Dr. Syed Muhammad Hasan Jilani, Dr. Shahrukh Fatima, Dr. Ume Ammara Wahid
Introduction: Colorectal cancer (CRC) is one of the most prevalent cancers and causes of cancer-related mortality in developed countries, with over 1.3 million new cancer cases and 694,000 deaths estimated to have occurred in 2012 worldwide in 2012. Objectives of the study: The main objective of the study is to find the sources of distress among patients undergoing surgery for colorectal cancer in Pakistan. Material and Methods: This cross-sectional study was conducted at Allama Iqbal Memorial Teaching Hospital, Sialkot during June 2019 to January 2020. This study was done with the permission of ethical committee of hospital and with the permission of patients. Total 50 patients of colorectal cancer were selected for this study. Patients were included for analysis if they had pathology-confirmed diagnosis of colorectal cancer and had recently undergone (postoperative) or were about to undergo (preoperative) curative resection for colorectal cancer. Results: All participants reported experiencing distress during treatment. Participants identified sources of distress preoperatively (negative emotional reaction to diagnosis, distress from preconception of cancer diagnosis, and distress interacting with healthcare system). Sources of distress during in-hospital recovery included negative emotional reaction to having a surgery and negative emotions experienced in the hospital. Conclusion: It is concluded that psychological distress is a common factor among cancer patients. Our results highlight a potential role for a comprehensive screening program to identify which patients require assistance with addressing sources of distress during the surgical experience.