The Effects of Symptom Management Program on Abdominal Distention in Colorectal Cancer Patients After Abdominal Surgery
Article Sidebar
Main Article Content
Abstract
This study was quasi-experimental research design. The purpose of this research was to investigate the effects of symptom management program on abdominal distention in colorectal cancer patients after abdominal surgery. The participants were patients diagnosed with colorectal cancer and are receiving treatment by abdominal surgery in a hospital in Health Region 2 of Thailand. There were selected by purposive sampling and separated. 52 participants were divided into an experimental group and a control group, 26 for each group. The experimental group received the symptom management program, adapted from symptom management concept of Dodd et al., (2001) comprised of 3 steps: 1) symptom experience of abdominal distension, 2) symptom management strategies for abdominal distension, and 3) symptom outcome of abdominal distension. The control group received routine nursing care. Data were collected between November 2022 and August 2023. The research collection tools were 1) personal information record and 2) abdominal distension form was used to test reliability (Cronbach's alpha coefficient 0.97). Data were analyzed using descriptive statistics, chi-square test, Fisher’s exact test, independent samples t-test, and Mann-Whitney U test.The results revealed that the experimental group receiving the symptom management program had a lower mean abdominal distention score than the control group receiving routine nursing care statistical significance (p<.001). The results of this study suggest that the nurse should apply the symptom management program to help reduce abdominal distention after abdominal surgery.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
Anuvongsinlapachai, R. (2016). The effect of symptom management program combined with reflexology on bowel function recovery in patients after open colorectal surgery. Journal of The Royal Thai Army Nurses, 18, 84-92. [In Thai].
Cagir, B. (2018). Postoperative ileus. Retrieved 10 July 2019 from http://medicine. Medscape.com/article/2242141-overview.
Chittmittrapap, S., & Navicharoen, P. (2015). Textbook of surgery. Bangkok: Pailin Booknet. [In Thai].
Dodd, M., Janson, S., Facione, N., Faucett, J., Froelicher, E. S., Humphreys, J., … Taylor, D. (2001). Advancing the science of symptom management. Journal of Advanced Nursing, 33(5), 668-676.
Grass, F., Pache, B., Martin, D., Addor, V., Hahnloser, D., Demartines, N., & Hubner, M. (2018). Feasibility of early postoperative mobilization after colorectal surgery. International Journal of Surgery, 56, 161-166.
Harnsberger, C. R., Maykel, J. A., & Alavi, K. (2019). Postoperative ileus. Clin Colon Rectal Surg, 32(3), 166-170.
Khamboon, T., Pakanta, I., Jitpewngam, W., & Wangteeraprasert, K. (2019). A development of symptom clusters management model in lung cancer persons receiving chemotherapy. Journal of Nursing and Health Sciences, 13(1), 121-132.
Liu, Q., Jiang, H., Xu, D., & Jin, J. (2017). Effect of gum chewing on ameliorating ileus following colorectal surgery. International Journal of Surgery, 47(1), 107-115. Retrieved 28 January 2024 from https://pubmed.ncbi.nlm.nih. gov/28867465/
Medical records of Uttaradit Hospital. (2020). Surgical intensive care unit information. Retrieved 7 April 2021 from https://www.uttaradit-hosp.go.th/room/roomdetail.php [In Thai].
Narasong, P. (2020). Effects of abdominal, shoulder and breathing exercise programs on abdominal distension and shoulder pain in patients with laparoscopic cholecystectomy. Siriraj Med Bull, 13(1), 11-20. [In Thai].
National Cancer Institute. (2021). Hospital-based cancer registry 2021. Bangkok: Medical Digital Division, National Cancer Institute. Retrieved 15 April 2021 from https://www.nci.go.th/e-book/osbased_2563 /index.html [In Thai].
Pengkaew, S. (2015). Effects of foot reflexology on abdominal distention and postoperative recovery in elderly patients with abdominal surgery. (Master’s thesis). Prince of Songkhla University, Thailand. [In Thai].
Puntarangsri, K. (2022). The effect of symptom management program combined with foot reflexology on abdominal distention in patients undergoing laparoscopic cholecystectomy. Retrieved 7 April 2021 from https://digital. car.chula. ac.th/chulaetd /6173 [In Thai].
Sila, W. (2018). The effects of symptom management program of gynecological patients after abdominal surgery on postoperative pain and abdominal distention at a tertiary level hospital. Christian University of Thailand Journal, 24(2), 204-215. [In Thai].
Sripukde, S. (2018). Nursing innovation development to promote early mobilization for patients who are in a critical condition after cholangiocarcinoma surgery. Journal of Nursing Science & Health, 41(4), 13-22. [In Thai].
Tapsuwan, O. (2016). The role of nurses in management with bloating in surgical patients who had abdominal surgery. Siriraj Med Bull, 9(3), 189-93. [In Thai].
Thamphan, N. (2015). The effects of program improving post postoperative ileus in open appendectomy patients. (Master’s thesis). Mahidol University, Thailand. [In Thai].
Ufoaroh, C. U., Ele, P. U., Anyabolu, A. E., Enemuo, E. H., Emegoakor, C. D., Okoli, C. C.,…Anyabolu, E. N.
(2019). Pre-operative pulmonary assessment and risk factors for post-operative pulmonary complications in elective abdominal surgery in Nigeria. Retrieved 31 January 2024 from https://pubmed.ncbi.nlm.nih. gov/31149005/
Uttaradit Hospital Statistics. (2023). Hospital information systems. Retrieved 14 April 2020 from https://www.uttaradit –
hosp.go.th/room/roomdetail.php [In Thai].
Uttaradit Hospital Surgery Unit. (2022). Summary of annual report 2022. Uttaradit: Uttaradit Hospital. (In Thai)
White, S. J., Chularee, S., & Chiaranai, C. (2020). The role of nurses in caring for patients undergoing abdominal surgery. Journal Health and Nursing Education, 26(1), 231-250.
World Health Organization: WHO. (2020). Latest global cancer data. Retrieved July 10, 2021 from https://
www.who.int/cancer.
