CN71 - A nurse-led clinic stepped-care intervention for rectal cancer survivors with bowel problems

Background

Survivors of rectal cancer often face bowel problems known as Low Anterior Resection Syndrome (LARS), significantly impacting their QoL. Previous research highlighted the need for more information and support for patients, with healthcare providers (HCPs) recognizing the value of nursing interventions. This study aimed to develop, implement and explore the significance of a nurse-led clinic (NLC) for patients with LARS.

Methods

A NLC with a stepped intervention for patients with LARS was developed and implemented in Belgium. (1) all LARS patients received basic support. (2)Those with more severe symptoms/needs received comprehensive counseling and increased follow-up. (3) a third step, involving referrals to other HCPs or experts by experience was used for patients with specific needs. To evaluate the NLC an exploratory qualitative study was conducted in two hospitals. Adult rectal cancer patients experiencing LARS who attended the NLC were purposively recruited for semi-structured interviews. Thematic analysis was employed for data analysis, using researcher triangulation to enhance reliability.

Results

Fifteen participants were interviewed, representing the different steps of the nursing intervention. The NLC, led by a Clinical Nurse Specialist (CNS), offered holistic care beyond medical aspects, instilling trust and a sense of security. Accessibility, direct contact with the CNS and acknowledgement of LARS as a common late effect were valued by patients. Patients felt understood and received practical advice based on shared experiences. Lastly, the CNS facilitated referrals to other HCPs as needed.

Conclusions

The NLC provided meaningful support for patients with LARS, addressing their concerns comprehensively. It normalized the condition, empowered patients with tailored information, and offered strategies for symptom management. Integrating nursing expertise through a NLC enhances patient recognition, understanding, and support. Ensuring accessibility and personalized care align with patient needs, emphasizing the importance of tailored information and support services in oncology nursing practice.

Clinical trial identification

Editorial acknowledgement

Legal entity responsible for the study

The authors.

Funding

Kom Op Tegen Kanker.

Disclosure

All authors have declared no conflicts of interest.