대장암 수술 후 퇴원한 환자의 증상관리를 위한 전화상담 가이드라인 개발 및 평가
Development and Evaluation of Standardized Telephone Counseling Guidelines on Symptom Management for Patients Discharged after Colorectal Cancer Surgery
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Purpose: This study was carried out to develop standardized telephone counseling guidelines regarding symptom management forpatients discharged after colorectal cancer surgery, and to apply and assess it in practice in order to increase patient satisfaction andcompliance level. Methods: Five frequent symptoms; pain, diarrhea, constipation, bowel obstruction and wounds were extracted by apreliminary survey. Results: For wound and bowel obstruction, the most frequent applied guideline was ER recommendation, and itwas statistically significant (p<.002). The assessment result of guideline application (satisfaction rate, compliance rate and symptomresolution) shows an average satisfaction rate of 3.80 on a 4 point scale and all 6 cases which recommended immediate ER visits followedthe guidelines. Conclusion: According to the result of this study, the developed guidelines are worth while to increase patientsatisfaction as well as to resolve symptoms.
Abstract
Purpose: This study was carried out to develop standardized telephone counseling guidelines regarding symptom management forpatients discharged after colorectal cancer surgery, and to apply and assess it in practice in order to increase patient satisfaction andcompliance level. Methods: Five frequent symptoms; pain, diarrhea, constipation, bowel obstruction and wounds were extracted by apreliminary survey. Results: For wound and bowel obstruction, the most frequent applied guideline was ER recommendation, and itwas statistically significant (p<.002). The assessment result of guideline application (satisfaction rate, compliance rate and symptomresolution) shows an average satisfaction rate of 3.80 on a 4 point scale and all 6 cases which recommended immediate ER visits followedthe guidelines. Conclusion: According to the result of this study, the developed guidelines are worth while to increase patientsatisfaction as well as to resolve symptoms.
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