Examining the Effectiveness of the Discharge Plan Model on the South Korean Patients with Cancer Completed Cancer Treatment and Are Returning to the Community: A Pilot Study
Abstract
:1. Introduction
2. Materials and Methods
- Inclusion criteria
- ⸰
- Patients who were hospitalized for scheduled surgery aiming for treatment after the diagnosis of cancer (colorectal, gynecologic, gastric, breast, and lung cancers)
- ⸰
- Patients who were 19 years of age or older
- ⸰
- Patients who could communicate, understand the purpose and contents of the study, and voluntarily consent to participate in the study in writing
- ⸰
- Patients who visited the National Cancer Center 1 month after discharge for outpatient visits
- Exclusion criteria (If any of the following, excluded)
- ⸰
- Patients with metastatic or terminal cancer
- ⸰
- Patients who were scheduled for palliative surgery due to the stage 4 cancer
- ⸰
- Patients who planned another hospitalization after discharge
- ⸰
- Patients who refused to participate in this study
- ⸰
- Patients who could not communicate with researchers
- (1)
- Initial evaluation
- -
- Social Needs Screening Toolkit [20]
- (2)
- In-depth evaluation of social needs: your current life situation (YCLS) [21]
- -
- Detailed evaluation in the nursing area
Data Analysis
3. Results
3.1. Demographics of Study Participants (Table 1)
3.2. Initial Health Conditions Evaluation: ESDP
3.3. Overall Evaluation Results
3.4. In-Depth Evaluation Results (Table 3)
3.5. Satisfaction Survey Results (Table 4)
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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N | % | ||
---|---|---|---|
Gender | Male | 10 | 43.48 |
Female | 13 | 56.52 | |
Age | 19–44 | 3 | 13.04 |
45–64 | 12 | 52.17 | |
65–74 | 6 | 26.09 | |
75- | 2 | 8.70 | |
Type of Cancer | Colorectal cancer | 5 | 21.74 |
Gynecologic cancer | 4 | 17.39 | |
Gastric cancer | 5 | 21.74 | |
Breast cancer | 5 | 21.74 | |
Lung cancer | 4 | 17.39 | |
Region | Hospital nearby (Goyang, Gyeonggi-do Province) | 15 | 65.21 |
Long distance from the hospital | 8 | 34.78 | |
Type of Insurance | Mandatory Social Health Insurance | 21 | 91.30 |
Medical Aid | 2 | 8.70 | |
Household Income | Average House Income (Mean ± Sd) | 483.52 ± 330.17 | |
Median Income * below 40% | 5 | 23.81 | |
Median Income * below 50% | 0 | 0.00 | |
Median Income * below 75% | 1 | 4.76 | |
Median Income * below 100% | 1 | 4.76 | |
Median Income * below 200% | 9 | 40.91 | |
Median Income * 200% or more | 6 | 26.09 | |
Total | 23 | 100 |
N | % | |||
---|---|---|---|---|
Basic social needs screening | Yes/No | In the past 12 months, have you had any difficulty getting medical attention due to the cost? | 1 | 4.35 |
Do you frequently feel like you are not close to anyone? | 1 | 4.35 | ||
Are you worried that there will be a stable place to live? | 2 | 8.70 | ||
In the last 12 months, did you ever eat less than you felt you should because there was not sufficient money for food? | 0 | 0.00 | ||
In the past 12 months, have you not been able to see a doctor because there was no way to come and go? | 0 | 0.00 | ||
Need help reading hospital materials (such as brochures, doctors or pharmacists)? | 1 | 4.35 | ||
In the past 12 months, have you ever had difficulty using electricity, gas, water and telephones because you have not paid your bills? | 3 | 13.04 | ||
Do you need help finding a job or keeping a job? | 3 | 13.04 | ||
Are you looking after children under the age of 19 or people with chronic diseases or physical or mental disabilities? | 4 | 17.39 | ||
Are any of your needs urgent? | 0 | 0.00 | ||
Do you want to get support for these needs among the checks above? | 9 | 39.13 | ||
Early Screen for Discharge Planning (Range: 0–23) | (Mean ± Sd) | 5.04 ± 2.82 Min: 0 Max: 12 |
N | % | |||||
---|---|---|---|---|---|---|
In-depth assessment of social needs [Kaiser Permanente, Your Current Life Situation (YCLS) v 2.0] | Patient needs evaluated by social workers (Yes/no) | Financial | 4 | 17.39 | ||
Social isolation | 2 | 8.70 | ||||
Residence | 0 | 0.00 | ||||
Meal | 1 | 4.35 | ||||
Transportation | 1 | 4.35 | ||||
Understanding information | 0 | 0.00 | ||||
Bills of utility (electricity, gas, water, and telephones) | 0 | 0.00 | ||||
Job | 1 | 4.35 | ||||
Responsibility for taking care of your family | 5 | 21.74 | ||||
Questionnaire Regarding Problems after Discharge from the Hospital (PADQ-E) | No help needed N (%) | Need partial assistance N (%) | Need full help N (%) | |||
