Impact of telephone monitoring on cancer patients undergoing esophagectomy and gastrectomy

Oliveira, Daniele da Silva Salgado; Ribeiro Junior, Ulysses; Sartório, Natalia de Araújo; Dias, André Roncon; Takeda, Flávio Roberto; Cecconello, Ivan

doi:10.1590/S1980-220X2019023003679

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ORIGINAL ARTICLE • Rev. esc. enferm. USP 55 • 2021 • https://doi.org/10.1590/S1980-220X2019023003679 copy

Impact of telephone monitoring on cancer patients undergoing esophagectomy and gastrectomy^* * Extracted from the dissertation: “Impacto do monitoramento telefônico de enfermagem nos sintomas e qualidade de vida de pacientes no pós-operatório de câncer de esôfago e estômago”, Faculdade de Medicina, Universidade de São Paulo, 2019.

Impacto del monitoreo telefónico en pacientes oncológicos sometidos a esofagectomía y gastrectomía

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

To evaluate telephone monitoring for symptoms, quality of life, distress, admissions to the emergency center and the satisfaction of cancer patients undergoing esophagectomy and gastrectomy.

Method:

Randomized controlled study in two groups, carried out at the Cancer Institute of the State of Sao Paulo; the intervention group received telephone monitoring for four moments after the surgery, while the control group received only institutional care.

Results:

Of the 81 patients evaluated, the domain most affected by quality of life was social relationships domain. Distress had no significant difference between groups and moments. In both groups, admissions to the emergency center were similar (p=0.539). Pain was the most reported symptom in telephone monitoring. There was statistical significance regarding patient satisfaction with monitoring (p=0.002).

Conclusion:

Telephone monitoring provided greater patient satisfaction in the intervention group, demonstrating the real impact of this process on the care of cancer patients.

DESCRIPTORS:
Neoplasms; Gastrectomy; Esophagectomy; Telemonitoring; Quality of Life; Oncology Nursing

	Control				Intervention
	N	%	95%CI		n	%	IC95%
	N	%	Lower	Upper	n	%	Lower	Upper
Gender
Male	27	67.5%	52.2%	80.4%	29	70.7%	55.8%	82.9%
Female	13	32.5%	19.6%	47.8%	12	29.3%	17.1%	44.2%
Diagnostic
Stomach cancer	24	60.0%	44.6%	74.1%	27	65.9%	50.7%	78.9%
Esophagus cancer	16	40.0%	25.9%	55.4%	14	34.1%	21.1%	49.3%
Education
Funcional illiterate or not	3	7.5%	2.2%	18.7%	5	12.2%	4.8%	24.7%
Incomplete primary education	15	37.5%	23.8%	52.9%	16	39.0%	25.3%	54.3%
Complete primary education	11	27.5%	15.6%	42.5%	9	22.0%	11.5%	36.2%
Incomplete secundary education	1	2.5%	0.3%	11.1%	3	7.3%	2.1%	18.3%
Complete secundary education	6	15.0%	6.5%	28.3%	4	9.8%	3.4%	21.5%
Incomplete Higher education	2	5.0%	1.1%	15.1%	1	2.4%	0.3%	10.8%
Complete Higher education	2	5.0%	1.1%	15.1%	3	7.3%	2.1%	18.3%
Alcoholism
No	14	35.0%	21.7%	50.4%	16	39.0%	25.3%	54.3%
Current	3	7.5%	2.2%	18.7%	2	4.9%	1.0%	14.7%
Ex alcoholic	23	57.5%	42.1%	71.9%	23	56.1%	40.9%	70.4%
Smoking
No	7	17.5%	8.2%	31.3%	8	19.5%	9.7%	33.5%
Current	6	15.0%	6.5%	28.3%	3	7.3%	2.1%	18.3%
Ex smoker	27	67.5%	52.2%	80.4%	30	73.2%	58.4%	84.8%

	CONTROL GROUP				INTERVENTION GROUP				p-value^* * Fischer’s exact test
	N	%	Confidencec Interval		N	%	Confidencec Interval
	N	%	Lower	Upper	N	%	Lower	Upper
Successful contact
No	9	37.5%	20.4%	57.4%	2	5.9%	1.2%	17.6%	0.004
Yes	15	62.5%	42.6%	79.6%	32	94.1%	82.4%	98.8%	0.004
Satisfaction – “Hello Nurse” ^ From 1 to 5, what grade would you give to the “Hello Nurse” service? (1 to 5)
Good	2	13.3%	2.9%	36.3%	4	12.5%	4.4%	27.0%	02
Excellent	8	53.3%	29.4%	76.1%	28	87.5%	73.0%	95.6%
Never used	5	33.3%	14.0%	58.4%	0	0.0%
Impact of phone calls ^* ***** Did the calls we made to your home help with post-operative care?
No					0	0.0%			-
Yes					30	93.8%	81.4%	98.7%
Did not report					2	6.3%	1.3%	18.6%
Patient or Family member ^** ****** Evaluation with patient or Family member
Family member	1	6.7%	0.7%	27.2%	10	31.3%	17.3%	48.4%	0.063
Patient	14	93.3%	72.8%	99.3%	22	68.8%	51.6%	82.7%	0.063

Universidade de São Paulo, Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 , 05403-000 São Paulo - SP/ Brasil, Tel./Fax: (55 11) 3061-7553, - São Paulo - SP - Brazil
E-mail: reeusp@usp.br

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[1] Corresponding author: Daniele da Silva Salgado Oliveira, Rua Francisca Miquelina, 258, apto 61, Bela Vista, CEP 37160-000 - São Paulo, SP, Brazil. daniele.salgado@hc.fm.usp.br