Impacts of a Training Programme for Caregivers on Their Knowledge and Skills in Providing Home-Based Care for Postoperative Colorectal Cancer Patients

Authors

  • สมจีน ยะหัวฝาย คณะพยาบาลศาสตร์ มหาวิทยาลัยมหิดล
  • ผ่องศรี ศรีมรกต
  • เกศศิริ วงษ์คงคำ
  • เชิดศักดิ์ ไอรมณีรัตน์

Keywords:

caregiver training programme, home-based care, caregiving knowledge and skills, colorectal cancer patients

Abstract

Abstract:
Objective: To study the effectiveness of a caregiver training programme on their knowledge and skills in caring for colorectal cancer patients recovering at home after surgery.
Design: Two-group quasi-experimental research with a pretest and a posttest.
Methodology: For this study, 60 pairs of caregivers and colorectal cancer patients were recruited according to the inclusion criteria and divided into a control group (31 pairs) and experimental group (29 pairs). The control group was given standard care, whilst the experimental group received standard care and participated in the caregiver training programme. The data collecting instrument was the caregiving knowledge and skill assessment form. Descriptive statistics, chi-square test, independent t-test, repeated measure ANOVA, and post hoc comparison were employed for data analysis.
Results: The majority of caregivers in this study were female (78.30%). Most were married (68.30%) and averagely 63.98 years of age (SD 13.36), and 45 percent were either the patients’ daughters or sons. The experimental group’s mean scores on knowledge and skills before discharge and two weeks after discharge were signifcantly higher than those of the control group (p < .05). An analysis of the experimental group’s performance showed signifcant differences in their mean caregiving knowledge and skill scores prior to
training participation, before the patients’ discharge, and two weeks after the patients’ discharge (p < .01; p < .01; and p < .05, respectively).
Recommendations: The caregiver training programme could increase the participating caregivers’ knowledge and skills in caring for patients before discharge and two weeks after discharge. Nurses could apply the programme to improving caregivers’ knowledge and skills in pre-discharge and home-based care

