The unmet rehabilitation needs of colorectal cancer survivors after surgery - qualitative meta-synthesis

Sep 21, 2026

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This study aims to systematically review and synthesize qualitative research on the unmet rehabilitation needs of colorectal cancer (CRC) survivors after surgery. A qualitative meta-synthesis was registered with PROSPERO and conducted through systematic searches of CNKI, Wanfang Data, PubMed, Scopus, Embase, Cochrane, Medline, PsychINFO, and CINAHL from inception to September 2022. Fourteen studies were included and 49 unmet needs were extracted, then organized into 15 categories across six integrated findings.

LanguageEnglish

CategoryResearch & Report

FormatPDF

Pages14

Reading Time35 min

AccessFree to download

Abstract

Aim

Design

Methods

Results

Introduction

Background and prevalence

Unmet needs across stages of treatment

Rationale for qualitative meta-synthesis

Received: 17 May 2023 | Revised: 28 October 2023 | Accepted: 9 November 2023 DOI: 10. 1002/nop2 .2051 Q UAL ITAT IVE M ETA SYNT H ES IS The unmet rehabilitation needs of colorectal cancer survivors after surgery: A qualitative meta-synthesis Yingying Yi1 | Yinhao Yang1 | Xixi Shi2 | Xueqin Yang2 1School of Nursing, Hubei University of Medicine, Shiyan, China 2Institute of Cancer Clinical Prevention and Control & Medical Department of Jingchu University of Technology, Jingmen, China Correspondence Xueqin Yang, Institute of Cancer Clinical Prevention and Control & Medical Department of Jingchu University of Technology, No. 33 Xiangshan Road, Jingmen, Hubei, China. [Email:](Email: yxqjenny@126.com)[ yxqjenny@126.com](Email: yxqjenny@126.com) Funding information The Outstanding Young and Middle-aged Scientific and Technological Innovation Team Program of the Colleges and Universities in Hubei Province, Grant/ Award Number: No.T201819; the Jingmen City Key Science and Technology Plan Project of China, Grant/Award Number: No.2022YFZD053; the Joint Training Graduate Research Special Fund Project in Jinchu University of Technology, Grant/ Award Number: No.YJS202320 Abstract Aim: To systematically review and synthesize the findings of qualitative research on the unmet rehabilitation needs of colorectal cancer survivors (CRC) after surgery. Design: A qualitative meta-synthesis registered with PROSPERO (CRD42022368837) . Methods: CNKI, Wanfang Data, PubMed, Scopus, Embase, Cochrane, Medline, PsychINFO and CINAHL were systematically searched for qualitative studies on the rehabilitation needs of CRC survivors after surgery from the inception of each database to September 2022. Results: A total of 917 relevant reports were initially collected and 14 studies were finally included. A total of 49 needs were extracted and divided into 15 categories in 6 integrated findings: (1) the need to adopt healthy eating habits; (2) the need for exercise motivation and exercise guidance; (3) the conflicting needs to return to work;(4) unaddressed physiological needs; (5) spiritual needs; (6) the need for multi-dimensional social support. Patient or Public Contribution: Not applicable. K E Y WO R D S colorectal cancer, evidence-based nursing, meta-synthesis, needs, qualitative research, survivors 1 | INTRODUCTION Colorectal cancer (CRC) is a prevalent malignant tumour in the digestive tract, mainly consisting of colon cancer and rectal cancer. According to the latest information from the International Agency for Research on Cancer (IARC) (Sung et al., 2021), there were about 1.93 million new cases of CRC and 0.94 million new deaths in 2020. This means that there is one person diagnosed with CRC every 16s, and one person dies of CRC every 33s. The high incidence and high mortality of CRC pose a serious threat to human health, especially in developing countries and low-income regions. Although the advancement of screening, diagnosis and treatment technologies the number of CRC survivors has increased, who still face challenges such as recurrence, metastasis, sequelae and a decline in quality of life (Siegel et al., 2020). CRC survivors have various needs during different stages of treatment, including need in the emotional, economic, informational and symptom management aspects (Contri et al., 2023). The study of Vu et al. (2019) showed that more than 74% CRC survivors have at least one or more unmet needs. Many studies have revealed that stoma management is the most crucial need for CRC survivors (Carville et al., 2022; Mo et al., 2022). Lim et al. (2022) and Brown et al. (2016) reported that CRC survivors needed information on diet, exercise and work. Ho et al. (2016) identified that CRC survivors need the social support and need to overcome psychological barriers. Blum-Barnett This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use an

FAQs

What was the study’s objective regarding colorectal cancer survivors after surgery?

To systematically review and synthesize qualitative findings about the unmet rehabilitation needs of colorectal cancer survivors after surgery.

Which databases were searched to identify qualitative studies?

CNKI, Wanfang Data, PubMed, Scopus, Embase, Cochrane, Medline, PsychINFO, and CINAHL were searched from inception to September 2022.

What kinds of integrated unmet needs were identified in the results?

The synthesis grouped 49 extracted needs into 15 categories across six integrated findings, including needs related to healthy eating, exercise motivation and guidance, work return conflicts, unaddressed physiological needs, spiritual needs, and multidimensional social support.

Sep 21, 2026

Uploaded by Jiven