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以初级保健为主导的结肠癌患者生存护理及电子健康的应用:关于全科医生观点的定性研究

Primary care-led survivorship care for patients with colon cancer and the use of eHealth: a qualitative study on perspectives of general practitioners.

作者信息

Duineveld Laura A M, Wieldraaijer Thijs, Wind Jan, Verdonck-de Leeuw Irma M, van Weert Henk C P M, van Uden-Kraan Cornelia F

机构信息

Department of General Practice, Academic Medical Centre Amsterdam, University of Amsterdam, Amsterdam, The Netherlands.

Department of Clinical Psychology, VU University, Amsterdam, The Netherlands.

出版信息

BMJ Open. 2016 Apr 28;6(4):e010777. doi: 10.1136/bmjopen-2015-010777.

Abstract

OBJECTIVES

The aim of this study was to explore the perspectives of general practitioners (GPs) regarding their current and future role in survivorship care of patients with colon cancer, and to assess their perspectives on patients' self-management capacities and the value of the eHealth application Oncokompas(2.0) used by patients.

SETTING

GPs from the central part of the Netherlands were interviewed at their location of preference.

PARTICIPANTS

20 GPs participated (10 men, 10 women, age range 34-65 years, median age 49.5 years). The median years of experience as a GP was 14.5 years (range 3-34 years).

RESULTS

GPs indicated attempting to keep in contact with patients after colon cancer treatment and mentioned being aware of symptoms of recurrent disease. Most participants would have liked to be more involved and expected to be able to provide survivorship care of colon cancer. Requirements mentioned were agreements with secondary care and a protocol. GPs considered Oncokompas(2.0), which stimulates patients to structure their own survivorship care, as a useful additional tool for a specific group of patients (ie, young and highly-educated patients).

CONCLUSIONS

Based on the perspectives of the GPs, survivorship care of colon cancer in primary care is deemed feasible and the use of an eHealth application such as Oncokompas(2.0) is expected to benefit specific groups of patients after colon cancer treatment.

摘要

目的

本研究旨在探讨全科医生(GP)对其在结肠癌患者生存护理中当前及未来角色的看法,并评估他们对患者自我管理能力以及患者使用的电子健康应用程序Oncokompas(2.0)价值的看法。

背景

对荷兰中部地区的全科医生在他们选择的地点进行访谈。

参与者

20名全科医生参与(10名男性,10名女性,年龄范围34 - 65岁,中位年龄49.5岁)。作为全科医生的中位经验年限为14.5年(范围3 - 34年)。

结果

全科医生表示在结肠癌治疗后试图与患者保持联系,并提到了解疾病复发症状。大多数参与者希望能更多地参与其中,并期望能够提供结肠癌生存护理。提到的要求是与二级护理达成协议和制定方案。全科医生认为Oncokompas(2.0)能促使患者构建自己的生存护理,是针对特定患者群体(即年轻且高学历患者)的有用辅助工具。

结论

基于全科医生的观点,初级保健中结肠癌的生存护理被认为是可行的,并且使用如Oncokompas(2.0)这样的电子健康应用程序预计会使结肠癌治疗后的特定患者群体受益。

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