Nursing Care of Patients with Cancer of the Sigmoid Colon: Case study

Authors

  • Jeranut Somchock White Faculty of Nursing, Nakhon Ratchasima Rajabhat University
  • Orawan Pankong Boromarajonani College of Nursing, Praputhabat, Faculty of Nursing, Praboromarajchanok Institute
  • Kittipat Singhaudom Maharat Nakhonratchasima Hospital

Keywords:

cancer of sigmoid, nursing care

Abstract

Colorectal cancer is one of the most commonly diagnosed cancers worldwide, especially among older adults. One of the most frequently affected areas is the sigmoid colon, which is the curved section of the large intestine located just before the rectum. This disease has a significant impact on both the physical and psychological well-being of patients. Therefore, nursing care for these patients must be thorough, comprehensive, and focused on holistic care that addresses individual needs. This article reviews nursing approaches for patients with sigmoid colon cancer based on the nursing process, which includes three essential phases: assessment, nursing interventions, and evaluation. The review was rooted in clinical practice guidelines and relevant academic literature. Findings indicate that effective nursing begins with a comprehensive assessment that encompasses physical aspects—such as nutritional status, bowel habits, and pain—and psychological aspects, including anxiety and depression. Nursing interventions should focus on symptom management, patient education about the disease and treatment options, nutritional and emotional support, and guidance for family members to promote ongoing care at home. In conclusion, nursing care for patients with sigmoid colon cancer should be holistic and patient-centered. A detailed assessment, appropriate interventions, and continuous evaluation are crucial for improving patients’ quality of life throughout their cancer care journey.

References

คณะแพทยศาสตร์ มหาวิทยาลัยสงขลานครินทร์. (2556). การดูแลตนเองของผู้ที่มีทวารเทียม. Medinfo2.psu.ac.th/cancer/data/news/colostomy_1.pdf?newsID

ภาณุพงศ์ รักษาวงศ์. (2562). ภาวะความผิดปกติของโพแทสเซียม (potassium disorders). https://ccpe.pharmacycouncil.org

ศุภิสรา สุวรรณชาติ, สาดี สายทอง แฮมิลตัน, พิชญาณัฎฐ์ แก้วอำไพ, และ สุวิมล มณีโชติ. (2563). ทวารเทียม: บทบาทพยาบาลและประเด็นสำคัญในการดูแล. วารสารสุขภาพและการศึกษาพยาบาล. 26(2), 203-213.

สถาบันมะเร็งแห่งชาติ. (2565). ทะเบียนมะเร็งระดับโรงพยาบาล พ.ศ.2564. https://www.nci.go.th/ e_book/hosbased_2564/index.html

สมาคมแพทย์ระบบทางเดินอาหารแห่งประเทศไทย. (2565, 31 ตุลาคม). ข้อควรรู้เกี่ยวกับมะเร็งลำไส้ใหญ่. https://www.gastrothai.net/th/knowledge-detail.php?content_id=347

American Cancer Society. (2025). Treatment types. https://www.cancer.org/cancer/managing- cancer/treatment-types.html

Benzidia, I., & Espinola-Klein, C. (2025). Moving a lot prevents the clot. European Journal of Preventive Cardiology, 32(1), 75–76. https://doi.org/10.1093/eurjpc/zwae360

Chen, Y., Ren, F., Xiao, D., Guan, A.H., Zhu, L.D., Ma, X.P., & Wang, Z.Y. (2022). Prediction nomogram for evaluating the probability of postoperative fever in children with acute appendicitis. Frontiers Pediatric, 10,. https://doi.org/10.3389/fped.2022.982614

Cheng, H., Chen, B. P.-H., Soleas, I. M., Ferko, N. C., Cameron, C. G., & Hinoul, P. (2017). Prolonged operative duration increases risk of surgical site infections: A systematic review. Surgical Infections, 18(6), 722-735. DOI: https://doi.org/10.1089/sur.2017.089

ChulaCancer. (2023). มะเร็งลำไส้ใหญ่. https://www.chulacancer.net/articles-page.php?id=450&keysname=academic

Colorectal cancer alliance. (2025). Physical activity with an ostomy. https://colorectalcancer.org/resources-support/resources/living-well-colorectal-cancer/ostomy/physical-activity-ostomy?utm_source

Davis, C. D., & Milner, J. A. (2009). Gastrointestinal microflora, food components, and colon cancer prevention. Journal of Nutritional Biochemistry, 20(10), 743–752. https://doi.org/10.1016/j.jnutbio.2009.06.001

Gulanick, M., & Myers, J.L. (2017). Nursing care plan: Diagnoses, interventions, & outcomes (9thed.). Elsevier.

Kranenburg, O., Speeten, K., & Hingh, I. (2021). Peritoneal metastases from colorectal cancer: definingand addressing the challenges. Frontiers in Oncology. https:doi.org/10.3389/fonc.2021.650098

Liu, CC., & Yeh, HI. (2014). Nicotine: A double-edged sword in atherosclerotic disease. Acta Cardiologica Sinica. 30(2), 108–113. http://pmc.ncbi.nlm.nih.gov/articles/ pmc4805015/

Lohsiriwat, V., Chaisomboon, N., & Pattana-arun, J. (2020). Colorectal cancer in Thailand: A summarsummaryof current status. Annals of Coloproctology. 36(2). https:doi.org/10.3393/ac.2020.01.07

Mackowiak, P.A., Chervenak, F.A., & Grunebaum, A. (2021). Defining fever. National Library of Medicine. 8(6), https:doi.org/10.1093/ofid/ofab161

National Comprehensive Cancer Network (NCCN). (2024). NCCN clinical practice guidelines in oncology (NCCN Guidelines®): Colon cancer. (Version 1.2024). https://www.nccn.org

Senem, K., Usul, A.C., Latif, N.K., Nail, P., Izzet, D., Ferhat, F., & Didem, T. (2024). Disease characteristics and prognostic factors of colorectal cancer patients with bone metastasis: A real-world data from Turkey. Journal of Cancer Research and Therapeutics, 20(6): 1694-1697. https:doi.org/10.4103/jcrt.jcrt_392_23

Timby, B.K., & Smith, N.E. (2018). Medical-surgical nursing (3rd ed.). Wolters Kluwer.

Wang, W., Zhao, T., Geng, K., Yuan, G., Chen, Y., & Xu, Y. (2021). Smoking and the pathophysiology of peripheral artery disease. Frontier in Cardiovascular Medicine, 8, https://doi.org/10.3389/fcvm.2021.704106

Downloads

Published

2025-08-26

Issue

Section

Academic articles