Korean Nurses' Knowledge about Hereditary Colorectal Cancer

Kyung Sook Choi; Hack Sun Kim; Jung Ae Park; Joohyun Lee

doi:10.5388/jkon.2011.11.2.147

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Choi, Kim, Park, and Lee: Korean Nurses' Knowledge about Hereditary Colorectal Cancer

Original Article

Journal of Korean Oncology Nursing

Journal of Korean Oncology Nursing 2011; 11(2): 147-154.

Published online: 31 August 2011

DOI: https://doi.org/10.5388/jkon.2011.11.2.147

Korean Nurses' Knowledge about Hereditary Colorectal Cancer

Kyung Sook Choi¹, Hack Sun Kim², Jung Ae Park³, Joohyun Lee²

¹Professor, Department of Nursing, Chung-Ang University, Seoul, Korea.

²Researchers, Research Institute of Nursing Science, Chung-Ang University, Seoul, Korea.

³Full-time Lecturer, Department of Nursing, Jinju Health College, Jinju, Korea.

Address reprint requests to: Lee, Joohyun. Research Institute of Nursing Science, Chung-Ang University, 221 Heukseok-dong, Dongjak-gu, Seoul 156-756, Korea. Tel: +82-010-9956-3614, Fax: +82-2-824-7961, leejoohyun@hanmail.net

Received 22 June 2011 Accepted 4 August 2011

Abstract

Purpose

This study was performed to evaluate Korean nurses' knowledge about hereditary colorectal cancer (HCRC).

Methods

A modified 15-item HCRC knowledge questionnaire was developed based on previous research. One hundred and forty-eight nurses have completed the questionnaire from February to April, 2011.

Results

The average score of nurses' knowledge was 11.25±1.54. Ninety-seven percent of nurses knew about colonoscopy check up schedule and family pedigree. However, only 20% of nurses knew about the rate of passing on mutation genes to offspring and risk of developing CRC among carriers. Only 13.5% of nurses had previous genetic education experiences. Working in oncology units, taking care of CRC patients, and participating in genetic education were not associated with nurses' HCRC knowledge.

Conclusion

Various factors influence nurses' knowledge about HCRC. Repeated study with larger national sample of nurses is recommended to identify the factors affecting nurses' knowledge level in order to develop efficient genetic education programs for HCRC patients and their families by nurses.

Keywords: Hereditary nonpolyposis colorectal cancer, Knowledge, Nurses

Figures and Tables

Table 1

General Characteristics of Nurses (N=148)

^*Missing values exist.

Table 2

Genetics and CRC Related Characteristics of Nurses (N=148)

^*Missing values exist.

CRC, colorectal cancer.

Table 3

Nurses' Knowledge Scores of HCRC (N=148)

HCRC, hereditary colorectal cancer; MMR, mismatch repair gene; HNPCC, hereditary nonpolyposis colorectal cancer; APC. adenomatous polyposis coli; FAP, family adenomatous polyposis.

Table 4

Knowledge of HCRC According to Nurses' Characteristics (N=148)

^*Missing values exist.

HCRC, hereditary colorectal cancer.

Notes

This work was supported by the National Research Foundation of Korea funded by the Korea government (2010-0024060).

References

1. National Cancer Statistics. National Cancer Information Center. 2010. accessed 25 May 2011. Available at: http://www.cancer.go.kr/cms/statics/survival_rate/index.html/.

2. Kim DW. Hereditary colorectal cancer. J Genet Med. 2010. 7:24–36.

3. Lynch HT, de la Chapelle A. Hereditary colorectal cancer. N Engl J Med. 2003. 348:919–932.

4. Hampel H, Frankel WL, Martin E, Arnold M, Khanduja K, Kuebler P, et al. Screening for the Lynch syndrome (hereditary nonpolyposis colorectal cancer). N Engl J Med. 2005. 352:1851–1860.

5. Aarnio M, Mecklin JP, Aaltonen LA, Nyström-Lahti M, Järvinen HJ. Lifetime risk of different cancers in hereditary nonpolyposis colorectal cancer. Int J Cancer. 1995. 64:430–433.

