Preoperative physiotherapy education for patients undergoing colorectal cancer resection

Background: Surgical resection is a common treatment for patients with colorectal cancer. Patients undergoing surgery are at risk of functional deterioration as a response to surgical stress. Furthermore, patients with cancer often present with systemic problems as well as a functional decline. The...

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Main Authors: Megan J. Whelan, Ronel Roos, Marelee Fourie, Heleen van Aswegen
Format: Article
Language:English
Published: AOSIS 2023-01-01
Series:South African Family Practice
Subjects:
Online Access:https://safpj.co.za/index.php/safpj/article/view/5614
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author Megan J. Whelan
Ronel Roos
Marelee Fourie
Heleen van Aswegen
author_facet Megan J. Whelan
Ronel Roos
Marelee Fourie
Heleen van Aswegen
author_sort Megan J. Whelan
collection DOAJ
description Background: Surgical resection is a common treatment for patients with colorectal cancer. Patients undergoing surgery are at risk of functional deterioration as a response to surgical stress. Furthermore, patients with cancer often present with systemic problems as well as a functional decline. The study aimed to create a framework for preoperative education for patients undergoing colorectal cancer resection. Methods: Five databases were utilised to find intervention-based studies describing the content, mode, setting and timing of delivery of preoperative education for patients undergoing abdominal surgery. Physiotherapists were purposively sampled to participate in a focus group session using a seven-step nominal group technique (NGT) with the goal to reach consensus on the proposed content of a preoperative patient education programme. Results: Seventeen studies were reviewed. Results indicate that the mode and timing of the education provided are heterogenous. Content included in the education programs described were breathing exercises, coughing techniques, verbal advice, physical exercises, surgical information, postoperative pain management, nutritional support, relaxation techniques and information about postoperative complications. Six physiotherapists participated in the focus group discussion. Ideas generated in the focus group were similar to those described in the literature. Conclusion: Results from both the narrative review and the focus group session assisted the authors to develop a framework for the content, timing, setting and mode of delivery of physiotherapy preoperative education for patients undergoing surgical resection for colorectal cancer. Contribution: The framework can be used to inform a physiotherapy preoperative education programme for patients undergoing surgery for colorectal cancer.
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spelling doaj-art-4a6c29393f054fe9975fd533c0c65e282025-08-20T04:03:13ZengAOSISSouth African Family Practice2078-61902078-62042023-01-01651e1e1010.4102/safp.v65i1.56144293Preoperative physiotherapy education for patients undergoing colorectal cancer resectionMegan J. Whelan0Ronel Roos1Marelee Fourie2Heleen van Aswegen3Department of Physiotherapy, Faculty of Health Sciences, University of the Witwatersrand, JohannesburgDepartment of Physiotherapy, Faculty of Health Sciences, University of the Witwatersrand, JohannesburgDepartment of Physiotherapy, Faculty of Health Sciences, University of the Witwatersrand, JohannesburgDepartment of Physiotherapy, Faculty of Health Sciences, University of the Witwatersrand, JohannesburgBackground: Surgical resection is a common treatment for patients with colorectal cancer. Patients undergoing surgery are at risk of functional deterioration as a response to surgical stress. Furthermore, patients with cancer often present with systemic problems as well as a functional decline. The study aimed to create a framework for preoperative education for patients undergoing colorectal cancer resection. Methods: Five databases were utilised to find intervention-based studies describing the content, mode, setting and timing of delivery of preoperative education for patients undergoing abdominal surgery. Physiotherapists were purposively sampled to participate in a focus group session using a seven-step nominal group technique (NGT) with the goal to reach consensus on the proposed content of a preoperative patient education programme. Results: Seventeen studies were reviewed. Results indicate that the mode and timing of the education provided are heterogenous. Content included in the education programs described were breathing exercises, coughing techniques, verbal advice, physical exercises, surgical information, postoperative pain management, nutritional support, relaxation techniques and information about postoperative complications. Six physiotherapists participated in the focus group discussion. Ideas generated in the focus group were similar to those described in the literature. Conclusion: Results from both the narrative review and the focus group session assisted the authors to develop a framework for the content, timing, setting and mode of delivery of physiotherapy preoperative education for patients undergoing surgical resection for colorectal cancer. Contribution: The framework can be used to inform a physiotherapy preoperative education programme for patients undergoing surgery for colorectal cancer.https://safpj.co.za/index.php/safpj/article/view/5614preoperative educationframeworkcolorectal cancerabdominal surgeryphysiotherapy
spellingShingle Megan J. Whelan
Ronel Roos
Marelee Fourie
Heleen van Aswegen
Preoperative physiotherapy education for patients undergoing colorectal cancer resection
South African Family Practice
preoperative education
framework
colorectal cancer
abdominal surgery
physiotherapy
title Preoperative physiotherapy education for patients undergoing colorectal cancer resection
title_full Preoperative physiotherapy education for patients undergoing colorectal cancer resection
title_fullStr Preoperative physiotherapy education for patients undergoing colorectal cancer resection
title_full_unstemmed Preoperative physiotherapy education for patients undergoing colorectal cancer resection
title_short Preoperative physiotherapy education for patients undergoing colorectal cancer resection
title_sort preoperative physiotherapy education for patients undergoing colorectal cancer resection
topic preoperative education
framework
colorectal cancer
abdominal surgery
physiotherapy
url https://safpj.co.za/index.php/safpj/article/view/5614
work_keys_str_mv AT meganjwhelan preoperativephysiotherapyeducationforpatientsundergoingcolorectalcancerresection
AT ronelroos preoperativephysiotherapyeducationforpatientsundergoingcolorectalcancerresection
AT mareleefourie preoperativephysiotherapyeducationforpatientsundergoingcolorectalcancerresection
AT heleenvanaswegen preoperativephysiotherapyeducationforpatientsundergoingcolorectalcancerresection