Physical symptoms | Pain | 20 (86.96) | 2 (8.70) | 1 (4.35) | ||
Tired | 21 (91.30) | 2 (8.70) | 0 (0.00) | |||
Discomfort in breathing | 21 (91.30) | 2 (8.70) | 0 (0.00) | |||
Bowel problems | 18 (78.26) | 4 (17.39) | 1 (4.35) | |||
Urination problems | 20 (86.96) | 3 (13.04) | 0 (0.00) | |||
Lacking appetite and indigestion | 20 (86.96) | 3 (13.04) | 0 (0.00) | |||
Hand and foot numbness and aching | 21 (91.30) | 2 (8.70) | 0 (0.00) | |||
Vomiting | 22 (95.65) | 1 (4.35) | 0 (0.00) | |||
Change in appearance | 23 (100.00) | 0 (0.00) | 0 (0.00) | |||
Self-management | Use of crutches, pedestrians, and wheelchairs, among others | 23 (100.00) | 0 (0.00) | 0 (0.00) | ||
Use of medical equipment | 23 (100.00) | 0 (0.00) | 0 (0.00) | |||
Management of stent | 23 (100.00) | 0 (0.00) | 0 (0.00) | |||
Management of Piping Pipes | 22 (95.65) | 1 (4.35) | 0 (0.00) | |||
Wound management | 20 (86.96) | 3 (13.04) | 0 (0.00) | |||
Medication Instruction | 22 (95.65) | 1 (4.35) | 0 (0.00) | |||
Exercise and Rehabilitation Instructions | 20 (86.96) | 3 (13.04) | 0 (0.00) | |||
Dietary management | 18 (78.26) | 5 (21.74) | 0 (0.00) | |||
Management of side effects of treatment (anti-cancer, radiation, surgery) | 18 (78.26) | 4 (17.39) | 1 (4.35) | |||
Management of comorbidity | 20 (86.96) | 2 (8.70) | 1 (4.35) | |||
Daily activities | Get dressed and take off | 23 (100.00) | 0 (0.00) | 0 (0.00) | ||
Shower or bath | 22 (95.65) | 1 (4.35) | 0 (0.00) | |||
food intake | 22 (95.65) | 1 (4.35) | 0 (0.00) | |||
Meal preparation | 18 (78.26) | 4 (17.39) | 1 (4.35) | |||
Lying or getting up on the bed | 23 (100.00) | 0 (0.00) | 0 (0.00) | |||
Toilet movement and use | 23 (100.00) | 0 (0.00) | 0 (0.00) | |||
Taking a walk | 22 (95.65) | 1 (4.35) | 0 (0.00) | |||
Informative | Information about the possible degree of physical activity | 9 (39.13) | 14 (60.87) | 0 (0.00) | ||
Ways to Control Pain | 12 (52.17) | 11 (47.83) | 0 (0.00) | |||
Symptoms requiring hospital visits | 8 (34.78) | 18 (65.22) | 0 (0.00) | |||
Contacting information of the hospital | 9 (39.13) | 14 (60.87) | 0 (0.00) | |||
Disease condition and treatment plan | 9 (39.13) | 14 (60.87) | 0 (0.00) | |||
How to take medication, side effects | 12 (52.17) | 11 (47.83) | 0 (0.00) | |||
food to eat and food to avoid | 9 (39.13) | 14 (60.87) | 0 (0.00) | |||
Hospital visiting schedule | 11 (47.83) | 12 (52.17) | 0 (0.00) | |||
Mental | Insomnia | 19 (82.61) | 4 (17.39) | 0 (0.00) | ||
Depression | 21 (91.30) | 2 (8.70) | 0 (0.00) | |||
Anxiety | 21 (91.30) | 2 (8.70) | 0 (0.00) | |||
Degradation of memory and thinking skills | 23 (100.00) | 0 (0.00) | 0 (0.00) |
How satisfied are you overall with your participation in the “discharge plan for patients with cancer?” 0 (Not satisfied)–5 (Very satisfied) | (Mean ± Sd) | 4.32 ± 0.65 |
Do you think the “discharge plan for patients with cancer helped you manage your health at home after discharge?” 0 (Not satisfied)–5 (Very satisfied) | (Mean ± Sd) | 4.41 ± 0.67 |
Do you think the “discharge plan for patients with cancer helped you return to your daily life after discharge?” 0 (Not satisfied)–5 (Very satisfied) | (Mean ± Sd) | 3.86 ± 0.94 |
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Share and Cite
Kim, Y.A.; Choi, H.R.; Choi, M.; Park, A.K.; Kim, H.R.; Lee, C.; Lee, E.; Kim, K.O.; Kwak, M.Y.; Chang, Y.J.; et al. Examining the Effectiveness of the Discharge Plan Model on the South Korean Patients with Cancer Completed Cancer Treatment and Are Returning to the Community: A Pilot Study. Int. J. Environ. Res. Public Health 2023, 20, 74. https://doi.org/10.3390/ijerph20010074
Kim YA, Choi HR, Choi M, Park AK, Kim HR, Lee C, Lee E, Kim KO, Kwak MY, Chang YJ, et al. Examining the Effectiveness of the Discharge Plan Model on the South Korean Patients with Cancer Completed Cancer Treatment and Are Returning to the Community: A Pilot Study. International Journal of Environmental Research and Public Health. 2023; 20(1):74. https://doi.org/10.3390/ijerph20010074
Chicago/Turabian StyleKim, Young Ae, Hye Ri Choi, Mingee Choi, Ah Kyung Park, Hye Ryun Kim, Chaemin Lee, Elim Lee, Kyung Ok Kim, Mi Young Kwak, Yoon Jung Chang, and et al. 2023. "Examining the Effectiveness of the Discharge Plan Model on the South Korean Patients with Cancer Completed Cancer Treatment and Are Returning to the Community: A Pilot Study" International Journal of Environmental Research and Public Health 20, no. 1: 74. https://doi.org/10.3390/ijerph20010074