Analysis of the impact of caregiver training program intervention on frailty in colon cancer patients undergoing postoperative chemotherapy

[Objectives] To explore the impact of caregiver training program intervention on frailty in colon cancer patients undergoing postoperative chemotherapy. [Methods] A retrospective analysis was conducted on the clinical data of 104 colon cancer patients who received postoperative chemotherapy in our h...

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Main Authors: Nie Tingting, Zhang Wei, Li Yuanyuan, Zhao Tianxue
Format: Article
Language:zho
Published: Editorial Office of Journal of Colorectal & Anal Surgery 2024-10-01
Series:结直肠肛门外科
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Online Access:https://jcas.gxmuyfy.cn/cn/wqll/paper.html?id=369&cateName=2024%E5%B9%B4%20%E7%AC%AC30%E5%8D%B7%20%E7%AC%AC5%E6%9C%9F
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author Nie Tingting
Zhang Wei
Li Yuanyuan
Zhao Tianxue
author_facet Nie Tingting
Zhang Wei
Li Yuanyuan
Zhao Tianxue
author_sort Nie Tingting
collection DOAJ
description [Objectives] To explore the impact of caregiver training program intervention on frailty in colon cancer patients undergoing postoperative chemotherapy. [Methods] A retrospective analysis was conducted on the clinical data of 104 colon cancer patients who received postoperative chemotherapy in our hospital from March 2021 to April 2022. These patients were recruited to investigate the effectiveness of the caregiver training program intervention. Based on the interventions received during postoperative chemotherapy, they were divided into a control group and an observation group. The control group received conventional chemotherapy nursing and standard frailty prevention and management for colon cancer patients. The observation group received additional caregiver training program intervention. Each group included 52 patients who met the research requirements. The intervention period lasted for 6 months, from the beginning of the first chemotherapy session to the end of the total chemotherapy course. The frailty status of the patients was assessed using the Fried frailty phenotype scale and the Comprehensive Frailty Assessment Instrument (including physical frailty, psychological frailty, social frailty, and environmental frailty dimensions) before the first chemotherapy session (pre-intervention) and after the total chemotherapy course (post-intervention). The frailty scores before and after the intervention were compared. [Results] For the Fried frailty phenotype scale: before the intervention, there was no statistically significant difference in scores between the two groups (P>0.05). After the intervention, the observation group had significantly lower scores than the control group, while the control group had significantly higher scores than before the intervention (P<0.05). There was no statistically significant difference in scores before and after the intervention in the observation group (P>0.05). For the Comprehensive Frailty Assessment Instrument: before the intervention, there were no statistically significant differences in scores for each dimension and the total score between the two groups (P>0.05). After the intervention, the observation group had significantly lower scores for each dimension and the total score compared to the control group (P<0.05). The control group had significantly higher scores for each dimension and the total score compared to before the intervention (P<0.05). In the observation group, the score for the physical frailty dimension after the intervention was significantly higher than before the intervention (P<0.05), while there were no statistically significant differences in scores for the other dimensions and the total score before and after the intervention (P>0.05). [Conclusion] For colon cancer patients undergoing postoperative chemotherapy, adding caregiver training program intervention to conventional chemotherapy nursing and standard frailty prevention and management for colon cancer patients could help delay the worsening of frailty during chemotherapy.
