[Chemotherapeutic side effects in colon cancer. A qualitative study from the point of view of those affected]

Chemotherapeutic side effects in colon cancer. A qualitative study from the point of view of those affected Abstract. Background: Colon cancer is a common disease in industrialized countries. The combination of surgery, chemo- and / or target therapies leads to physical, psychological and social changes in everyday life. Those affected are confronted with uncertainty, transience and loss of control. It is not clear which strategies are used by those affected to promote self-management. Objective: To identify coping strategies that individuals with stage III and IV colon cancer develop in dealing with the disease and its symptoms as well as the side effects of chemotherapy. Methods: A qualitative-descriptive design with guideline-based interviews was chosen. Data analysis was performed inductively by means of "initial coding" using four process steps for category development. Results: Eleven people affected report the loss of autonomy and control in everyday life. They experience their own finiteness and personal limits. Those affected develop strategies to compensate for the increasing loss of control and dependency. They look for expertise and try to maintain normality and everyday life. Their experience oscillates between "fear and hope". Conclusions: For people with colon cancer, hope is an important coping strategy. Person-centred counselling throughout the treatment process help people cope with their chronic condition.