Preoperative physiotherapy education for patients undergoing colorectal cancer resection

South African Family Practice

Field Value
Title Preoperative physiotherapy education for patients undergoing colorectal cancer resection
Creator Whelan, Megan J. Roos, Ronel Fourie, Marelee van Aswegen, Heleen
Subject Physiotherapy, primary health care, education preoperative education; framework; colorectal cancer; abdominal surgery; physiotherapy
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. 
Publisher AOSIS
Contributor This study was funded by The South African Society of Physiotherapy Research Foundation
Date 2023-01-06
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Qualitative research
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/safp.v65i1.5614
Source South African Family Practice; Vol 65, No 1 (2023): Part 1; 10 pages 2078-6204 2078-6190
Language eng
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Coverage Johannesburg, South Africa — —
Rights Copyright (c) 2023 Megan J. Whelan, Ronel Roos, Marelee Fourie, Heleen van Aswegen