Background: Poor perineal wound healing and infections after proctectomy surgery, affect a significant proportion of physical and psychological morbidities such as pain, leakage and abscesses. In its lengthening some of these symptoms will lead to extended periods of hospitalization. These kind of postoperative complications are also associated with delays in eventual chemotherapy treatment Aim: To describe the patients experiences of postoperative wound infection as well as communication and self-care support from the nurse specialist after proctectomy due to rectal cancer. Method: A qualitative content analysis was carried out from interviews. Results: Four main categories emerged; ?Coping with postoperative complications?, ?be independent?, ?feel safe?, and ?accept the situation?.

IntroduktionDet är en livsomvälvande händelse både fysiskt och psykiskt att genomgå Rektumamputation på grund avrektalcancer. Det finns ingen tidigare kvalitativ forskning om upplevelser av vad det innebär för patienterna.Det behövs därför ökad kunskap för att på ett bättre sätt kunna förstå och ge omvårdnad till dessa patienter.SyfteSyftet med studien är att undersöka patienters upplevelser av vad det innebär att genomgå Rektumamputationpå grund av rektalcancer. Frågeställningar: Vilka symtom upplever patienterna efter operationen och hurpåverkas de av dessa, fysiskt, psykiskt och socialt? Förändras det dagliga livet efter operationen? Hur uppleverpatienterna sin kropp efter operationen?MetodMetoden är kvalitativ och utgår från ett fenomenologiskt hermeneutiskt och narrativt forskningsperspektiv. Enpilotstudie gjordes för att pröva metoden.

ABSTRACTBackground: People with colorectal cancer undergoing rectum amputation get a permanent colostomy, which affects the social life. It may be valuable for health care what these people experience living with colostomy in order to provide the greatest possible support. Objective: The aim of this study is to describe how people who received a colostomy experience their daily lives and the support they have received from the health services.Method: Qualitative interview study with six people, with a descriptive phenomenological approach.Results: The analysis of the interviews about how it's like to live with a colostomy resulted in three themes: 1) Living with a colostomy gives an uncertainty that affect the social life, 2) Physical and psychological impact of getting a colostomy and 3) Support for health care and relatives.Conclusion: Subjects had a positive attitude towards life, which contributed to that they could adjust to living with a colostomy and feel a meaningfulness of life. The study shows that all the interviewed people overall were satisfied with the information provided by the healthcare personnel. It was good with both oral and written information and very appreciated with repeated information. One aspect that could be improved was the information given aboute the closure of anus during surgery and the following complications.