在 ambulatory 环境中开始抗瘤治疗的患者的虚拟随访
Lauren J Chew1, Danielle S Urman2, Kevin Maxwell1
1University of San Diego, San Diego, CA.
JCO oncology practice
|March 8, 2024
概括
在癌症治疗后24-48小时进行主动电话,改善了患者的知识保留和满意度. 这种早期的随访可以提高抗瘤治疗期间的患者安全性和护理质量.
科学领域:
- 在瘤学瘤学.
- 患者教育 患者教育
- 医疗保健通讯 医疗保健通讯
背景情况:
- 开始抗瘤疗法可能会引起痛苦,影响患者对副作用和安全协议的理解.
- 患者经常在治疗期间有问题和经历毒性,这可能发生在8至28天的间隔内.
研究的目的:
- 为了评估在初始抗瘤注射后24-48小时内进行后续电话对患者满意度和教育保留的影响.
- 为了将这种主动方法与标准的预处理教育进行比较.
主要方法:
- 一个单一中心的试点研究包括识字的,英语说话的生殖尿道恶性瘤患者,接受静脉注射化疗或免疫治疗.
- 用经过验证的Leuven's问卷患者知识工具评估了患者的知识保留 (较高的得分=更多的保留).
- 电话后续包括知识评估,教育加强,安全参数审查和护理协调,然后一周后进行满意度调查.
主要成果:
- 31名患有各种性泌尿道癌症的患者参与了这项研究.
- 平均Leuven问卷得分显著改善,从干预前的5.3分到干预后的8.1分 (P < .0001).
- 97%的患者报告说,干预后他们的满意度增加了.
结论:
- 积极的电话跟踪可以提高瘤学患者的教育保留率.
- 这种干预显著提高了患者的满意度.
- 早期跟进有潜力提高患者安全和整体护理质量.
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