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

Abstract

연구의 필요성세계적으로Purpose: 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.

Nurses’ and patients’ perceptions of privacy protection behaviours and information provision

“…However, to verify the difference between the relevant variables, future research should include multidimensional variables related to individual characteristics, disease-related characteristics, environmental characteristics of medical institutions and general characteristics of nurses and patients. 34…”

“…The nurses’ and patients’ recognition of the importance of discharge plans was slightly lower, and in the case of the patients, performance was unusually higher than importance. 33,34 This finding might have resulted from a reduction in patient satisfaction because the discharge education currently conducted at the clinical site is implemented based on the educational needs identified by nurses in accordance with formal procedures, as opposed to their proper identification in collaboration with patients. Therefore, nurses should provide truthful information that can satisfy patients by evaluating their individualised educational needs before discharge and providing specific information about plans after discharge.…”

A Structural Model of Quality of Life in Patients after Colorectal Cancer Surgery

“…The results of this study were consistent with previous studies [ 12 , 27 ], which reported that the more symptoms experienced, the lower the quality of life. The subjects of this study mainly showed high symptoms such as fatigue, pain, constipation, diarrhea, and distress, which are common symptoms after colorectal cancer surgery [ 42 ]. The symptom experience was similar.…”