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Predictors of prepa...
Predictors of preparedness for recovery following colorectal cancer surgery: a latent class trajectory analysis.
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- Sawatzky, Richard (författare)
- Gothenburg University,Göteborgs universitet,Extern,Institutionen för vårdvetenskap och hälsa,Centrum för personcentrerad vård vid Göteborgs universitet (GPCC),External,Institute of Health and Care Sciences,University of Gothenburg Centre for person-centred care (GPCC),Trinity Western University,St. Paul's Hospital,University of Gothenburg
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- Larsdotter, Cecilia, 1968- (författare)
- Sophiahemmet Högskola
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- Carlsson, Eva, 1959 (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för vårdvetenskap och hälsa,Centrum för personcentrerad vård vid Göteborgs universitet (GPCC),Institute of Health and Care Sciences,University of Gothenburg Centre for person-centred care (GPCC),Sahlgrenska universitetssjukhuset,Sahlgrenska University Hospital,University of Gothenburg
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- Pettersson, Monica, 1963 (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för vårdvetenskap och hälsa,Centrum för personcentrerad vård vid Göteborgs universitet (GPCC),Institute of Health and Care Sciences,University of Gothenburg Centre for person-centred care (GPCC),University of Gothenburg,Sahlgrenska universitetssjukhuset,Sahlgrenska University Hospital
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- Kenne Sarenmalm, Elisabeth, 1956 (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för vårdvetenskap och hälsa,Centrum för personcentrerad vård vid Göteborgs universitet (GPCC),Extern,Institute of Health and Care Sciences,University of Gothenburg Centre for person-centred care (GPCC),External,University of Gothenburg,Skaraborgs Sjukhus,Skaraborg Hospital
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- Smith, Frida (författare)
- Chalmers tekniska högskola,Chalmers University of Technology
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- Nygren, Jonas (författare)
- Karolinska Institutet
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- Russell, Lara (författare)
- St. Paul's Hospital
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- Öhlén, Joakim, 1958 (författare)
- Gothenburg University,Göteborgs universitet,Institutionen för vårdvetenskap och hälsa,Centrum för personcentrerad vård vid Göteborgs universitet (GPCC),Institute of Health and Care Sciences,University of Gothenburg Centre for person-centred care (GPCC),Sahlgrenska universitetssjukhuset,Sahlgrenska University Hospital,University of Gothenburg
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(creator_code:org_t)
- 2023
- 2023
- Engelska.
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Ingår i: Acta Oncologica. - 0284-186X .- 1651-226X. ; 62:12, s. 1625-1634
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Abstract
Ämnesord
Stäng
- With an interest in providing knowledge for person-centred care, our overall goal is to contribute a greater understanding of diversity among patients in terms of their preparedness before and up to six months after colorectal cancer surgery. Our aim was to describe and provide a tentative explanation for differences in preparedness trajectory profiles.The study was explorative and used prospective longitudinal data from a previously published intervention study evaluating person-centred information and communication. The project was conducted at three hospitals in Sweden. Patient-reported outcomes measures, including the Longitudinal Preparedness for Colorectal Cancer Surgery Questionnaire, were collected before surgery, at discharge, and four to six weeks, three months, and six months after surgery. Clinical data were retrospectively obtained from patients' medical records. We used latent class growth models (LCGMs) to identify latent classes that distinguish subgroups of patients who represent different preparedness trajectory profiles. To determine the most plausible number of latent classes, we considered statistical information about model fit and clinical practice relevance. We used multivariable regression models to identify variables that explain the latent classes.The sample (N=488) comprised people with a mean age of 68years (SD = 11) of which 44% were women. Regarding diagnoses, 60% had colon cancer and 40% rectal cancer. The LCGMs identified six latent classes with different preparedness for surgery and recovery trajectories. The latent classes were predominantly explained by differences in age, sex, physical classification based on comorbidities, treatment hospital, global health status, distress, and sense of coherence (comprehensibility and meaningfulness).Contrary to the received view that emphasizes standardized care practices, our results point to the need for adding person-centred and tailored approaches that consider individual differences in how patients are prepared before and during the recovery period related to colorectal cancer surgery.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Cancer och onkologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cancer and Oncology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
Nyckelord
- Humans
- Female
- Aged
- Male
- Retrospective Studies
- Prospective Studies
- Comorbidity
- Communication
- Rectal Neoplasms Person-Centred Care
- health communication
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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Till lärosätets databas
- Av författaren/redakt...
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Sawatzky, Richar ...
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Larsdotter, Ceci ...
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Carlsson, Eva, 1 ...
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Pettersson, Moni ...
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Kenne Sarenmalm, ...
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Smith, Frida
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Nygren, Jonas
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Russell, Lara
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Öhlén, Joakim, 1 ...
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- Om ämnet
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Cancer och onkol ...
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Kirurgi
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Hälsovetenskap
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och Omvårdnad
- Artiklar i publikationen
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Acta Oncologica
- Av lärosätet
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Göteborgs universitet
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Chalmers tekniska högskola
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Sophiahemmet Högskola
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Karolinska Institutet