The Effect of a Discharge Education Program for Readmitted Chemotherapy Patients on Compliance with Sick Role Behavior and Educational Satisfaction

Su-Ol Kim; Mi-Hee Park; So-Myeong Kim

doi:10.5388/aon.2015.15.3.156

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Kim, Park, and Kim: The Effect of a Discharge Education Program for Readmitted Chemotherapy Patients on Compliance with Sick Role Behavior and Educational Satisfaction

Original Article

Asian Oncology Nursing 2015; 15(3): 156-162.

Published online: 30 September 2015

DOI: https://doi.org/10.5388/aon.2015.15.3.156

The Effect of a Discharge Education Program for Readmitted Chemotherapy Patients on Compliance with Sick Role Behavior and Educational Satisfaction

Su-Ol Kim¹, Mi-Hee Park², So-Myeong Kim³

¹Graduate School of Nursing, Ewha Womans University, Seoul, Korea.

²Graduate School of Nursing, KyungHee University College of Nursing Science, Seoul, Korea.

³Department of Nursing, Yeungnam University College, Daegu, Korea.

Address reprint requests to: Kim, Su-Ol. Graduate School of Nursing, Ewha Women University, 52 Ewhayeodae-gil, Seodaemun-gu, Seoul 03760, Korea. Tel: +82-54-854-0563, Fax: +82-54-823-2884, teddy627@hanmail.net

Received 5 July 2015 Revised 18 August 2015 Accepted 16 September 2015

(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 designed to evaluate the effects of a discharge education program for hospitalized readmitted patients with chemotherapy-in terms of sick role behavior and educational satisfaction.

Methods

The data were collected with a nonequivalent control group non-synchronized design and were analyzed with a nonequivalent control group pre-posttest design. The subjects included 49 patients with cancer, 25 in the experimental group, and 24 in the control group. Data were analyzed with spss win 21, χ²-tests, paired t-tests, and independent t-tests.

Results

The experimental group was educated according to their needs at discharge, and they showed higher compliance with sick role behavior.

Conclusion

To improve compliance with sick role behavior, readmitted hematologic neoplasms chemotherapy patients should receive discharge education according to their needs at the clinic by using an educational manual.

Keywords: Chemotherapy, Education, Hematologic Neoplasms, Patient Satisfaction, Sick Role

Figures and Tables

Table 1

Homogeneity Test of General Characteristic

Characteristic	Categories	Exp. (n=25)	Cont. (n=24)	X² or t	p
Characteristic	Categories	n (%) or M ± SD	n (%) or M ± SD	X² or t	p
Gender	M	13 (52.0)	13 (54.2)	0.02	.879
Gender	F	12 (48.0)	11 (45.8)	0.02	.879
Age (year)	< 20	0 (0.0)	2 (8.2)	- 1.25	.217
	20~29	3 (12.0)	1 (4.2)
	30~39	2 (8.0)	1 (4.2)
	40~49	3 (12.0)	9 (37.5)
	50~59	5 (20.0)	4 (16.7)
	≥ 59	12 (48.0)	7 (29.2)
		55.1 ± 15.1	49.6 ± 15.7
Marriage	Yes	18 (78.3)	20 (83.3)	0.09	.763
Marriage	No	7 (21.7)	4 (16.7)	0.09	.763
Education	Elementary school	4 (16.0)	1 (4.1)	4.50	.212
	Middle school	2 (8.0)	0 (0.0)
	High school	10 (40.0)	10 (41.7)
	≥ College	9 (36.0)	13 (54.2)
Care giver	Spouse, child	18 (81.8)	21 (91.3)	4.64	.460
Care giver	Self, other	7 (18.2)	3 (8.7)	4.64	.460
Diagnosis	Malignant lymphoma	9 (36.0)	13 (54.2)	6.47	.372
	Multiple myeloma	5 (20.0)	2 (8.3)
	Chronic myelogenous leukemia	3 (12.0)	4 (16.6)
	Acute myelogenous leukemia	3 (12.0)	1 (4.2)
	Myelodysplasia	2 (8.0)	1 (4.2)
	Acute lymphoblastic leukemia	1 (4.0)	2 (8.3)
	Aplastic anemia	2 (8.0)	1 (4.2)
Number of admission	2~5	14 (56.0)	8 (33.3)	1.32	.192
	6~10	11 (44.0)	13 (54.2)
	10~20	0 (0.0)	2 (8.3)
	Over 20	0 (0.0)	1 (4.2)
	M ± SD	5.2 ± 2.3	6.6 ± 4.6

Exp.=experimental group; Cont.=control group.

Table 2

Effect of Discharge Education on Sick-role behavior and Education Satisfaction

Variables	Groups	Pretest	Posttest	Difference	t	p
Variables	Groups	M±SD	M±SD	M±SD	t	p
Sick-role behavior compliance	Exp. (n=25)	3.38±0.49	4.42±0.26	- 1.03±0.45	-3.87	<.001
Sick-role behavior compliance	Cont. (n=24)	3.32±0.57	3.96±0.52	- 0.63±0.64	-3.87	<.001
Education satisfaction	Exp. (n=25)		4.26±0.89		-0.69	.492
Education satisfaction	Cont. (n=24)		4.06±1.13		-0.69	.492

Exp.=experimental group; Cont.=control group.

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