Information needs for recovery after colorectal surgery: a patient focus group study

Chapman, Stephen J.; Czoski-Murray, Carolyn; Lonsdale, Maria dos Santos; Boyes, Sheila; Tiernan, James; Jayne, David

doi:10.1111/codi.15459

Cited by 7 publications

(12 citation statements)

References 13 publications

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“…inaccessible language) were key barriers to effective understanding. Patients explained that good information should (i) address individualized information needs; (ii) empower patients to take an active role in their recovery; (iii) provide support through meaningful education and signposting; and (iv) recognize patients' need for information after discharge [26]. Taken together with the present findings showing that patient involvement is uncommon, it is clear that patients must be equal partners in the development of effective information resources.…”

Section: Discussionmentioning

confidence: 86%

Patient education about recovery after colorectal surgery: systematic scoping review

et al. 2020

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Aim Enhanced recovery after surgery (ERAS) protocols aim to optimize recovery through a series of evidencebased recommendations. A key component of ERAS is the provision of patient education. Whilst the recommendation for this is strong, the evidence to inform its format, timing and delivery is unclear. The aim of this review was to describe previous educational interventions used to improve recovery after colorectal surgery and to explore opportunities for future research. Conclusions Patient education is generally advantageous, but there is insufficient evidence to optimize its design and delivery in the setting of colorectal surgery.

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Section: Discussionmentioning

confidence: 86%

Patient education about recovery after colorectal surgery: systematic scoping review

et al. 2020

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“…This result shows that the patients are very interested in this subject while the doctors and nurses do not care about this subject. When other studies in the literature are examined, it is seen that there is a significant difference in the opinions of nurses and patients in the information/learning requirements of the patients similar to the studies on learning requirements in discharge education (18,19) In addition, it was found in some studies that the nurses did not adequately meet the needs of the patients regarding the problems they experienced and the nurses did not have sufficient awareness in this front (6,8). This study was carried out to determine whether there were any differences between the priorities of the doctors, nurses and patient groups in the subjects of discharge training.…”

Section: Discussionmentioning

confidence: 68%

The Priorities of Discharge Training According to Lung Cancer Patients and Health Care Workers: A Descriptive Study

Uslusoy

Tezcan

Korkmaz

2021

Journal of Basic and Clinical Health Sciences

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INTRODUCTIONGlobally, lung cancer accounts for 11.6% and 18.4% of all cancer cases and deaths respectively1. In 2018, lung cancer accounted for 1.79 million deaths globally, with 2.09 million new cases diagnosed. (1). The chemotherapy used in cancer treatment aims to stop or eliminate the growth and proliferation of tumor cells without damaging the patient's normal cells. However, chemotherapeutic agents may cause side effects such as fatigue, sleep problems, nausea, vomiting, loss of appetite, suppression of bone marrow, alopecia, mucositis, skin problems, neurological problems, pain, eye problems and sexual dysfunctions. In addition, cancer treatment causes distress, pain and anxiety in individuals (2). Patients need training to cope with their diagnosis and treatment. An important part of patient education is discharge training. Discharge is a process starting ABSTRACT Purpose: This study was carried out to determine the discharge training priorities of lung cancer patients, their nurses and doctors after chemotherapy using the card-sorting technique. Methods:The study sample consisted of patients with lung cancer (n = 60) who received care in the Chemotherapy Clinic and nurses (n = 25) and doctors (n = 25) who give care to these patients. The data were collected using the sociodemographic information form and ten cards with discharge training related subjects who were asked to be ranked in order of importance. Frequency, percentage, arithmetic average, chi-square and Fisher's exact tests were used for data analysis.Results: As a result of the analyzes, it was determined that the average age of the patients was 61.91 ± 7.27, the average age of the doctors was 27.56 ± 1.78, and the average age of the nurses was 36 ± 6.52. It has been determined that there are differences between the doctors, nurses and patients in their ranking of the priority given to learning subjects in many aspects. In addition, while there was no significant difference between the patients' positioning the learning subjects according to their gender, it was determined that there was a significant difference according to the stage of cancer. Conclusion:According to these results, doctors and nurses should determine the primary learning needs of patients by using card sorting technique prior to training. In this way, it can be ensured that each patient / relative takes an active role in the management of the disease and that the education is more effective.

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“…Previous evidence has shown that active participation is a key motivator during recovery after surgery. 30 In contrast, there are several possible challenges associated with studying and implementing nVNS in this setting. First, patient self-administration requires adequate skill, understanding and compliance, which may be difficult in the post-operative setting.…”

Section: Discussionmentioning

confidence: 99%

“…Previous evidence has shown that active participation is a key motivator during recovery after surgery. 30 …”

Section: Discussionmentioning

confidence: 99%

Non-invasive, vagus nerve stimulation to reduce ileus after colorectal surgery: protocol for a feasibility trial with nested mechanistic studies

et al. 2021

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IntroductionIleus is a common and distressing condition characterised by gut dysfunction after surgery. While a number of interventions have aimed to curtail its impact on patients and healthcare systems, ileus is still an unmet challenge. Electrical stimulation of the vagus nerve is a promising new treatment due to its role in modulating the neuro-immune axis through a novel anti-inflammatory reflex. The protocol for a feasibility study of non-invasive vagus nerve stimulation (nVNS), and a programme of mechanistic and qualitative studies, is described.Methods and analysisThis is a participant-blinded, parallel-group, randomised, sham-controlled feasibility trial (IDEAL Stage 2b) of self-administered nVNS. One hundred forty patients planned for elective, minimally invasive, colorectal surgery will be randomised to four schedules of nVNS before and after surgery. Feasibility outcomes include assessments of recruitment and attrition, adequacy of blinding and compliance to the intervention. Clinical outcomes include bowel function and length of hospital stay. A series of mechanistic substudies exploring the impact of nVNS on inflammation and bowel motility will inform the design of the final stimulation schedule. Semistructured interviews with participants will explore experiences and perceptions of the intervention, while interviews with patients who decline participation will explore barriers to recruitment.Ethics and disseminationThe protocol has been approved by the Tyne and Wear South National Health Service (NHS) Research Ethics Committee (19/NE/0217) on 2 July 2019. Feasibility, mechanistic and qualitative findings will be disseminated to national and international partners through peer-reviewed publications, academic conferences, social media channels and stakeholder engagement activities. The findings will build a case for or against progression to a definitive randomised assessment as well as informing key elements of study design.Trial registration numberISRCTN62033341.

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Information needs for recovery after colorectal surgery: a patient focus group study

Abstract: The provision of information to patients undergoing colorectal surgery is strongly recommended in enhanced recovery guidelines.

Cited by 7 publications

References 13 publications

Patient education about recovery after colorectal surgery: systematic scoping review

Patient education about recovery after colorectal surgery: systematic scoping review

The Priorities of Discharge Training According to Lung Cancer Patients and Health Care Workers: A Descriptive Study

Non-invasive, vagus nerve stimulation to reduce ileus after colorectal surgery: protocol for a feasibility trial with nested mechanistic studies

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