Chapman N A, Oultram S C, Jovanovic K
School of Health Sciences, University of Newcastle, Newcastle, New South Wales, Australia.
Rural Remote Health. 2008 Apr-Jun;8(2):888. Epub 2008 May 1.
Radiation therapy (RT) plays an important role in the treatment of many malignancies, either as a primary treatment or adjuvant modality. The referral base for many New South Wales (NSW) radiation oncology departments extends across rural and remote NSW regions. There are limited resources and support available to GPs in these rural areas to assist them in caring for patients considering or about to undergo RT, and those who have completed RT treatment and have returned to their rural residence. The project described aimed to develop an electronic learning (e-learning) information resource for: (1) both health professionals and patients in the NSW rural sector on general RT information; and (2) GPs on the specifics of radiation induced skin reactions. In order to produce a comprehensive information package and resource for rural GPs and their patients, a needs assessment was conducted on a sample GP population.
The needs assessment was conducted via distribution of a survey to 1700 rural GPs throughout NSW. The survey was developed using patient and clinician input; and SPSS software (SPSS Inc; Chicago, IL, USA) was used for data analysis. The collected data were analysed descriptively to quantify the GPs' responses.
A response rate of 22% was achieved. Of the respondents, 93.9% had previously cared for a patient undergoing radiation therapy, and 76.7% felt they had insufficient information to support their patient through this process. In total, 96.1% of the GPs indicated the need for information about acute and chronic radiation induced skin reactions. The need for educational material to be available in both hard copy and electronically was identified.
The results indicate that most GPs have cared for an RT patient and few felt they had sufficient information. There was genuine interest from the respondents in obtaining an information and resource package that would assist them in the care of these patients.
放射治疗(RT)在许多恶性肿瘤的治疗中发挥着重要作用,既可以作为主要治疗手段,也可以作为辅助治疗方式。新南威尔士州(NSW)许多放射肿瘤学部门的转诊基础涵盖了新南威尔士州的农村和偏远地区。这些农村地区的全科医生(GP)可获得的资源和支持有限,难以帮助他们照顾正在考虑或即将接受放射治疗的患者,以及那些已完成放射治疗并返回农村居住地的患者。所描述的项目旨在为以下人群开发一个电子学习(e-learning)信息资源:(1)新南威尔士州农村地区的卫生专业人员和患者,提供关于放射治疗的一般信息;(2)为全科医生提供关于放射诱发皮肤反应的具体信息。为了为农村全科医生及其患者制作一个全面的信息包和资源,对一组全科医生样本进行了需求评估。
通过向新南威尔士州的1700名农村全科医生发放调查问卷来进行需求评估。该调查问卷是根据患者和临床医生的意见制定的;并使用SPSS软件(SPSS公司;美国伊利诺伊州芝加哥)进行数据分析。对收集到的数据进行描述性分析,以量化全科医生的回答。
实现了22%的回复率。在受访者中,93.9%的人之前曾照顾过接受放射治疗的患者,76.7%的人认为他们在这个过程中没有足够的信息来支持他们的患者。总共有96.1%的全科医生表示需要有关急性和慢性放射诱发皮肤反应的信息。确定需要既有硬拷贝又有电子形式的教育材料。
结果表明,大多数全科医生都曾照顾过放射治疗患者,很少有人觉得自己有足够的信息。受访者对获得一个信息和资源包表现出真正的兴趣,这将有助于他们照顾这些患者。