为结直肠手术做准备:加拿大西部一项基于网络的多模式预康复计划的可行性研究
Nathanael Ip1, Kexin Zhang1, Ahmer A Karimuddin2,3
1Faculty of Pharmaceutical Sciences, The University of British Columbia, Vancouver, British Columbia, Canada.
概括
这项研究测试了针对结直肠癌患者的以患者为导向的,基于网络的预康复计划. 发现PREP预疗计划是可以接受和实用的,患者参与度和满意度很高.
科学领域:
- 在瘤学瘤学.
- 数字健康数字健康
- 以患者为中心的护理
背景情况:
- 从历史上看,结肠直肠癌预康复一直专注于临床医生设计的以运动为基础的干预措施.
- 在结直肠癌的预康复中缺乏以患者为导向的研究.
- 准备前期治疗计划是与患者合作伙伴共同设计的,以解决这个差距.
研究的目的:
- 为结直肠癌患者评估基于网络的多模式预康复干预 (PREP prehab) 的可行性.
- 评估PREP预训练计划的可接受性,实用性和需求.
- 探索该计划在改善整体健康方面的潜在有效性.
主要方法:
- 一项纵向,双臂可行性研究,涉及33名预定接受结直肠手术的患者.
- 干预武器包括一个有或没有辅导支持的网站.
- 通过与健康有关的生活质量问卷 (EQ5D-5L) 和患者满意度调查收集的数据.
主要成果:
- 大多数患者 (86%) 打算使用该网站,而71%的患者在手术前访问该网站.
- 大多数患者 (76%) 发现提供的信息和资源有助于他们,并会推该计划.
- 虽然71%的人表示对积极支持感兴趣,但没有患者联系该团队进行健康指导.
结论:
- 基于网络的多式预康复计划 (PREP prehab) 是可以接受的,实用的,并且受到结直肠手术患者的好评.
- 以患者为导向的多式联络网站有效地让患者参与到预康复中.
- 需要进一步调查,以确定在这种模式下提供积极健康指导支持的可行性.
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