Asian Oncol Nurs.  2013 Dec;13(4):313-321. 10.5388/aon.2013.13.4.313.

Cancer Worry Experiences among Colorectal Cancer Patients and Families who have a Family History of Colorectal Cancer

• Choi KS
• Jun M

• KMID: 2269490
• DOI: http://doi.org/10.5388/aon.2013.13.4.313

Abstract

PURPOSE
This study aims to understand the worries that patients and families with a history of colorectal cancer experience.
METHODS
From January 2011 through January 2013, in-depth interviews and observations were conducted on 3 colorectal patients and 8 family members with a family history of colorectal cancer. The data were analyzed using a micro-ethnographic research method.
RESULTS
After colorectal cancer patients and families realized and concerned with their increased chance of getting cancer, Eventually this worry became a motivator causing them to adhere to cancer preventive behavior. Three types of cancer worries were identified: confrontation, uneasiness, and warning. Depending on the type of cancer risk, psychological responses and cancer preventive behavior were found to be varied according on the three types of cancer worries. Patients and families tried to change dietary habits and regulary exercise. To help ease their cancer worries, they started to search for information on colon cancers and attempted to follow recommendations. However, they found that neither detailed guidelines nor systematic management from health professionals existed for families with colon cancer patients.
CONCLUSION
A cancer prevention nursing program needs to be developed based on the level of cancer risk and perceived cancer worries of clients.

Keyword

Colorectal Neoplasms; Early Detection of Cancer; Prevention & Control; Family

MeSH Terms

Colonic Neoplasms
Colorectal Neoplasms*
Early Detection of Cancer
Food Habits
Health Occupations
Humans
Methods
Nursing

Reference

1. National Institute of Health. Colorectal Cancer Risk Prediction Models. Accessed February 24, 2013. Available from: http://epi.grants.cancer.gov/cancer_risk_prediction/colorectal.html.

2. Choi KS, Jun JK, Lee HY, Hahm MI, Oh JH, Park EC. Increasing uptake of colorectasl cancer screening in Korea: a population-based study. BMC Public Health. 2010; 10:265.

3. Jun M, Choi KS, Shin G. Current issues and tasks of genetic cancer nursing in Korea. Asian Oncol Nurs. 2012; 12(4):267–273.

4. Kim DW. Hereditary colorectal cancer. J Genet Med. 2010; 7:24–36.

5. McBride CM, Koehly LM, Sanderson SC, Kaphingst K. The behavioral response to personalized genetic information: will genetic risk profiles motivate individuals and families to choose more healthful behaviors? Annu Rev Public Health. 2010; 31:89–103.

6. Park JA. Survival journey of patients with colorectal cancer surgery [dissertation]. Seoul: Chung-Ang Univ.;2011.

7. Consedine NS, Magai C, Krivoshekova YS, Ryzewicz L, Neugut AI. Fear, anxiety, worry and breast cancer screening behavior: a critical review. Cancer Epidemiol Biomarkers Prev. 2004; 13:501–510.

8. Gladstone G, Parker G. What's the use of worrying? Its function and its dysfunction. Aust N Z J Psychiatry. 2003; 37:347–354.

9. Witte K. Fear as motivator, fear as inhibitor: using the extended parallel process mode to explain fear appeal successes and failures. In : Anderson PA, Guerrero LK, editors. Handbook of communication and emotion. Research, theory, application and contexts. San Diego, CA US: Academic Press;1998. p. 423–450.

10. Cameron LD, Marteau TM, Brown PM, Klein WMP, Sherman KA. Communication strategies for enhancing understanding of the behavioral implications of genetic and biomarker tests for disease risk: the role of coherence. J Behav Med. 2011; 35(3):286–298.

11. Anderson G, Jun MH, Choi KS. Communication patterns in Korean families during BRCA genetic testing. J Korean Oncol Nurs. 2011; 11(3):193–202.

12. Ropper J, Shapira J. Ethnography in nursing research. London: Sage Publication;2000.

13. Agar M. The professional stranger. Orlando, FL: Academic Press;1980.

14. Mannen JV. Tales of the field: on writing ethnography. Chicago: University of Chicago Press;1988.

15. American Cancer Society. American Cancer Society recommendations for colorectal cancer early detection. Accessed Feb 23, 2013. http://www.cancer.org/cancer/colonandrectumcancer/moreinformation/colonandrectumcancerearlydetection/colorectal-cancer-early-detection-acs-recommendations.

16. McBride CM, Puleo E, Pollak KI, Clipp EC, Woolford S, Emmons KM. Understanding the role of cancer worry in creating a "teachable moment" for multiple risk factor reduction. Soc Sci Med. 2008; 66(3):790–800.

17. McBride CM, Emmons KM, Lipkus IM. Understanding the potential of reachable moments: the case of smoking cession. Health Educ Res. 2003; 18(2):156–170.

18. Navigenics. Applying preventive gnenomic medicine in clinical medicine. Accesssed February 23, 2013. http://www.navigenics.com/static/pdf/physician/physicianwhitepaper.pdf.

19. National Cancer Institute. 2010 annual statistics of National Cancer registry. Accessd February 24, 2013. http://cancer.go.kr/nciapps/fcatalog/ecatalog.jsp?Dir=104.

20. Harvard School of Public Health. Disease risk index. 2008. Accessed February 24, 2013. http://www.diseaseriskindex.harvard.edu.

21. Treacy J, Mayer D. Perceptives on cancer patient education. Semin Oncol Nurs. 2000; 16(1):47–56.

22. Johnson JE, Lauver DR, Nail LM. Process of coping with radiation therapy. J Consult Clin Psychol. 1989; 57:358–364.

23. Jun MH, Choi KS, Ahn SH, Gu BK. Experiences of high-risk breast cancer women undertaking genetic test. J Korean Oncol Nurs. 2005; 5:146–169.

24. Choi KS, Jun MH, Anderson G. Experiences of Korean-American women with high risk hereditary breast cancer. Asian Oncol Nurs. 2012; 12(2):175–185.

25. International Society of Nursing Genetics. What is a genetic nurse? Accessed February 23, 2013. http://www.isong.org/documents/GeneticsNursebrochurepublic3-Nov11.pdf.

26. Oncology Nursing Society. Oncology nursing: the application of cancer genetics and genomics throughout the oncology care continuum. Accessed February 23, 2013. http://www.ons.org/Publications/Positions/HealthCarePolicy.

27. Choi KS, Kim HS, Park JA, Lee JH. Korean nurses' knowledge about hereditary colorectal cancer. J Korean Oncol Nurs. 2011; 11(2):147–154.