The Effect of Discharge Training on Surgical Recovery in Oncology Patients

Study Overview
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Brief Summary
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A randomized control trial was made to examine the effect of discharge training developed using Nursing Interventions Classification on surgical recovery in patient who underwent oncological surgery.

Detailed Description
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The concept of surgical recovery is defined as starting activities aimed at maintaining daily life, health and well-being after surgery and delay in surgical recovery increasing the number of days after surgery required to start activities aimed at maintaining daily life, health and well-being after surgery. Problems such as fatigue, pain, incisional surgical site infection, loss of appetite, which are common in patients in the postoperative period, are symptoms associated with delayed surgical recovery. In addition to these symptoms, the presence of conditions such as delayed return to home / work activities need for self-care, nausea, anorexia, pain, and difficulty in moving indicate that surgical recovery is interrupted. It has been reported that delay in surgical recovery is common after surgeries such as gastrostomy, colectomy, and exploratory laparotomy. Patients who have undergone gastric or colorectal cancer surgery should receive discharge training before returning to social life and business life. Nurses should determine the problems they may experience at home in patients who have undergone surgeries such as gastrostomy, colectomy, and exploratory laparotomy, where delay in surgical recovery is frequently reported, plan and apply discharge training for these problems, and monitor patients in terms of surgical recovery processes at home. It has been reported that this way, the surgical recovery process can be supported and delays in surgical recovery can be prevented. This study was conducted to determine the effect of a discharge training developed using the Nursing Interventions Classification on surgical recovery in patients undergoing oncologic surgery. It was tested the hypotheses that there was no difference between the post-intervention intervention and control groups in terms of the surgical recovery score averages in patients who had undergone oncologic surgery were tested.

Official Title
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The Effect of Discharge Training on Surgical Recovery in Oncology Patients: A Randomized Control Trial

Conditions
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Surgery--Complications, Nursing Caries

Intervention / Treatment
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* Behavioral: Intervention group


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Ages between 18 and 75 Stomach or colorectal surgery Volunteering to participate in research Understanding and speaking Turkish Having a telephone that can be reached by him or his caregiver Exclusion Criteria: Responding to less than 75% of phone calls Not having cognitive functions in place Having a hearing problem Not having a relative to answer in case he / she cannot answer the phone Having complications during hospitalization (ileus, septic shock, herniation) Having a history of chemotherapy / radiotherapy in the last two months To receive chemotherapy / radiotherapy within two months after surgery Complications developed during surgery To be transferred to the intensive care unit after surgery.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 75 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Following recruitment, patient who underwent oncological surgery were divided into a study and a control group by randomization (1:1 randomization)
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intervention group (Discharge Training)<br>In addition to the general care provided by health professionals, the study group received discharge training created according to the Nursing Interventions Classification. | Behavioral: Intervention group<br>* In addition to the routine care they received, the patients in the intervention groups were given discharge training developed in the pre-discharge period. Discharge training consisted of a verbal and written information booklet containing instructions for the patient and the patient's caregiver on pain management, nutrition management, incision site care, strengthening self-care, returning to daily life activities, and colostomy care. Discharge training was given in the service after evaluating the surgical recovery status of the patient before discharge. The average duration of each training was 30-45 minutes. The patients were evaluated in terms of surgical recovery by calling by phone 2 weeks after discharge, 4 weeks and 8 weeks later. The developed education booklet was given to the patient and it was ensured that he could benefit from the information at home.<br>|
| No Intervention: Control group (Usual Care)<br>The control group continued to receive the routine care | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The surgical recovery score averages in patients | assessed using the Patient Evaluation Form, nine defining features of the diagnosis of delayed surgical recovery defined in NANDA-I (delaying starting activities at home / work, understanding that more time is required for recovery/ recovery, need for assistance in self-care practices, evidence indicating impaired surgical site presence (discharge, swelling, redness, pain, presence of one of the bleeding in the area mild; the presence of all will be marked as severe distress), loss of appetite with nausea, loss of appetite without nausea, difficulty in moving around, pain or discomfort, fatigue) It contains questions. The patient evaluation form was created using the Nursing Outcomes Classification of the five-point Likert-type scale measuring the severity of descriptive features. The expression severely distressed was 1 point; The expression significantly distressed was evaluated as 2 points, moderately distressed as 3 points, mildly distressed as 4 points, and no | before discharge in the postoperative days | 
| The surgical recovery status after intervention | assessed using the Patient Evaluation Form. The form is composed of nine items. The form is The expression severely distressed was 1 point; The expression significantly distressed was evaluated as 2 points, moderately distressed as 3 points, mildly distressed as 4 points, and no distress as 5 points. The patient can get a minimum of nine and a maximum of 45 points. As the score for each evaluation question increased, the improvement was evaluated as positive. It was applied by telephone in the second week after discharge. | In the second weeks after discharge | 
| The surgical recovery status after intervention | assessed using the Patient Evaluation Form. The form is composed of nine items. The form is The expression severely distressed was 1 point; The expression significantly distressed was evaluated as 2 points, moderately distressed as 3 points, mildly distressed as 4 points, and no distress as 5 points. The patient can get a minimum of nine and a maximum of 45 points. As the score for each evaluation question increased, the improvement was evaluated as positive. It was applied by telephone in the fourth week after discharge. | In the fourth weeks after discharge | 
| The surgical recovery status after intervention | assessed using the Patient Evaluation Form. The form is composed of nine items. The form is The expression severely distressed was 1 point; The expression significantly distressed was evaluated as 2 points, moderately distressed as 3 points, mildly distressed as 4 points, and no distress as 5 points. The patient can get a minimum of nine and a maximum of 45 points. As the score for each evaluation question increased, the improvement was evaluated as positive. It was applied by telephone in the eighth week after discharge. | In the eighth weeks after discharge | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Surgical recovery, Discharge Training, Follow-up, Nursing