Williamson Susan, Chalmers Karen, Beaver Kinta
School of Health, University of Central Lancashire, Brook Building, Preston, PR1 2HE, UK.
School of Nursing, Midwifery & Social Work, University of Manchester, Jean McFarlane Building, Oxford Road, Manchester, M13 9PL, UK.
Eur J Oncol Nurs. 2015 Jun;19(3):237-43. doi: 10.1016/j.ejon.2014.11.006. Epub 2014 Dec 17.
Colorectal cancer is the third most prevalent cancer worldwide, although mortality rates across most of Europe have decreased in recent years. Historically, patients are asked to return to hospital outpatient clinics following treatment to monitor for disease progression. However, new approaches are being called for that focus on meeting the information and support needs of patients. Telephone follow-up (TFU) by specialist nurses is an alternative approach; this study aimed to explore patient views of TFU.
Qualitative interviews were conducted with 26 colorectal cancer patients who had received TFU. One interview was also conducted with the specialist nurse who had used a structured intervention to provide TFU. Data were analysed using content analysis.
All patients found TFU to be a positive experience and all stated a preference for continuing with TFU. Three main themes emerged from the patient interviews; 1) accessible and convenient care, 2) personalised care, and 3) relationship with the specialist nurse. The themes from the specialist nurse interview were 1) knowing the patient, 2) the benefits of TFU and 3) the challenges of TFU.
TFU was well received by patients; it was perceived as highly convenient and had distinct advantages over hospital follow-up. Continuity of care was an important factor in building a trusting relationship between patient and nurse. Training in the use of the intervention is recommended and it may be useful for specialist nurses to initially meet eligible patients face to face to establish rapport before implementing TFU.
结直肠癌是全球第三大常见癌症，尽管近年来欧洲大部分地区的死亡率有所下降。从历史上看，患者在接受治疗后需返回医院门诊进行疾病进展监测。然而，人们呼吁采用新方法，以满足患者的信息和支持需求。专科护士进行电话随访（TFU）是一种替代方法；本研究旨在探讨患者对TFU的看法。
对26名接受过TFU的结直肠癌患者进行了定性访谈。还对一名使用结构化干预措施进行TFU的专科护士进行了一次访谈。采用内容分析法对数据进行分析。
所有患者都认为TFU是一次积极的体验，并且都表示倾向于继续接受TFU。患者访谈中出现了三个主要主题：1）可及且便捷的护理，2）个性化护理，3）与专科护士的关系。专科护士访谈的主题为：1）了解患者，2）TFU的益处，3）TFU的挑战。
患者对TFU的接受度很高；它被认为非常方便，且相对于医院随访具有明显优势。护理的连续性是建立患者与护士之间信任关系的重要因素。建议对使用该干预措施进行培训，并且专科护士在实施TFU之前，最初与符合条件的患者面对面接触以建立融洽关系可能会有所帮助。
