Grant Marian S, Wiegand Debra L, Dy Sydney M
University of Maryland School of Nursing,Baltimore,Maryland.
Johns Hopkins Bloomberg School of Public Health,Baltimore,Maryland.
Palliat Support Care. 2015 Jun;13(3):787-93. doi: 10.1017/S1478951514000637. Epub 2014 Jun 9.
Increasing evidence demonstrates the benefits of online cancer interventions but very little about the needs of those with pancreatic cancer or interaction with online providers. Our study was done to (1) see how many people would visit a webpage where they could interact with a palliative care nurse practitioner (PCNP), (2) see how many would ask the PCNP questions, (3) determine the type of questions, and (4) obtain feedback regarding the usefulness of the webpage.
Mixed-methods descriptive design.
There were 2174 visits to the webpage, and a total of 84 participants sent 110 questions/comments. Some 28 (33%) were people worried that they might have pancreatic cancer. Most questions (59, 53%) had to do with palliative care issues, with the largest subgroup (26, 23%) involving psychological concerns. A total of 39 completed an online survey and were relatives (20, 52%), or patients (17, 44%). They rated the webpage at 3.3/4 as being helpful at learning about the physical symptoms/treatments of pancreatic cancer, at 3.1/4 for learning about emotional issues, at 3/4 for learning about palliative care, at 2.8/4 for learning about hospice, and at 3.3/4 for reading other people's questions.
The PCNP webpage was a helpful resource. Most asking questions were worried about having or getting pancreatic cancer. More research is needed into online providers, interventions, and conducting research online.
越来越多的证据表明在线癌症干预措施有益,但关于胰腺癌患者的需求或与在线服务提供者的互动却知之甚少。我们开展这项研究是为了:(1)了解有多少人会访问一个能与姑息治疗执业护士(PCNP)互动的网页;(2)了解有多少人会向PCNP提问;(3)确定问题的类型;(4)获取关于该网页有用性的反馈。
采用混合方法描述性设计。
该网页有2174次访问,共有84名参与者发送了110个问题/评论。约28人(33%)担心自己可能患有胰腺癌。大多数问题(59个,53%)与姑息治疗问题有关,最大的子类别(26个,23%)涉及心理问题。共有39人完成了在线调查,其中亲属20人(52%),患者17人(44%)。他们对该网页的评分如下:了解胰腺癌身体症状/治疗方面为3.3/4分,了解情感问题为3.1/4分,了解姑息治疗为3/4分,了解临终关怀为2.8/4分,阅读他人问题为3.3/4分。
PCNP网页是一个有用的资源。大多数提问者担心自己患有或会患上胰腺癌。需要对在线服务提供者、干预措施以及在线开展研究进行更多研究。