6. Soravia C, Berk T, Cohen Z. Genetic testing and surgical decision making in hereditary colorectal cancer. Int J Colorectal Dis. 2000. 15:21–28.

7. Masny A, Daly M, Ross E, Balshem A, Gillespie D, Weil SA. A training course for oncology nurses in familial cancer risk assessment: evaluation of knowledge and practice. J Cancer Educ. 2003. 18:20–25.

8. Choi JY, Kim HJ. A study on genetic counseling curriculum, accreditation of the training program, and the certification process of genetic counselors in Korea. J Genet Med. 2009. 6:38–55.

9. Peterson SK, Rieger PT, Marani SK, deMoor C, Gritz ER. Oncology nurses' knowledge, practice, and educational needs regarding cancer genetics. Am J Med Genet. 2001. 98:3–12.

10. Jun MH, Choi KS, Ahn SH, Gu BK. Experiences of breast cancer women undertaking genetic test. J Korean Oncol Nurs. 2005. 5:146–158.

11. Gritz ER, Peterson SK, Vernon SW, Marani SK, Baile WF, Watts BG, et al. Psychological impact of genetic testing for hereditary nonpolyposis colorectal cancer. J Clin Oncol. 2005. 23:1902–1910.

12. Greco K, Anderson G. Readdressing policy in cancer genetics: moving toward transdisciplinary teams. Policy Polit Nurs Pract. 2006. 3:129–139.

13. Choi KS, Jun MH, Anderson G. The first Korean cancer genetic counseling program for nurses. J Korean Acad Soc Nurs Educ. 2006. 12:104–114.

14. Choi KS, Jun MH, Ahn SH, Anderson G. Implementing and evaluating a nurse led hereditary cancer genetics educational program in a Korean breast cancer surgery clinic. J Korean Acad Adult Nurs. 2008. 20:815–828.

15. Choi KS, Jang ES, Jun MH, Jung JY, Park JA. The effect of the cancer genetic education program for nurses. J Korean Oncol Nurs. 2010. 10:240–246.

16. Domanska K, Carlsson C, Bendahl P, Nilbert M. Knowledge about hereditary colorectal cancer mutation carriers and physicians at equal levels. BMC Med Genet. 2009. 10:30.

17. Aktan-Collan K, Haukkala A, Mecklin JP, Uutela A, Kääriäinein H. Psychological consequences of predictive genetic testing for hereditary non-polyposis colorectal cancer (HNPCC): A prospective follow-up study. Int J Cancer. 2001. 93:608–611.

18. Kinney AY, Choi YA, DeVellis B, Millikan R, Kobetz E, Sandler RS. Attitudes toward genetic testing in patients with colorectal cancer. Cancer Pract. 2000. 8:178–186.

19. Brain K, Gray J, Norman P, France E, Anglim C, Barton G, et al. Randomized trial of specialist genetic assessment service for familial breast cancer. J Natl Cancer Inst. 2000. 92:1345–1351.

20. Choi KS, Jun MH, Tae YS, So HS, Eun Y, Suh SR, et al. The knowledge of hereditary breast cancer in Korean nurses. J Korean Acad Soc Nurs Educ. 2006. 12:272–279.

21. Choi KS, Jun MH, Tae YS, So HS, Eun Y, Hur MH, et al. Physicians' knowledge about hereditary breast cancer in South Korea. J Korean Acad Soc Nurs Educ. 2007. 13:105–113.

22. Ku BK. Comparison of knowledge according to the risk of hereditary breast cancer. 2006. Seoul: Ewha Womans Univ.;[thesis].

23. Kozma C, Lapham V, Weiss J. Health professionals' knowledge of the Human Genome Project and genetic issues: the need for continuing education. Am J Hum Genet. 1996. 59:A169.

24. Lynch PM. New issues in genetic counseling of hereditary colon cancer. Clin Cancer Res. 2007. 13:6857s–6861s.

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