Korean Nurses' Knowledge about Hereditary Colorectal Cancer

국내 간호사의 유전성 대장암 지식정도

  • Choi, Kyung-Sook (Department of Nursing, Chung-Ang University) ;
  • Kim, Hack-Sun (Research Institute of Nursing Science, Chung-Ang University) ;
  • Park, Jung-Ae (Department of Nursing, Jinju Health College) ;
  • Lee, Joo-Hyun (Research Institute of Nursing Science, Chung-Ang University)
  • 최경숙 (중앙대학교 간호학과) ;
  • 김학선 (중앙대학교 간호과학연구소) ;
  • 박정애 (진주보건대학 간호과) ;
  • 이주현 (중앙대학교 간호과학연구소)
  • Received : 2011.06.22
  • Accepted : 2011.08.04
  • Published : 2011.08.31


Purpose: This study was performed to evaluate Korean nurses' knowledge about hereditary colorectal cancer (HCRC). Methods: A modified 15-item HCRC knowledge questionnaire was developed based on previous research. One hundred and forty-eight nurses have completed the questionnaire from February to April, 2011. Results: The average score of nurses' knowledge was $11.25{\pm}1.54$. Ninety-seven percent of nurses knew about colonoscopy check up schedule and family pedigree. However, only 20% of nurses knew about the rate of passing on mutation genes to offspring and risk of developing CRC among carriers. Only 13.5% of nurses had previous genetic education experiences. Working in oncology units, taking care of CRC patients, and participating in genetic education were not associated with nurses' HCRC knowledge. Conclusion: Various factors influence nurses' knowledge about HCRC. Repeated study with larger national sample of nurses is recommended to identify the factors affecting nurses' knowledge level in order to develop efficient genetic education programs for HCRC patients and their families by nurses.


Supported by : 한국연구재단


  1. National Cancer Information Center. National Cancer Statistics. Available at: http://www. [accessed 25 May 2011]. 2010.
  2. Kim DW. Hereditary colorectal cancer. J Genet Med 2010;7:24-36.
  3. Lynch HT, de la Chapelle A. Hereditary colorectal cancer. N Eng J Med 2003;348:919-32.
  4. Hampel H, Frankel WL, Martin E, Arnold M, Khanduja K, Kuebler P, et al. Screening for the Lynch syndrome (hereditary nonpolyposis colorectal cancer). N Eng J Med 2005;352:1851-60.
  5. Aarnio M, Mecklin JP, Aaltonen LA, Nystrom-Lahti M, Jarvinen HJ. Lifetime risk of different cancers in hereditary nonpolyposis colorectal cancer. Int J Cancer 1995;64:430-3.
  6. Soravia C, Berk T, Cohen Z. Genetic testing and surgical decision making in hereditary colorectal cancer. Int J Colorectal Dis 2000;15:21-8.
  7. Masny A, Daly M, Ross E, Balshem A, Gillespie D, Weil SA. A training course for oncology nurses in familial cancer risk assessment: evaluation of knowledge and practice. J Cancer Educ 2003;18:20-5.
  8. Choi JY, Kim HJ. A study on genetic counseling curriculum, accreditation of the training program, and the certification process of genetic counselors in Korea. J Genet Med 2009;6:38-55.
  9. Peterson SK, Rieger PT, Marani SK, deMoor C, Gritz ER. Oncology nurses' knowledge, practice, and educational needs regarding cancer genetics. Am J Med Genet 2001;98:13-4.<13::AID-AJMG1013>3.0.CO;2-9
  10. Jun MH, Choi KS, Ahn SH, Gu BK. Experiences of breast cancer women undertaking genetic test. J Korean Oncol Nurs 2005;5:146-58.
  11. Gritz ER, Peterson SK, Vernon SW, Marani SK, Baile WF, Watts BG, et al. Psychological impact of genetic testing for hereditary nonpolyposis colorectal cancer. J Clin Oncol 2005;23:1902-10.
  12. Greco K, Anderson G. Readdressing policy in cancer genetics: moving toward transdisciplinary teams. Policy Polit Nurs Pract 2006;3:129-39.
  13. Choi KS, Jun MH, Anderson G. The first Korean cancer genetic counseling program for nurses. J Korean Acad Soc Nurs Edu 2006;12:104-14.
  14. Choi KS, Jun MH, Ahn SH, Anderson G. Implementing and evaluating a nurse led hereditary cancer genetics educational program in a Korean breast cancer surgery clinic. J Korean Acad Adult Nurs 2008;20:815-28.
  15. Choi, KS, Jang ES, Jun MH, Jung JY, Park JA. The effect of the cancer genetic education program for nurses. J Korean Oncol Nurs 2010;10:240-6.
  16. Domanska K, Carlsson C, Bendahl P, Nilbert M. Knowledge about hereditary colorectal cancer mutation carriers and physicians at equal levels. BMC Med Genet 2009;10:30.
  17. Aktan-Collan K, Haukkala A, Mecklin JP, Uutela A, Kaariainein H. Psychological consequences of predictive genetic testing for hereditary non-polyposis colorectal cancer (HNPCC): A prospective follow-up study. Int J Cancer 2001;93:608-11.
  18. Kinney AY, Choi YA, DeVellis B, Millikan R, Kobetz E, Sandler RS. Attitudes toward genetic testing in patients with colorectal cancer. Cancer Pract 2000;8:178-86.
  19. Brain K, Gray J, Norman P, France E, Anglim C, Barton G, et al. Randomized trial of specialist genetic assessment service for familial breast cancer. J Natl Cancer Inst 2006;92:1345-51.
  20. Choi KS, Jun MH, Tae YS, So HS, Eun Y, Suh SR, et al. The knowledge of hereditary breast cancer in Korean nurses. J Korean Acad Soc Nurs Edu 2006;12:272-9.
  21. Choi KS, Jun MH, Tae YS, So HS, Eun Y, Hur MH, et al. Physicians' knowledge about hereditary breast cancer in South Korea. J Korean Acad Soc Nurs Edu 2007;13:105-13.
  22. Ku BK. Comparison of knowledge according to the risk of hereditary breast cancer [thesis]. Seoul:Ewha Womans Univ.;2006.
  23. Kozma C, Lapham V, Weiss J. Health professionals' knowledge of the Human Genome Project and genetic issues: the need for continuing education. Am J Human Genet 1996;59:A169.
  24. Lynch PM. New issues in genetic counseling of hereditary colon cancer. Clin Cancer Res 2007;13:6857-61.