探索实用性和可接受性在癌症护理中的简短运动沟通和临床医生转诊途径:可行性研究
Cristina M Caperchione1, Madeleine English2, Paul Sharp2
1School of Sport, Exercise and Rehabilitation, University of Technology Sydney, Sydney, NSW, Australia. cristina.caperchione@uts.edu.au.
BMC health services research
|September 22, 2023
概括
癌症临床医生和患者一致认为运动至关重要,但缺乏沟通和转诊途径. 实施运动沟通和推途径 (ECRP) 显示了将运动纳入标准癌症护理中的希望.
科学领域:
- 在瘤学瘤学.
- 运动科学 运动科学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 大多数癌症患者和临床医生认为运动对癌症治疗至关重要.
- 临床医生-癌症护理临床医生 (CCC) 很少讨论运动或将患者推给运动专业人士 (EP).
- 在将运动纳入标准的癌症治疗方案中存在差距.
研究的目的:
- 评估基于证据的方法的可行性和可接受性,以加强CCC和癌症患者之间的运动沟通.
- 测试一个运动沟通和推途径 (ECRP),旨在改善癌症护理中的运动整合.
- 确定在瘤学环境中实施运动推途径的障碍和促进者.
主要方法:
- 练习沟通和推途径 (ECRP) 在澳大利亚悉尼实施和测试.
- 该ECRP涉及瘤学发起的简短沟通,CCC转介给EP,以及EP领导的电话咨询,以提供量身定制的运动建议.
- 通过与CCC (n=3),癌症患者 (n=21) 和EP (n=1) 的半结构面试收集了参与者的感知,随后进行了感应主题分析.
主要成果:
- 瘤学发起的沟通作为行动的提示,但CCC之间缺乏关于运动推的角色明确性.
- 量身定制的患者信息和建议,考虑到个体疾病,社会文化和环境因素,对于以患者为中心的护理至关重要.
- 需要进行结构性变化 (EP发起的接触) 和政策改革 (医疗保险,直接转诊瘤医生) 来改善患者参与和炼整合.
结论:
- 该研究提供了改善瘤学运动沟通和转诊途径的见解,以促进患者参与.
- 为了成功实施ECRP,必须考虑个人因素 (临床医生的经验,知识) 和上下文因素 (时间,资源).
- 需要进一步开发,将运动推途径嵌入常规癌症护理中.
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