Psycho-oncology · 2026
Eating Difficulties, Psychological Distress, and Self-Management in Colorectal Cancer Patients Undergoing Chemotherapy: A Qualitative Study.
СтатьяМногоцентровое исследованиеНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Peng Wei, Wang Xiaoyu, Chen Mengxue, Fan Xinxin, Fan Liang, Zou Wei, Xu Yujie, Cheng Guo
Аннотация
OBJECTIVE: To explore eating difficulties, psychological distress and self-management strategies among colorectal cancer (CRC) patients receiving chemotherapy, and to examine how diet-related symptom burden shapes emotional responses, perceived control and coping, guided by Symptom Management Theory (SMT).
METHODS: A qualitative study was conducted with 22 CRC patients receiving chemotherapy at two tertiary hospitals in Chengdu. Purposive sampling ensured variation in demographic and clinical characteristics. Semi-structured interviews were audio-recorded, transcribed verbatim, and analyzed using reflexive thematic analysis informed by SMT. The study was reported in line with the Consolidated criteria for reporting qualitative research (COREQ).
RESULTS: Three main themes were identified: (1) Diet-related symptom distress and disrupted eating: patients described complex, fluctuating multisystem symptom clusters that reduced appetite, altered taste, and eroded a sense of control over eating. (2) Dietary self-management as coping and regaining control: patients engaged in flexible dietary adjustments, trial-and-error experimentation, timing and portion modifications, and emotional regulation to alleviate discomfort, preserve daily functioning, and maintain social roles. (3) Uncertainty and unmet psychosocial-nutritional support needs: patients reported confusion about "right" foods and quantities, fear that diet might compromise treatment, exposure to conflicting information, and a desire for structured, accessible, and personalised guidance that addresses both nutritional and emotional concerns.
CONCLUSIONS: Eating during chemotherapy is both psychosocial and nutritional, intertwining symptom burden, emotional responses, perceived control, and coping efforts. Integrating patient-centered nutritional care with psycho-oncological support, through multidisciplinary collaboration, may improve symptom control, treatment adherence, and quality of life in CRC patients.
METHODS: A qualitative study was conducted with 22 CRC patients receiving chemotherapy at two tertiary hospitals in Chengdu. Purposive sampling ensured variation in demographic and clinical characteristics. Semi-structured interviews were audio-recorded, transcribed verbatim, and analyzed using reflexive thematic analysis informed by SMT. The study was reported in line with the Consolidated criteria for reporting qualitative research (COREQ).
RESULTS: Three main themes were identified: (1) Diet-related symptom distress and disrupted eating: patients described complex, fluctuating multisystem symptom clusters that reduced appetite, altered taste, and eroded a sense of control over eating. (2) Dietary self-management as coping and regaining control: patients engaged in flexible dietary adjustments, trial-and-error experimentation, timing and portion modifications, and emotional regulation to alleviate discomfort, preserve daily functioning, and maintain social roles. (3) Uncertainty and unmet psychosocial-nutritional support needs: patients reported confusion about "right" foods and quantities, fear that diet might compromise treatment, exposure to conflicting information, and a desire for structured, accessible, and personalised guidance that addresses both nutritional and emotional concerns.
CONCLUSIONS: Eating during chemotherapy is both psychosocial and nutritional, intertwining symptom burden, emotional responses, perceived control, and coping efforts. Integrating patient-centered nutritional care with psycho-oncological support, through multidisciplinary collaboration, may improve symptom control, treatment adherence, and quality of life in CRC patients.