Asian Oncol Nurs.  2016 Sep;16(3):132-138. 10.5388/aon.2016.16.3.132.

Effects of a Navigation Program for Patients with Newly Diagnosed Gastric Cancer: A Randomized Controlled Trial

Affiliations
  • 1Department of Nursing, Asan Medical Center, Seoul, Korea.
  • 2Department of Clinical Nursing, University of Ulsan, Seoul, Korea. pjyun@ulsan.ac.kr

Abstract

PURPOSE
This study was to identify how a navigation program would affect resilience, uncertainty and anxiety in patients with newly diagnosed gastric cancer.
METHODS
A randomized controlled design was used with 103 participants recruited and randomly allocated in two groups. The experimental group (n=50) received the navigation program, which consisted of information provisions and psychological support, prior to treatment. The control group (n=53) received standard care with general educational intervention only prior to treatment. Collected data were analyzed using SPSS for Windows.
RESULTS
Compared with the control group, patients in the navigation program group showed signicant reduction in scores for anxiety (F=5.86, p<.017). However uncertainty (F=0.22, p=.642) and resilience (F=1.06, p=.503) were not signicantly different.
CONCLUSION
These results suggest that the navigation program has positive effects on anxiety in patients with newly diagnosed gastric cancer. We suggest that further studies be conducted to investigate other strategies for increasing the resilience and reducing the uncertainty of these patients.

Keyword

Stomach Neoplasms; Navigation Program; Anxiety; Uncertainty; Resilience

MeSH Terms

Anxiety
Humans
Stomach Neoplasms*
Uncertainty

Figure

  • Fig. 1 Study Design.


Cited by  1 articles

Effects of Mobile Navigation Program in Colorectal Cancer Patients based on Uncertainty Theory
Kyengjin Kim, Wanju Park
J Korean Acad Nurs. 2019;49(3):274-285.    doi: 10.4040/jkan.2019.49.3.274.


Reference

1. Jung KW, Won YJ, Kong HJ, Oh CM, Cho HS, Lee DH, et al. Cancer statistics in Korea: incidence, mortality, survival, and prevalence in 2012. Cancer Res Treat. 2015; 47(2):127–141.
Article
2. Oh PJ. Correlation between mental adjustment to cancer and anxiety. J Korean Oncol Nurs. 2009; 9(1):23–30.
3. Burgess C, Cornelius V, Love S, Graham J, Richards M, Ramirez A. Depression and anxiety in women with early breast cancer: five year observational cohort study. BMJ. 2005; 330(7493):702.
Article
4. Wi ES, Yong J. Distress, depression, anxiety, and spiritual needs of patients with stomach cancer. Asian Oncol Nurs. 2012; 12(4):314–322.
Article
5. Mishel MH. Uncertainty in illness. J Nurs Scholarsh. 1988; 20(4):225–232.
Article
6. Chung C, Kim MJ, Rhee MH, Do HG. Functional status and psychosocial adjustment in gynecologic cancer patients receiving chemotherapy. Korean J Women Health Nurs. 2005; 11(1):58–66.
Article
7. Luthar SS, Cicchetti D, Becker B. The construct of resilience: a critical evaluation and guidelines for future work. Child Dev. 2000; 71(3):543–562.
Article
8. Baek HS, Lee KU, Joo EJ, Lee MY, Choi KS. Reliability and validity of the Korean version of the connor-davidson resilience scale. Psychiatry Investig. 2010; 7(2):109–115.
Article
9. Suh EE, Park Y, Kim S. The patients’ experiences of the diagnosis and pre-treatment period of breast cancer. J Korean Acad Fundam Nurs. 2008; 15(4):495–503.
10. Cleeland CS. Symptom burden: multiple symptoms and their impact as patient-reported outcomes. J Natl Cancer Inst Monogr. 2007; 37:16–21.
Article
11. Freeman HP, Rodriguez RL. History and principles of patient navigation. Cancer. 2011; 117(S15):3539–3542.
Article
12. Campbell C, Craig J, Eggert J, Bailey-Dorton C. Implementing and measuring the impact of patient navigation at a comprehensive community cancer center. Oncol Nurs Forum. 2010; 37(1):61–68.
Article
13. Fillion L, Cook S, Veillette AM, Aubin M, de Serres M, Rainville F, et al. Professional navigation framework: elaboration and validation in a Canadian context. Oncol Nurs Forum. 2012; 39(1):58–69.
Article
14. Ferrante JM, Chen PH, Kim S. The effect of patient navigation on time to diagnosis, anxiety, and satisfaction in urban minority women with abnormal mammograms: a randomized controlled trial. J Urban Health. 2008; 85(1):114–124.
Article
15. Pedersen AE, Hack TF. The British Columbia Patient Navigation Model: a critical analysis. Oncol Nurs Forum. 2011; 38(2):200–206.
Article
16. Kwon IG, Hong JY, Baek HJ, Kim S, Nam SJ, Kim IR, et al. Development and evaluation of a navigation program for newly diagnosed cancer patients. J Korean Clin Nurs Res. 2012; 18(1):111–125.
17. Spielberger CD. State Trait Anxiety Inventory: Wiley Online Library. 2010.
18. Hahn DW, Lee CH, Chon KK. Korean adaptation of Spielberger’s STAI (K-STAI). Korean J Health Psychol. 1996; 1(1):1–14.
19. Connor KM, Davidson JR. Development of a new resilience scale: the Connor-Davidson resilience scale (CD-RISC). Depress Anxiety. 2003; 18(2):76–82.
Article
20. Han MS, Lee KY. The effect of back massage on degree of pain, state anxiety and quality of sleep of postoperative patients with gastrectomy. Asian Oncol Nurs. 2012; 12(1):69–76.
Article
21. Lee KE, Lee YE. The relationship between the spiritual health, anxiety and pain in hospitalized cancer patients. Korean J Hosp Palliat Care. 2015; 18(1):25–34.
Article
22. Faller H, Koch GF, Reusch A, Pauli P, Allgayer H. Effectiveness of education for gastric cancer patients: a controlled prospective trial comparing interactive vs. lecture-based programs. Patient Educ Couns. 2009; 76(1):91–98.
23. Kwak SY, Byeon YS. Factors influencing resilience of patients with hematologic malignancy. Korean J Adult Nurs. 2013; 25(1):95–104.
Article
24. Lee EK. A study on factors affecting cancer patients. J Korean Acad Soc Nurs Educ. 2007; 13(1):52–58.
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