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

Jin Young Choi; Sook Kyeung Kim; Ji Yeon An; Gu Seul Kim

doi:10.5388/aon.2014.14.3.191

Journal List > Asian Oncol Nurs > v.14(3) > 1081811

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Choi, Kim, An, and Kim: Development and Evaluation of Standardized Telephone Counseling Guidelines on Symptom Management for Patients Discharged after Colorectal Cancer Surgery

Original Article

Asian Oncology Nursing 2014; 14(3): 191-201.

Published online: 30 September 2014

DOI: https://doi.org/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

Jin Young Choi, Sook Kyeung Kim, Ji Yeon An, Gu Seul Kim

National Cancer Center, Goyang, Korea.

Address reprint requests to: Choi, Jin Young. National Cancer Center, 323 Ilsan-ro, Ilsandong-gu, Goyang 410-769, Korea. Tel: +82-31-920-0102, Fax: +82-31-920-0109, stellar110@ncc.re.kr

Received 29 January 2014 Accepted 26 September 2014

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Keywords: Colon Cancer, Telephone Counseling, Guidelines

Figures and Tables

Fig. 1

Study proceedings.

Table 1

General and Clinical Characteristics (N=50)

Table 2

The Status of Symptoms Inquiry by Duration of Hospital Stay and Duration of Phone Inquiry after Discharge (N=50)

Table 3

The Proportion of Instructions according to Symptoms inquiry (N=50)

Table 4

Evaluation for Guidelines-Satisfactions, Compliance, Symptom resolution (N=50)

Table 5

Satisfaction by Compliance and Symptom resolution (N=50)

Appendix

GUIDELINE

References

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