitals in the South of England.Participants Purposive sampling was used to identify patients diagnosed with colorectal cancer who had had surgery with curative intent.Methods Each participant was interviewed up to four times following their surgery: at 6 weeks then at 3, 6 and 12 months. Sixty-two interviews were conducted. Emerging concepts from the analysis defined further data collection. Relevant literature was theoretically sampled and all data analysed using constant comparison. Theoretical saturation was achieved.Results Sixteen participants were recruited. Analysis of study data identified four conceptual stages representing the main phases individuals can experience during their recovery. They are: disembodiment, restoring embodiment, reclaiming control and managing embodied control. These occur in a stepwise progression, reflecting the emotional, physical and social processes involved in restoring perceived control over the body. They reflect the difficulty individuals can experience in understanding and self-managing their bodies. There is a desire to regain confidence and certainty over body function but this is threatened by fears about future health.Conclusions Achieving a sense of control of one's body, after surgery for colorectal cancer, proves to be a major challenge. Greater recognition of the consequences of cancer and its treatment upon the body and individualised management is required. Addressing how individuals can regain embodied control during their recovery needs to be integral within post-treatment support.
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Patients and families often feel heightened powerlessness before and after surgery.
“Patients and families often experience heightened feelings of powerlessness before and after surgery.12, 13”
From A Multimedia Self-management Intervention to Prepare Cancer Patients and Family Caregivers for Lung Surgery and Postoperative Recovery (2017) · cites this paper as [13]
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InfluentialJønsson, A. B., & Boderos, J. (2011) · KTH Publication Database DiVA (KTH Royal Institute of Technology)
Samsami, P. N. (2015) · City Research Online (City University London)
Couples' experiences after cancer treatment : a systematic review and qualitative study
White, N. R. (2015) · ERA
implicações das evidências para a enfermagem
Preto, E. D. E. D. R. (2015)
Cabilan, C. J. (1905) · Queensland University of Technology · doi:10.5204/thesis.eprints.128073
Life After Colorectal Cancer: A Qualitative Study of Health and Illness Post-treatment
Edwards, J. E. (2020) · TSpace (University of Toronto)
Quality of Life and Survivorship in Extended Pelvic Resection for Advanced and Recurrent Malignancy
Harji, D. P., & Taylor, C. (2024) · Springer eBooks · doi:10.1007/978-3-031-59630-8_3
Self-citationTian, X., Ma, R., Chen, Y., Shao, Y., Ma, H., Dong, M., Huo, R., & Wang, B. (2026) · Frontiers in Public Health · doi:10.3389/fpubh.2026.1860267
Body Image Following Ostomy Surgery for Cancer: A Systematic Review
Hanlon, E., Hayden, L., Karl, J. A., & Dunne, S. K. (2026) · Psycho-Oncology · doi:10.1002/pon.70538
“Ostomy surgery can significantly affect how patients perceive their body's appearance and functionality [6, 7], and are often associated with disrupted sleep patterns [13] as well as adverse impacts on sexuality [8].”
- Authors
- Taylor, C., Richardson, A., & Cowley, S.
- Affiliations
- King's College London (GB)
- Southampton General Hospital (GB)
- Corresponding author
- Taylor, Claire
- Venue
- International Journal of Nursing Studies
- Publisher
- Elsevier BV
- Published
- 2010-08
- Volume
- 47
- Issue
- 8
- Pages
- 946-956
- ISSN
- 0020-7489 (ISSN-L)
- OpenAlex
- W1995794537
- Cited by
- 60
- References
- 61
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 1 · 2023: 1 · 2022: 3 · 2021: 2 · 2020: 2 · 2019: 3 · 2018: 4 · 2017: 4 · 2016: 7 · 2015: 7 · 2014: 5 · 2013: 6 · 2012: 7
- FWCI
- 2.66
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Nursing Studies (publishedVersion)
- PubMed (publishedVersion)
- ePrints Soton (University of Southampton) (acceptedVersion)
- Research Portal (King's College London) (submittedVersion)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Oncology › Colorectal Cancer Surgical Treatments
- Health Sciences › Medicine › Surgery › Enhanced Recovery After Surgery
- Keywords
- colorectal cancer, curative surgery, postoperative recovery, embodied control, embodiment, disembodiment, body image, fear of recurrence, post-treatment support, patient experience
- MeSH terms
- Humans, Longitudinal Studies, Colorectal Neoplasms
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