Effect of Nursing Interventions on Health Practices and Perceptions regarding Colorectal Cancer among Community-Dwelling Older Adults in Alexandria, Egypt

Hafez, Sarah Ali; Taha, Eman; Abd El Fattah, Nagwa; Mohsen, Heba; Mohsen, Heba Ahmed; Sayed, Eman Taha; Ibrahim, Nagwa Abd El Fattah

doi:10.21608/pssjn.2020.27900.1018

Effect of Nursing Interventions on Health Practices and Perceptions regarding Colorectal Cancer among Community-Dwelling Older Adults in Alexandria, Egypt

Document Type : Original Article

Authors

¹ faculty of nursing , alexandria unveristy

² nursing education department ,faculty of nursing , alexandria university

³ gerontological nursing department , faculty of alexandria, alexandria university

⁴ gerontological nursing department , faculty of nursing,alexandria university.

⁵ Gerontological Nursing Department, Faculty of Nursing, Alexandria University, Egypt

⁶ Nursing Education Department, Faculty of Nursing, Alexandria University,Egypt

⁷ Gerontological Nursing Department, Faculty of Nursing, Alexandria University,Egypt

10.21608/pssjn.2020.27900.1018

Abstract

Background: Colorectal cancer (CRC) is one of the most common cancers worldwide and it is one of the most commonly diagnosed types of cancer at an older age. The gerontological nurse is one of the professionals who act as an educator, health promoter, direct care provider in screening and motivator for older adults to adopt a healthy lifestyle behavior for early detection and prevention of CRC.Aim: The present study aimed to determine the effect of nursing interventions on knowledge and perceptions regarding colorectal cancer among community-dwelling older adults. Research design: Quasi experimental design was used in this study.Setting:The study was conducted in El-Waffa club of elderly persons at Alexandria, Egypt. Sampling:Sixty older adults aged 60 years and above were recruited in the study, who have no cognitive impairment, have no or mild depression, able to read and write and not currently diagnosed with colorectal cancer. Method:Six tools were used as follows: Mini-Mental State Examination Scale, Geriatric Depression Scale Short Form, Older Adults Socio-Demographic and Clinical Data Structured Interview Schedule, Colorectal Cancer Knowledge Questionnaire, Colorectal Cancer Perceptions scale, and older adults' health practices regarding prevention of colorectal cancer. Results: Current study revealed that mean post-test practices and perceptions scores are significantly higher than pre-test scores regarding colorectal cancer among the study subjects. Conclusion: Nursing interventions were significantly improved the studied seniors’ practices, perceptions regarding CRC. Recommendations: Raising awareness of the public about CRC, its management, its prevention, and CRC screening measures in all various health settings.

Keywords

References

American cancer Society (2016). Colorectal Cancer Risk factor. Available at: http: //www.cancer.org/cancer/colon-rectal-cancer/early-detection/risk factors-for- crc.html . Retrieved on July 30, 2018.

American Cancer Society. (2017). American Cancer Society recommendations for colorectal cancer early detection. Available at: https://WWW.cancer.org/cancer/colon-rectal-cancer/detection-diagnosis-staging/acs-recommendation.html. Retrieved on July 30, 2018.

Arbor, A. (2016). Are Older Adults Being Appropriately screened for Colorectal Cancer?. Available at: https://www.elsevier.com/about/press-releases/research-and-journals/are-older-adults-being-appropriately-screened-for-colorectal-cancer. Retrieved on 12 January, 2017.

Beeker, C., Kraft, J. M., Southwell, B. G., & Jorgensen, C. M. (2000). Colorectal cancer screening in older men and women: qualitative research findings and implications for intervention. Journal of community health, 25(3), 263-278.

Berkowitz, Z., Hawkins, N., Peipins, M., &Nadel,M. (2008). Beliefs, risk perceptions, and gaps in knowledge as barriers to colorectal cancer screening in older adults. Journal of American geriatricsociety, 56(2), 307–14.

Bostick, R., Potter, J., Kushi, L., Sellers, T., Steinmetz, K., McKenzie, D., Gapstur, S., &Folsom, A. (1994). Sugar, meat, and fat intake, and non-dietary risk factors for colon cancer incidence in Iowa women (United States). Journal of cancer causes control, 5(2),38–52.

Bostick, R., Sprafka, J., Virnig, B., &Potter, J. (2003).Knowledge, attitudes, and personal practices regarding prevention and early detection of cancer. Journal of preventivemedicine, 22(2), 65-85.

Briss, P,, Mer, B., Reilley, B., Coates, R., Lee, N., &Mullen, P. (2004). Promoting informed decisions about colorectal cancer screening in communities and healthcare systems. American Journal of Preventive Medicine, 26(2), 67-80.

Christou, A.,&Thompson, S. (2012). CRC screening knowledge, attitudes and behavioural intention among Indigenous Western Australians. BMC Public Health Journal,12(1), 528.

Clipp, E., Carver, E., Pollak K, Puleo, E., Emmons, K., &Onken, J. (2004) .Age-related vulnerabilities of older adults with colonadenomas: evidence from Project Journal of cancer prevention, 100(5),1085–94.

El husseini, S.(2013). Effect of self care interventions on the quality of life of older adults with heart failure. Unpublished Doctorate Dissertation, Alexandria University, Faculty of Nursing, Egypt.

