为放射性瘤学患者提供综合性医学教育计划:患者报告的结果
Kareem R Fakhoury1, Jungxiao Hu2, Ellen Kim3
1Department of Radiation Oncology, University of Colorado School of Medicine, Aurora, Colorado.
Advances in radiation oncology
|February 26, 2024
概括
综合医学教育计划改善了患者披露补充健康方法 (CHAs) 的意图,并提高了管理放射治疗症状的自我有效性. 发现了参与的障碍,表明需要增加可访问性.
科学领域:
- 综合医学是一个整体医学.
- 在瘤学瘤学.
- 患者自我管理
背景情况:
- 补充健康方法 (CHAs) 帮助患者管理放射治疗 (RT) 症状,但往往未向瘤学家透露.
- 需要提高患者的自我有效性和关于在RT中使用CHA的沟通.
研究的目的:
- 评估整合医学教育计划 (IMEP),以提高患者在症状管理中的自我效能.
- 评估IMEP对患者向放射瘤学家披露CHA使用意向的影响.
主要方法:
- 一个4次会议IMEP涵盖冥想,,按摩治疗和营养.
- 调查测量了自我有效性和计划之前和之后披露CHA使用的意图.
- 定性主题分析探讨了参与障碍.
主要成果:
- 67.4%的患者打算披露CHA使用IMEP后,高于IMEP前的35.9%.
- 与健康所有权,疾病管理工具和癌症控制相关的自我有效性陈述中观察到显著的改善.
- 障碍包括运输,与RT的调度冲突,以及表现不佳的状态.
结论:
- 一种特定于辐射的IMEP有效地增加了患者披露CHA使用的意图,并提高了管理RT症状的自我有效性.
- 资源密集型的交付凸显了需要可访问的格式,如远程医疗和灵活的安排.
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