Tocchi Christine, McCorkle Ruth, Knobf M Tish
Duke University School of Nursing, Durham, North Carolina; Yale University, West Haven, Connecticut.
J Adv Pract Oncol. 2015 Sep-Oct;6(5):408-16. Epub 2015 Sep 1.
Self-management has been shown to be an effective intervention to enable and empower patients with chronic illness to manage their health. Taking Early Action to Manage Self (TEAMS) is such an intervention, providing education and support to patients with advanced solid tumors to develop self-management skills. We conducted a study and surveyed health-care providers about their perceptions of multidisciplinary teams on the outcomes of this TEAMS intervention as well as factors that may influence its adoption into practice. The majority of respondents reported that the TEAMS program was feasible to practice and well suited to their patient population. In this article, the full results of this survey are presented, along with the emerging themes of empowerment and improved communication between patients and providers. In addition, facilitators and barriers to its adoption are explored. Although providers supported the adoption of the TEAMS program, provider resources to implement and maintain it need to be addressed prior to its widespread adoption.
自我管理已被证明是一种有效的干预措施，可使慢性病患者能够并有权管理自己的健康。“采取早期行动进行自我管理”（TEAMS）就是这样一种干预措施，它为晚期实体瘤患者提供教育和支持，以培养自我管理技能。我们开展了一项研究，并就多学科团队对该TEAMS干预措施的结果以及可能影响其在实践中采用的因素的看法，对医疗保健提供者进行了调查。大多数受访者表示，TEAMS计划在实践中是可行的，并且非常适合他们的患者群体。在本文中，将呈现这项调查的完整结果，以及赋权和患者与提供者之间沟通改善等新出现的主题。此外，还探讨了其采用的促进因素和障碍。尽管提供者支持采用TEAMS计划，但在其广泛采用之前，需要解决实施和维持该计划所需的提供者资源问题。