References

References
1. Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA,Jemal A. Global cancer statistics 2018: GLOBOCAN
estimates of incidence and mortality worldwide for 36 cancers in 185. countries. CA Cancer J Clin 2018; 68(6):394-424.
2. National Cancer Institute, Thailand. Hospital based cancer registry annual report 2014. Bangkok: Pornsup Printing; 2016. (in Thai)133
3. American Cancer Society Recommendations for Colorectal Cancer 2017. Retrived May 20, 2017. From https://www.cancer.org/cancer/colon .
4. Sullivan R, Alatise OI, Anderson BO, Audisio R, Autier P, Aggarwal A et al. Global cancer surgery: delivering safe, affordable, and timely cancer surgery. Lancet Oncol 2015; 16(11): 1193-224.
5. Changyai K, Srimoragot P, Danaidutsadeekul S,Boonnuch W. The Relationship between pain, fatigue,
depression and quality of recovery in patients undergoing colorectal cancer surgery. Journal of Nursing Science 2013;31Suppl 2:2 and Midwifery Council 7-37. (in Thai).
6. Sritan S, Utriyaprasit K, Toskulkao T, Akaraviputh T. Predictive factors in post-operative recovery abdominal surgery patients. Journal of Thailand Nursing 2014; 29(2): 21-35. (in Thai)
7. Dekker JW, Gooiker GA, Bastiaannet E, van den Broek CB, van der Geest LG, van de Velde CJ, et al.
Cause of death the frst year after curative colorectal cancer surgery; a prolonged impact of the surgery in elderly colorectal cancer patients. Eur J Surg Oncol 2014; 40(11):1481-4.
8. Lim SC-K, Heng MZ-Y, Heng G. Prehabilitation and rehabilitation in colorectal surgery. Transdisciplinary
perioperative care in colorectal surgery: Springer 2015:103-18.
9. Venara A, Neunlist M, Slim K, Barbieux J, Colas P, Hamy A, Meurette G. Postoperative ileus: pathophysiology, incidence, and prevention. J Visc Surg 2016;153(6): 439-46.
10. Wallström Å, Frisman G H. Facilitating early recovery of bowel motility after colorectal surgery: a systematic review. J Clin Nurs; 2014: 23(1-2), 24-44.
11. Lawrence VA, Hazuda HP, Cornell JE, Pederson T, Bradshaw PT, Mulrow CD, et al. Functional
independence after major abdominal surgery in the elderly. J Am Coll Surg 2004; 199(5):762-72.
12. American College of Surgeons. Colectomy surgical removal of the colon 2015. Retrived June 1, 2017.
From https://www.facs.org/patienteducation
13. Hansen LO, Young RS, Hinami K, Leung A, Williams MV. Interventions to reduce 30-day rehospitalization: a systematic review. Ann Intern Med 2011; 155: 520–8.
14. Contin P, Kulu Y, Bruckner T, Sturm M, Welsch T, Muller-Stich BP, et al. Comparative analysis of late
functional outcome following preoperative radiation therapy or chemoradiotherapy and surgery or surgery
alone in rectal cancer. Int J Colorectal Dis 2014;29(2):165-75.
15. Hensley BJ, Cooney RN, Hellenthal NJ, Aquina CT, Noyes K, Monson JR, et al. Readmissions after
colectomy: the upstate New York surgical quality initiative experience. Dis Colon Rectum 2016; 59(5):419-25.
16. Kelly KN, Noyes K, Dolan J, Fleming F, Monson JR, Gonzalez M, et al. Patient perspective on care transitions after colorectal surgery. J Surg Res 2016; 203(1):103-12.
17. Li LT, Barden GM, Balentine CJ, Orcutt ST, Naik AD, Artinyan A, et al. Postoperative transitional care
needs in the elderly: an outcome of recovery associated with worse long-term survival. Ann Surg 2015; 261(4):695-701.
18. Monkong S, Ratanaruengwatana S, Pongmonkol P, Soonthornkul Na Chonburi J, Poonponsupp L, Deeying
S. A Program for improving post-operative functional ability of older patients and their caregiver’s preparedness.
Ramathipbodi Nursing Journal 2009; 13(3):369-88. (in Thai)
19. Momplad T, Monkong S, Sirapo-ngam Y. Effects of a home-based recovery program on postoperative
recovery among older patients undergoing major abdominal operation. Ramathipbodi Nursing Journal
2013; 18(1):84-101. (in Thai)
20. Naylor M, Brooten D, Jones R, et al. Comprehensive discharge planning for the hospitalized elderly. A
randomized clinical trial. Ann Intern Med 1994; 120:999–1006.
21. Nagle D, Pare T, Keenan E, et al. Ileostomy pathway virtually eliminates readmissions for dehydration in new ostomates. Dis Colon Rectum 2012; 55:1266–72.
22. Hirschman K, Shaid E, McCauley K, Pauly M, Naylor M. Continuity of care: the transitional care
model. Online J Issues Nurs 2015; 20(3):1.
23. Nursing Division. Ministry of Public Health. Discharge planning. Bangkok: Thammasat University; 1996.(in Thai)
24. Cohen J. Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ.: Erlbaum. 1988.
25. Institute of Geriatric Medicine. The mini mental state examination-Thai version (MMSE-Thai 2002).
Nonthaburi: Department of Medical Service; 2002. (in Thai)
26. Padilla GV, Grant MM. Quality of life as a cancer nursing outcome variable. ANS Adv Nurs Sci 1985;8(1):45-60.
27. Lambert SD, Girgis A. Unmet supportive care needs among informal caregivers of patients with cancer: Opportunities and challenges in informing the development of interventions. Asia Pac J Oncol Nurs 2017; 4(2):136.
28. Heynsbergh N, Heckel L, Botti M, Livingston PM.Feasibility, useability and acceptability of technologybased interventions for informal cancer carers: a systematic review. BMC Cancer 2018; 18(1):244.
29. Hendrix CC, Bailey DE, Jr., Steinhauser KE, Olsen MK, Stechuchak KM, Lowman SG, et al. Effects of
enhanced caregiver training program on cancer caregiver's self-effcacy, preparedness, and psychological well-being.
Support Care Cancer 2016; 24(1):327-36.
30. Sommongkol S, Leethong-in M, Panpruek W, Charoensinsub V. Factor related to the recovery after urgent abdominal surgery in older persons. Journal of Nursing Health Care 2017; 35(3):165-74. (in Thai).
31. Kaspad M, Monkong S, Sirapo-ngam Y. Effects of an empowerment-based program on psychological
well-being and quality of life among family caregivers of patients with advanced breast cancer. Ramathipbodi
Nursing Journal 2013;19(2): 277-90. (in Thai).

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Published

2020-01-09

How to Cite

1.
ยะหัวฝาย ส, ศรีมรกต ผ, วงษ์คงคำ เ, ไอรมณีรัตน์ เ. Impacts of a Training Programme for Caregivers on Their Knowledge and Skills in Providing Home-Based Care for Postoperative Colorectal Cancer Patients. J Thai Nurse midwife Counc [Internet]. 2020 Jan. 9 [cited 2024 Apr. 23];35(1):118-34. Available from: https://he02.tci-thaijo.org/index.php/TJONC/article/view/183255

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Research Articles