The Effects of Nurse Navigation Program on Symptom Management and Psychosocial Adjustment in Colorectal Cancer Patients

Summary

This study was conducted to examine the effect of the nurse navigation program (NNP) applied to patients with colorectal cancer on symptom management and psychosocial adjustment to the disease. The design type was determined as a randomized controlled experimental study with a pretest-posttest control group, with repeated measurements. For this purpose, individuals were divided into two groups as experimental (n=31) and control (n=31) groups. The study was carried out in Istanbul Lütfi Kırdar City Hospital Oncology Clinic between July 2021 and February 2022, after the necessary permissions were obtained. While individualized colorectal cancer education, psycho-oncological counseling and telephone support services were provided to the individuals in the experimental group under the guidance of nurse within the scope of NNP, no intervention was applied to the control group. In the study, data were collected with three different data collection tools: "Information Form", "Nightingale Symptom Assessment Scale (N-SAS)", "Psychosocial Adjustment To Illness Scale (PAIS/PAIS-SR)". Data were collected before NNP (once in the first week after chemotherapy), during NNP (once in the second week after chemotherapy, once in the first week after the next chemotherapy), after NNP (once in the second week after the next chemotherapy). The duration of the interventions performed via the WhatsApp application varied between 45-60 minutes between individuals. The research was completed with a total of 60 individuals, 30 in the experimental group and 30 in the control group. The data obtained in the study were analyzed using the SPSS (Statistical Package for Social Sciences) for Windows 22.0 program.

Conditions

• Colorectal Cancer
• Psycho-Oncology
• Nursing

Interventions

BEHAVIORAL

individualized colorectal cancer education

Subjects taught within the scope of individualized colorectal cancer education: * Common symptoms and management related to disease and treatment, * Importance of nutrition in the treatment process.

BEHAVIORAL

psycho-oncological counseling

Topics discussed within the scope of psycho-oncological counseling: * Psychological state (anxiety, depression, etc.), * Coping strategies about the process, * Presence of fear about the disease and/or treatment, * Lifestyle changes/problems, * Changes in body image, * Family/friendship/work-related concerns, * Additional issues, comments he wishes to convey

BEHAVIORAL

telephone support hotline service

Within the scope of the NNP, a telephone support hotline service was provided to the participants, where they could consult at any time about the subject they wanted.

Sponsors & Collaborators

• Saglik Bilimleri Universitesi

  lead OTHER

Principal Investigators

• Zeynep Dülger · [email protected]

• Elif Dönmez · [email protected]

Study Design

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

SINGLE

Model

PARALLEL

Eligibility

Min Age

18 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2021-07-08

Primary Completion

2022-02-24

Completion

2022-02-24

Countries

• Turkey (Türkiye)

Study Locations