Effect of psychosocial interventions on outcomes of patients with colorectal cancer: A review of the literature |
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| Affiliation: | 1. School of Nursing, Sun Yat-sen University, Guangzhou 510080, China;2. Department of Nursing, Cancer Center of Sun Yat-sen University, Guangzhou 510275, China;3. Department of Nursing, Sun Yat-sen Memorial Hospital of Sun Yat-sen University, Guangzhou 510120, China;1. School of Health, University of Central Lancashire, Brook Building, Preston, PR1 2HE, UK;2. School of Nursing, Midwifery & Social Work, University of Manchester, Jean McFarlane Building, Oxford Road, Manchester, M13 9PL, UK;1. School of Nursing and Midwifery Queens University Belfast, Medical Biology Centre, 97 Lisburn Road, Belfast BT9 7BL, UK;2. Centre for Public Health, School of Medicine and Dentistry and Biomedical Science, Queen''s University Belfast, Institute of Clinical Sciences, Block B, Royal Victoria Hospital, Belfast BT12 6BA, UK;3. N. Ireland Cancer Registry, Centre for Public Health, School of Medicine, Dentistry & Biomedical Sciences, Queen''s University Belfast, Mulhouse Building, Grosvenor Road, Belfast, BT12 6DP, UK;4. Centre for Medical Education, School of Medicine, Dentistry and Biomedical Sciences, Queen''s University Belfast, UK;1. School of Nursing, Shandong University, China;2. Shandong Cancer Hospital affiliated to Shandong University, Shandong Academy of Medical Science, China;3. College of Nursing, Hebei University, China;1. Department of Surgery, Weill Cornell Medicine, New York-Presbyterian Hospital, New York, New York;2. Department of Psychiatry, Weill Cornell Medicine, New York-Presbyterian Hospital, New York, New York;3. Department of Psychology, Weill Cornell Medicine, New York-Presbyterian Hospital, New York, New York;4. Department of Integrative Medicine, Weill Cornell Medicine, New York-Presbyterian Hospital, New York, New York;5. Department of Public Health, Weill Medical College of Cornell University, New York-Presbyterian Hospital, New York, New York |
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| Abstract: | PurposePatients with colorectal cancer experience physical, psychological and social challenges. Psychosocial interventions seem to be effective in improving the physical, psychological and social outcomes of cancer patients. There is a lack of research exploring the effectiveness of pre-operative and post-operative psychosocial interventions on the outcomes of colorectal patients. This literature review aimed to explore the effects of pre-operative and post-operative psychosocial interventions on the outcomes of patients with colorectal cancer, including physical, psychological and social functioning, as well as the quality of life.Methods and sampleA literature search for studies on psychosocial interventions for patients with colorectal cancer published between 2002 and 2012 was undertaken from electronic databases of Medline, CINAHL, Scopus, PsycINFO, Mednar, and Proquest. Hand-searching was conducted to find relevant papers from the reference lists of included articles.Key resultsEleven studies met the inclusion criteria and were included after methodological quality appraisal. A narrative summary was carried out. Various psychosocial interventions, including educational interventions, cognitive-behavioural therapy, relaxation training and supportive group therapy were found to reduce colorectal patients' length of hospital stay, days to stoma proficiency and hospital anxiety and depression, and to improve patients' quality of life. Home visits, telephone sessions, individual teaching sessions and group sessions were commonly conducted.ConclusionsVarious forms of psychosocial interventions were used to improve outcomes of patients with colorectal cancer. Further research is recommended to investigate the effects of psychosocial interventions carried out during both the pre- and post-operative period on colorectal patients' outcomes. Given the small number of studies identified, it is essential to take this into consideration when identifying strategies and conducting future psychosocial interventions for colorectal patients. |
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| Keywords: | Anxiety Cognitive-behavioural therapy Colorectal cancer Depression Psychosocial intervention Psychoeducational intervention Relaxation training Support expressive group therapy Stoma proficiency Quality of life |
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