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[Effects of the Advanced Practice Nurse-Led Psychoeducational Program for Colorectal Cancer Survivors]
Hye Kyung Kim1, Yang-Sook Yoo2
1Cancer Center, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, Korea.
Journal of Korean Academy of Nursing
|July 12, 2022
Summary
An advanced practice nurse-led psychoeducational program significantly reduced distress and anxiety in colorectal cancer survivors. While quality of life and coping improved, depression and health promotion behaviors showed no significant changes.
Area of Science:
- Oncology Nursing
- Psycho-oncology
- Cancer Survivorship Care
Background:
- Colorectal cancer survivors often experience significant psychological distress and challenges in coping.
- Effective interventions are needed to improve the quality of life and well-being of these individuals.
- Advanced practice nurses can play a crucial role in delivering supportive care programs.
Purpose of the Study:
- To evaluate the impact of a nurse-led psychoeducational program on distress, anxiety, depression, coping with cancer (CWC), health promotion behavior (HPB), and quality of life (QOL) in colorectal cancer survivors.
- To determine the effectiveness of this intervention in improving psychological and functional outcomes.
- To assess the sustainability of the program's effects over a four-week follow-up period.
Main Methods:
- A quasi-experimental, non-equivalent control group pretest-posttest design was employed.
- 39 colorectal cancer survivors participated: 19 in the experimental group and 20 in the control group.
- The experimental group received a 6-week, 120-minute weekly psychoeducational program; the control group received routine care. Outcomes were measured pre-intervention, immediately post-intervention, and 4 weeks later using repeated measures ANOVA.
Main Results:
- Significant time-group interactions were observed for distress and anxiety, indicating a reduction in the intervention group.
- Coping with cancer (CWC) and quality of life (QOL) also showed significant improvements, particularly in interpersonal coping and functional status.
- No significant differences were found between groups for depression or health promotion behavior (HPB) scores.
Conclusions:
- The advanced practice nurse-led psychoeducational program demonstrates potential as an effective intervention for managing distress and anxiety in colorectal cancer survivors.
- The program positively impacts coping mechanisms and quality of life, suggesting its value in survivorship care.
- Further research may be warranted to explore its effects on depression and health promotion behaviors, and to optimize program components.
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