El Okl, M. (2002). Prevalence of Alzheimer dementia and other causes of dementia in Egyptian elderly.Unpublished Master Thesis. Faculty of Medicine. Ain Shams University,Egypt.

Ernst, J., Grady, W., Lieberman, D., Seufferlein,T., &Watanabe, T. (2016).Colorectal cancer.Nature Reviews Disease Primers Journal,1: 15065. doi:10.1038/nrdp.2015.65.

Elshafei, A., Shaker, O., AbdEl-motaal, O., & Salman, T. (2017). The Expression Profiling of serum miR-92a, mir-375, and miR- 760 in colorectal cancer: An Egyptian study. Tumor Biology Journal , 39(6),1-15.

GimenoGarcía, A. Z. (2012). Factors influencing colorectal cancer screening participation. Gastroenterology research and practice Journal. https://doi.org/10.1155/2012/483417

Griffin, M. (2011). Health belief model, social support, and intent to screen for colorectal cancer in older African American men. Published Doctorate dissertation, the faculty of the graduate school, at University of North Carolina at Greensboro.

Hart, A., Barone, T., &Mayberry, J. (2007). Increasing compliance with colorectal cancer screening: The development of effective health education. Health Education Research: Theory & Practice Journal, 12(1), 171-180.

Islam, H., Metwally, M., Amr,F. , Abouzid ,A.,Saleh, S. ,&Hamdy,M .(2018) . Epidemiology and survival of colon cancer among Egyptians: a retrospective study. Journal of Coloproctology,38(1),24-9.

Jacobs, L. (2002). Health beliefs of first-degree relatives of individuals with colorectal cancer and participation in health maintenance visits: A population-based study. Cancer Nursing Journal,25(4), 251-265.

Katz, A., Lambert-Lanning, A., Miller, A., Kaminsky, B., &Enns J. (2012). Delivery of preventive care, the national Canadian Family Physician Cancer and Chronic Disease Prevention Survey. Journal of Canadian Family Physicians, 58(1), 62-9.

Kindree, T., Ashbury, F., Goel, V., Levy, I., Lipskie, T., &Futcher, R. (2007). Development of an instrument to measure and improve colorectal cancer screening, knowledge, attitudes, and behaviours. Chronic Diseases Journal ,18(4),168-75.

Lipkus, I., Rimer, B., Lyna, P., Pradhan, A., Conway, M., &Woods-Powell, C. (2006). Colorectal screening patterns and perceptions of risk among African American users of a community health center. Journal of Community Health,21(6), 409-27.

Menon, U., Champion, V., Larkin, G., Zollinger, T., Gerde, P., &Vernon, S. (2003). Beliefs associated with fecal occult blood test and colonoscopy use at a worksite colon cancer screening program. Journal of Occupational and Environmental Medicine, 45(%): 891-8.

Owusu, C. (2011). Screening older cancer patients for a Comprehensive Geriatric Assessment: A comparison of three instruments. Journal of Geriatric Oncology,13(2),121–129.

Powe, B., Finnie, R., &Ko, J. (2006). Enhancing knowledge of colorectal cancer among African Americans: why are we waiting until age 50?. Gastroenterology Nursing Journal, 29(1),42–9.

Price, A. (2002). Primary and secondary prevention of colorectal cancer. Gastroenterology NursingJournal,26(1), 73–81.

Robb, K., Stubbings, S., Ramirez, A., Macleod, U., Austoker, J., &Waller, J. (2009). Improving Public awareness of colorectal cancer in Britain: a population-based survey of older adults. British Journal of Cancer, 101 (2), 18-23.

Ross, E., Jepson, C., Wolf, T., Balshem, A., &Millner, L.. (2004). Modeling adherence to colorectal cancer screening. Preventive MedicineJournal, 23: 142-51.

Rustgi, K. (2004) Breaking the barriers to colorectal cancer screening. GastroenterologyJournal, 126(5),1232–33.

Seeff,L., Nadel, M., &Blackman ,D. (2003). Colorectal cancer test use among persons aged>50 years—United States. MMWR,52:193-6.

Wagner, J., Herdman,R., &Wadhwa,S. (1991).Cost-effectiveness of colorectal screening in the elderly. Annals of Internal Medicine Journal,115: 807–17.

Wardle, J., Williamson, S., McCaffery, K., Sutton, S., Taylor, T., &Edwards, R. (2003). Increasing attendance at colorectal cancer screening: Testing the efficacy of a mailed, psychoeducational intervention in a community sample of older adults. Health PsychologyJournal, 22(4), 99-105.

Weinrich, S., Boyd, M., Johnson, E., &Frank, M. (1992). Knowledge of colorectal cancer among older persons. Cancer NursingJournal, 15(5), 322-330.

Weller, D., Owen, N., Hiller, E., &Willson, K. (2005). Colorectal cancer and its prevention: Prevalence of beliefs, attitudes, intentions, and behaviour. Australian Journal of Public Health,19(1), 19-23.

Yesavage,A ., &Sheikh, J.(1983). Recent evidence and Development and validation of a geriatric depression screening scale shorter version.: A preliminary report. Journal of Psychiatric Research, 17(1),37-49.