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Development and Evaluation of a Navigation Program for Newly Diagnosed Cancer Patients

암을 처음 진단받은 환자를 위한 신환 네비게이션 프로그램 개발 및 효과 평가

  • Kwon, In Gak (Samsung Comprehensive Cancer Center, Samsung Medical Center, Department of Clinical Nursing Science, Sungkyunkwan University School of Medicine) ;
  • Hong, Jin Young (Department of Nursing, Samsung Medical Center) ;
  • Baek, Hye Jin (Department of Nursing, Samsung Medical Center) ;
  • Kim, Sung (Department of surgery, Samsung Medical Center, Sungkyunkwan University School of medicine) ;
  • Nam, Seok Jin (Department of surgery, Samsung Medical Center, Sungkyunkwan University School of medicine) ;
  • Kim, Im Ryung (Cancer Education Center, Samsung Comprehensive Cancer Center, Samsung Medical Center) ;
  • Kim, Hye Jung (Department of Nursing, Samsung Medical Center) ;
  • Kim, Ae Ran (Department of Nursing, Samsung Medical Center)
  • 권인각 (삼성서울병원 암센터 간호부, 성균관대학교 의과대학 임상간호학교실) ;
  • 홍진영 (삼성서울병원 간호팀) ;
  • 백혜진 (삼성서울병원 종양전문) ;
  • 김성 (성균관대학교 의과대학 삼성서울병원 외과) ;
  • 남석진 (성균관대학교 의과대학 삼성서울병원 외과) ;
  • 김임령 (삼성서울병원 암교육센터 종양전문) ;
  • 김혜정 (삼성서울병원 간호파트) ;
  • 김애란 (삼성서울병원)
  • Received : 2012.01.31
  • Accepted : 2012.02.29
  • Published : 2012.04.30

Abstract

Purpose: The purposes of this study were to develop a navigation program for newly diagnosed cancer patients and to evaluate its effects. Methods: The navigation program was based upon Professional Navigation Framework. Patients were asked to complete self-administered questionnaires on satisfaction, distress, anxiety and depression for evaluating the program. Results: The navigation program consisted of facilitating two concepts: continuity of care and empowerment of patients. Information-education package, telephone counseling and navigator's phone number were provided to the newly diagnosed cancer patients for care continuity. Self-care diary and emotional support by telephone counseling were provided to the patients for empowerment of patients. A total of 163 patients - 78 control and 85 experimental participants - were included in the study. The mean scores of satisfaction, distress, anxiety and depression had no statistical differences between the two groups after program implementation. In patients with longer waiting days, the experimental group with the navigation program showed higher relational continuity than the control group after program implementation(p=.023). In patients with longer waiting days or with higher distress, satisfaction of relational continuity was improved after program implementation in the experimental group. Conclusion: The navigation program in this study has applied the concept of patient navigation into oncology clinical setting in Korea. Navigation program can play a significant role in assisting patients navigating across the care continuum.

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