Asian Oncol Nurs.  2014 Sep;14(3):191-201. 10.5388/aon.2014.14.3.191.

Development and Evaluation of Standardized Telephone Counseling Guidelines on Symptom Management for Patients Discharged after Colorectal Cancer Surgery

• Choi JY
• Kim SK
• An JY
• Kim GS

• KMID: 2269457
• DOI: http://doi.org/10.5388/aon.2014.14.3.191

Abstract

PURPOSE
This study was carried out to develop standardized telephone counseling guidelines regarding symptom management for patients discharged after colorectal cancer surgery, and to apply and assess it in practice in order to increase patient satisfaction and compliance level.
METHODS
Five frequent symptoms; pain, diarrhea, constipation, bowel obstruction and wounds were extracted by a preliminary survey.
RESULTS
For wound and bowel obstruction, the most frequent applied guideline was ER recommendation, and it was statistically significant (p<.002). The assessment result of guideline application (satisfaction rate, compliance rate and symptom resolution) shows an average satisfaction rate of 3.80 on a 4 point scale and all 6 cases which recommended immediate ER visits followed the guidelines.
CONCLUSION
According to the result of this study, the developed guidelines are worth while to increase patient satisfaction as well as to resolve symptoms.

Keyword

Colon Cancer; Telephone Counseling; Guidelines

MeSH Terms

Colonic Neoplasms
Colorectal Neoplasms*
Compliance
Constipation
Counseling*
Diarrhea
Humans
Patient Satisfaction
Telephone*
Wounds and Injuries

Figure

• 

  Fig. 1 Study proceedings.

Reference

1. National Statistical Office. Annual report of Cause of death statistics result in Korea in 2013. Accessed September 22, 2014. http://kosta.go.kr/wnsearch/search.jsp.

2. National Cancer Information Center. Annual report of New cancer generators statistics in Korea in 2012. Accessed December 26, 2013. http://www.cancer.go.kr/mbs/cancer/subview.jsp.

3. Korea Central Cancer Registry. Annual report of Rank of cancer statistics in Korea in 2011. Accessed December 26, 2013. http://www.cancer.go.kr/mbs/cancer/subview.jsp.

4. Park IS, Kim EM, Oh PJ, Kim SJ, Kim HJ, Kim BK, et al. Developing telephone guidelines for symptom management of cancer for out patients with cancer after chemotherapy. J Korean Clin Nurs Res. 2012; 18:317–328.

5. Lee EO, Kim JE, Park HA, Kwon IG. Development and evaluation of symptom management guidelines for cancer patients. J Korean Acad Adult Nurs. 2005; 17:208–218.

6. Lee SW, Lee EO, Huh DS, Noh KH, Kim HS, Kim SR, et al. The study on the medi cal and nursing service neeeds of the terminal cancer patients and their caregivers. J Korean Acad Nurs. 1998; 28:958–969.

7. Chung BY, Kim KH. Nursing needs and family burdens of caregivers who have had terminal cancer patients. J Kyungpook Nurs Sci. 2003; 7:63–82.

8. Hickey M, Newton S. Telephone triage for oncology nurses. Pittburgh, PA: Oncology Nursing Society;2005.

9. Sung JH, Kim MY, Hwang OH, Yoo HJ, Lee EJ. Pilot study on development of telecommunication guideline for symptom management of lung cancer patients. J Korean Oncol Nurs. 2010; 10:218–230.

10. Ju AR, Yeoum SG, Park KS. The nursing needs of post-surgical colon cancer patients at discharge. J Korean Acad Fundam Nurs. 2009; 16:392–401.

11. Park YH. Liver/Biliary tract/Pancreas-surgery. Seoul: medicinemunhwasa Publishing Co;2006.

12. Kim GH, Park KS. Practice of telephone counseling. Seoul: Samwon Publishing Co;1993.

13. Field MJ, Lohr KN. Clinical practice guidelines: directions for a new program. Washington, D. C.: National Academy Press;1990.

14. Polit DF, Beck CT, Owen SV. Is the CVI an acceptable indicator of content validity? Appraisal and recommendations. Res Nurs Health. 2007; 30:459–467.