Kontakt 2016, 18(1):e9-e16 | DOI: 10.1016/j.kontakt.2016.02.001

Perioperative nursing care satisfaction in patients diagnosed with colorectal cancer (CRC)Nursing - Original article

Elena Janiczeková^*, Tatiana Rapčíková, Jana Virgulová

Slovenská zdravotnícka univerzita v Bratislave so sídlom v Banskej Bystrici, Fakulta zdravotníctva, Banská Bystrica, Slovenská republika

The aim of the research was to determine the satisfaction of patients diagnosed with colorectal cancer, with the actual bowel preparation prior to surgery, and the effectiveness of bowel emptying according to the protocol of a single procedure proposed by the authors. We studied two approaches of nurses to patients during mechanical bowel preparation. The first approach was connected with bowel emptying prior to planned surgery (according to the standard procedure of surgical wards), and the second one according to the protocol proposed by the authors. Data on patient satisfaction with the preoperative preparation were acquired using a questionnaire of our own design. The questionnaire was comprised of 26 questions compiled using the Likert scale. The reliability of the questionnaire was examined using the Cronbach alpha coefficient, and the resulting value was 0.906. Several statistical methods were used in the research: Chi-square test, F-test, Student's t-test, Mann-Whitney test, significance α = 0.05 and Cramer V coefficient. The examined issue was verified in the Slovak Republic and the Czech Republic in surgery clinics at the F. D. Roosevelt Teaching Hospital with Policlinic Banska Bystrica, the Teaching Hospital Brno, University Hospital Martin, and T. Bata Regional Hospital Zlin.
It was found that our suggested protocol for bowel preparation, which focuses on patient satisfaction in the preparation process for surgery and efficient bowel emptying, is assessed more positively by patients and surgeons than the traditional standard procedure for bowel emptying. We recommended the proposed protocol be put into practice as a standard part of nursing documentation for patients being prepared for colon surgery at the Surgery Clinic II of the Slovak Medical University, F. D. Roosevelt Teaching Hospital with Policlinic Banska Bystrica.

Keywords: Colorectal cancer; Preoperative care; Protocol; Colon, bowel; Preparation

Received: June 26, 2015; Revised: October 22, 2015; Accepted: February 3, 2016; Published: March 29, 2016  Show citation