关于在结直肠癌手术后参加瘤诊所的患者态度和看法:一种定性研究
Yoshan Moodley1,2, Shona Bhadree1, Laura Stopforth1
1University of KwaZulu-Natal, Durban, KwaZulu-Natal, South Africa.
F1000Research
|January 4, 2024
概括
患者的知识,家庭的支持和诊所的物流对结肠直肠癌 (CRC) 手术后的瘤学后续咨询有很大影响. 解决这些因素对于改善患者遵守基本化疗治疗计划至关重要.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 定性研究是指质量研究.
背景情况:
- 结肠直肠癌 (CRC) 手术后坚持瘤咨询对于启动化疗和改善结果至关重要.
- 不遵守导致错过治疗和较差的临床结果.
- 了解患者对在南非参加这些咨询的看法至关重要.
研究的目的:
- 探索南非患者在CRC手术后参加预定瘤咨询的态度和看法.
- 为了确定影响健康寻求行为的因素,用于后续的癌症护理.
主要方法:
- 与接受CRC手术的患者进行了半结构化的定性访谈.
- "卫生服务使用模式"指导了采访框架.
- 收集和分析了人口统计,CRC阶段和咨询合规性的定量数据,并进行了定性主题分析.
主要成果:
- 采访了7名参与者 (平均年龄60岁),他们主要患有III期CRC;瘤学咨询的不显示率为14.3%.
- 关键的影响因素包括患者对CRC的知识/信念 (预先倾向),家庭支持/宗教 (支持),以及旅行费用/诊所安排问题 (禁用).
- 感知到需要进一步的瘤护理也影响了出席决策.
结论:
- 多种上下文因素影响患者遵守CRC手术后的瘤咨询.
- 一个全面的战略,解决患者知识,支持系统和医疗保健系统物流是必要的,以提高咨询的坚持.
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