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language zho
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publisher Editorial Office of Journal of Colorectal & Anal Surgery
record_format Article
series 结直肠肛门外科
spelling doaj-art-9f86fbadb39a4f52b9185f28c0c489912025-08-20T03:49:17ZzhoEditorial Office of Journal of Colorectal & Anal Surgery结直肠肛门外科1674-04912024-10-0130564264710.19668/j.cnki.issn1674-0491.2024.05.024Analysis of the impact of caregiver training program intervention on frailty in colon cancer patients undergoing postoperative chemotherapyNie Tingting0Zhang Wei1Li Yuanyuan2Zhao Tianxue3Department of Internal Medicine, Medical and Health Care Center/Geriatric Medicine, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, ChinaDepartment of Internal Medicine, Medical and Health Care Center/Geriatric Medicine, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, ChinaDepartment of Internal Medicine, Medical and Health Care Center/Geriatric Medicine, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, ChinaDepartment of Internal Medicine, Medical and Health Care Center/Geriatric Medicine, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China[Objectives] To explore the impact of caregiver training program intervention on frailty in colon cancer patients undergoing postoperative chemotherapy. [Methods] A retrospective analysis was conducted on the clinical data of 104 colon cancer patients who received postoperative chemotherapy in our hospital from March 2021 to April 2022. These patients were recruited to investigate the effectiveness of the caregiver training program intervention. Based on the interventions received during postoperative chemotherapy, they were divided into a control group and an observation group. The control group received conventional chemotherapy nursing and standard frailty prevention and management for colon cancer patients. The observation group received additional caregiver training program intervention. Each group included 52 patients who met the research requirements. The intervention period lasted for 6 months, from the beginning of the first chemotherapy session to the end of the total chemotherapy course. The frailty status of the patients was assessed using the Fried frailty phenotype scale and the Comprehensive Frailty Assessment Instrument (including physical frailty, psychological frailty, social frailty, and environmental frailty dimensions) before the first chemotherapy session (pre-intervention) and after the total chemotherapy course (post-intervention). The frailty scores before and after the intervention were compared. [Results] For the Fried frailty phenotype scale: before the intervention, there was no statistically significant difference in scores between the two groups (P>0.05). After the intervention, the observation group had significantly lower scores than the control group, while the control group had significantly higher scores than before the intervention (P<0.05). There was no statistically significant difference in scores before and after the intervention in the observation group (P>0.05). For the Comprehensive Frailty Assessment Instrument: before the intervention, there were no statistically significant differences in scores for each dimension and the total score between the two groups (P>0.05). After the intervention, the observation group had significantly lower scores for each dimension and the total score compared to the control group (P<0.05). The control group had significantly higher scores for each dimension and the total score compared to before the intervention (P<0.05). In the observation group, the score for the physical frailty dimension after the intervention was significantly higher than before the intervention (P<0.05), while there were no statistically significant differences in scores for the other dimensions and the total score before and after the intervention (P>0.05). [Conclusion] For colon cancer patients undergoing postoperative chemotherapy, adding caregiver training program intervention to conventional chemotherapy nursing and standard frailty prevention and management for colon cancer patients could help delay the worsening of frailty during chemotherapy.https://jcas.gxmuyfy.cn/cn/wqll/paper.html?id=369&cateName=2024%E5%B9%B4%20%E7%AC%AC30%E5%8D%B7%20%E7%AC%AC5%E6%9C%9Fcolon cancerpostoperative chemotherapycaregiverfrailtyfrailty assessment
spellingShingle Nie Tingting
Zhang Wei
Li Yuanyuan
Zhao Tianxue
Analysis of the impact of caregiver training program intervention on frailty in colon cancer patients undergoing postoperative chemotherapy
结直肠肛门外科
colon cancer
postoperative chemotherapy
caregiver
frailty
frailty assessment
title Analysis of the impact of caregiver training program intervention on frailty in colon cancer patients undergoing postoperative chemotherapy
title_full Analysis of the impact of caregiver training program intervention on frailty in colon cancer patients undergoing postoperative chemotherapy
title_fullStr Analysis of the impact of caregiver training program intervention on frailty in colon cancer patients undergoing postoperative chemotherapy
title_full_unstemmed Analysis of the impact of caregiver training program intervention on frailty in colon cancer patients undergoing postoperative chemotherapy
title_short Analysis of the impact of caregiver training program intervention on frailty in colon cancer patients undergoing postoperative chemotherapy
title_sort analysis of the impact of caregiver training program intervention on frailty in colon cancer patients undergoing postoperative chemotherapy
topic colon cancer
postoperative chemotherapy
caregiver
frailty
frailty assessment
url https://jcas.gxmuyfy.cn/cn/wqll/paper.html?id=369&cateName=2024%E5%B9%B4%20%E7%AC%AC30%E5%8D%B7%20%E7%AC%AC5%E6%9C%9F
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AT zhangwei analysisoftheimpactofcaregivertrainingprograminterventiononfrailtyincoloncancerpatientsundergoingpostoperativechemotherapy
AT liyuanyuan analysisoftheimpactofcaregivertrainingprograminterventiononfrailtyincoloncancerpatientsundergoingpostoperativechemotherapy
AT zhaotianxue analysisoftheimpactofcaregivertrainingprograminterventiononfrailtyincoloncancerpatientsundergoingpostoperativechemotherapy