The Open Nursing Journal




ISSN: 1874-4346 ― Volume 13, 2019
RESEARCH ARTICLE

Effects of a Mobile Educational Program for Colorectal Cancer Patients Undergoing the Enhanced Recovery After Surgery



Bo-Yeoul Kim1, *, Kyu-Joo Park2, Seung-Bum Ryoo2
1 College of Nursing, Eulji University, Daejeon, Korea
2 Department of Surgery, Seoul National University College of Medicine, Seoul National University Hospital, Seoul, Korea

Abstract

Background:

The Enhanced Recovery After Surgery (ERAS) program hastens recovery from colorectal cancer by shortening the treatment period and enabling a return to normal activities. However, patients with colorectal cancer treated under the ERAS program have fewer opportunities to consult with medical staff and receive education regarding self-care and experience more affective stress and anxiety.

Objective:

This study aimed to develop and assess an educational program for patients with colorectal cancer treated under the ERAS program, considering affective aspects.

Method:

Patients with colorectal cancer (n = 118) who underwent open colon surgery under the ERAS program were assigned alternately in the order of admission on a 1:1 basis to a treatment group (n = 59) and conventional care group (n = 59). The treatment group received a two-week mobile-based intervention, whereas the control group received conventional care. Quality of life, self-efficacy, anxiety, and depression were compared between the two groups.

Results:

The mobile web-based educational program significantly reduced the negative impact of surgery on the quality of life in the treatment group, compared with the conventional care group, and triggered a noticeable decline in anxiety and depression and increase in self-efficacy.

Conclusion:

The developed mobile web-based educational program effectively enhanced self-efficacy, positively impacted the quality of life, and reduced anxiety and depression. The program could have a positive effect on the quality of life of patients with colorectal cancer treated under the ERAS program.

Keywords: Anxiety, Colorectal cancer, Depression, Education, Quality of life, Self-efficacy, Depression.


Article Information


Identifiers and Pagination:

Year: 2018
Volume: 12
First Page: 142
Last Page: 154
Publisher Id: TONURSJ-12-142
DOI: 10.2174/1874434601812010142

Article History:

Received Date: 6/6/2018
Revision Received Date: 19/07/2018
Acceptance Date: 19/07/2018
Electronic publication date: 31/07/2018
Collection year: 2018

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© 2018 Kim et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


* Address correspondence to the author at the College of Nursing, Eulji University, 77 Geryong-ro, 771 Beon-gil, Jung-gu, 34824 Daejeon, Korea, Tel: 82-2-10-5437-1882, Fax: 82-42-259-1709; E-mail: goddess11@naver.com


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