结直肠癌治愈治疗后患者主导的家庭随访的患者经验:一项定性研究
Hidde Swartjes1, Charlotte J H Aarts2, Esther Deuning-Smit3
1Department of Surgery, Radboud University Medical Center, Nijmegen, The Netherlands hidde.swartjes@radboudumc.nl.
BMJ open
|February 17, 2024
概括
对结直肠癌 (CRC) 的患者主导的家庭随访 (PHFU) 显示出潜力,但需要仔细考虑患者因素. PHFU提供了好处,但可能不适合所有患者,强调成功实施的共同责任.
科学领域:
- 在瘤学瘤学.
- 患者护理 患者护理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 越来越多的结直肠癌 (CRC) 患者需要有效的后续策略.
- 患者主导的,基于家庭的随访 (PHFU) 已被开发来解决这个日益增长的需求.
研究的目的:
- 调查患者对结直肠癌 (CRC) 患者主导的家庭随访 (PHFU) 的体验.
主要方法:
- 使用个人半结构面试进行的定性研究.
- 使用诱导式,双编码方法对转录的采访进行主题分析.
- 在荷兰大学医学中心接受PHFU的12名治疗治疗的CRC患者的有目的采样.
主要成果:
- 患者普遍对PHFU感到满意,重视节省时间和成本.
- 患者认为PHFU是一个共同的努力,但认为主要责任仍然在医院.
- 他们注意到与医疗保健提供者 (HCP) 的个人互动减少,寻求帮助的门更高,尽管主要问题得到了解决.
- 据报道,有能力解释个别测试结果,但难以解释波动的癌胚抗原 (CEA) 水平.
- 诸如教育状况,年龄和疾病复杂性等因素被确定为限制PHFU的适用性,建议它作为一种替代方案而不是标准的护理.
结论:
- PHFU显示出对结直肠癌的随访有很大的潜力.
- PHFU的适用性因患者而异,受教育状况,年龄和疾病进程的影响.
- 成功实施PHFU取决于患者和医疗人员之间的共同责任.
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