针对新确诊癌症患者的多学科导向项目的效果与可行性：一项随机对照试验的设计

Effects and feasibility of a multi-disciplinary orientation program for newly registered cancer patients: design of a randomised controlled trial.

作者信息

Chan Raymond, Webster Joan, Bennett Linda

机构信息

Cancer Care Services, Royal Brisbane & Women's Hospital, Butterfield Street, Herston, QLD 4029, Queensland, Australia.

出版信息

BMC Health Serv Res. 2009 Nov 11;9:203. doi: 10.1186/1472-6963-9-203.

DOI:10.1186/1472-6963-9-203

PMID:19906312

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2781003/

Abstract

BACKGROUND

Diagnosis and treatment of cancer can contribute to psychological distress and anxiety amongst patients. Evidence indicates that information giving can be beneficial in reducing patient anxiety, so oncology specific information may have a major impact on this patient group. This study investigates the effects of an orientation program on levels of anxiety and self-efficacy amongst newly registered cancer patients who are about to undergo chemotherapy and/or radiation therapy in the cancer care centre of a large tertiary Australian hospital.

METHODS

The concept of interventions for orienting new cancer patients needs revisiting due to the dynamic health care system. Historically, most orientation programs at this cancer centre were conducted by one nurse. A randomised controlled trial has been designed to test the effectiveness of an orientation program with bundled interventions; a face-to-face program which includes introduction to the hospital facilities, introduction to the multi-disciplinary team and an overview of treatment side effects and self care strategies. The aim is to orientate patients to the cancer centre and to meet the health care team. We hypothesize that patients who receive this orientation will experience lower levels of anxiety and distress, and a higher level of self-efficacy.

DISCUSSION

An orientation program is a common health care service provided by cancer care centres for new cancer patients. Such programs aim to give information to patients at the beginning of their encounter at a cancer care centre. It is clear in the literature that interventions that aim to improve self-efficacy in patients may demonstrate potential improvement in health outcomes. Yet, evidence on the effects of orientation programs for cancer patients on self-efficacy remains scarce, particularly with respect to the use of multidisciplinary team members. This paper presents the design of a randomised controlled trial that will evaluate the effects and feasibility of a multidisciplinary orientation program for new cancer patients.

TRIAL REGISTRATION

Current Controlled Trials ACTRN12609000018213.

摘要

背景

癌症的诊断和治疗可能会给患者带来心理困扰和焦虑。有证据表明，提供信息有助于减轻患者的焦虑，因此肿瘤学特定信息可能会对这一患者群体产生重大影响。本研究调查了一项迎新计划对即将在澳大利亚一家大型三级医院的癌症护理中心接受化疗和/或放疗的新登记癌症患者的焦虑水平和自我效能感的影响。

方法

由于动态的医疗保健系统，针对新癌症患者进行迎新干预的概念需要重新审视。从历史上看，该癌症中心的大多数迎新计划都是由一名护士实施的。一项随机对照试验旨在测试一项包含多项干预措施的迎新计划的有效性；这是一个面对面的计划，包括介绍医院设施、介绍多学科团队以及概述治疗副作用和自我护理策略。目的是让患者熟悉癌症中心并与医疗团队见面。我们假设接受此迎新计划的患者将经历较低水平的焦虑和痛苦，并具有较高水平的自我效能感。

讨论

迎新计划是癌症护理中心为新癌症患者提供的一项常见医疗服务。此类计划旨在在患者初次接触癌症护理中心时为其提供信息。文献中明确指出，旨在提高患者自我效能感的干预措施可能会显示出健康结果的潜在改善。然而，关于癌症患者迎新计划对自我效能感影响的证据仍然很少，特别是在使用多学科团队成员方面。本文介绍了一项随机对照试验的设计，该试验将评估针对新癌症患者的多学科迎新计划的效果和可行性。