增强患者激活:对癌症患者补充和整合性医疗保健 (CCC-Integrativ) 的专业间基于证据的咨询计划进行了受控实施研究
Jan Valentini1, Daniela Froehlich2, Inka Roesel2,3
1Institute for General Practice and Interprofessional Care, University Hospital and Faculty of Medicine Tuebingen, Tuebingen, Germany. jan.valentini@med.uni-tuebingen.de.
Frontiers of medicine
|November 14, 2024
概括
补充和整合性医疗保健 (CIH) 咨询显著提高了癌症患者的患者激活率. 这种基于证据的方法,由跨专业团队提供,显示了改善患者参与护理的积极结果.
科学领域:
- 在瘤学瘤学.
- 综合医学是一个整体医学.
- 医疗保健 实施 科学 科学
背景情况:
- 补充和整合性医疗保健 (CIH) 被认为是赋予癌症患者权力的.
- 较高的患者激活与更好的健康结果和降低医疗保健成本相关.
- 在癌症中心实施基于证据的CIH服务需要评估.
研究的目的:
- 评估基于证据的CIH咨询服务的实施情况.
- 评估CIH咨询对瘤学环境中患者激活的影响.
- 为了比较接受常规护理的干预和对照组之间的患者激活.
主要方法:
- 在德国四个综合癌症中心 (CCC) 进行了一项受控实施研究.
- 干预组在三个月内接受了三次CIH咨询,来自跨专业团队.
- 使用PAM-13测量患者激活在基线,干预后和6个月的随访;用ANCOVA和线性混合模型分析.
主要成果:
- 与对照组相比,干预组观察到患者激活率 (PAM-13得分) 的统计学上显著增加 (调整后的平均差异:2.22 PAM点,P = 0.003).
- 年龄,性别,瘤实体,疾病阶段或研究地点等因素并不能显著预测治疗后的PAM-13得分.
- 在6个月的随访期内,干预措施的维持效应在统计学上并不显著 (P = 0.096).
结论:
- 由训练有素的跨专业团队提供个性化定制的CIH咨询,显著提高了患者的激活.
- 在癌症中心实施此类CIH计划可能有利于患者和医疗保健系统.
- 需要进一步的研究来优化CIH干预措施,以实现持续的患者激活.
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