前列腺癌治疗后的随访护理：评估护士主导的支持性自我管理和远程监测方案的研究方案。
Follow-up care after treatment for prostate cancer: protocol for an evaluation of a nurse-led supported self-management and remote surveillance programme.
机构信息
Faculty of Health Sciences, University of Southampton, Highfield, Southampton, SO17 1BJ, UK.
Faculty of Health and Medical Sciences, University of Surrey, Guildford, Surrey, GU2 7XH, UK.
出版信息
BMC Cancer. 2017 Sep 19;17(1):656. doi: 10.1186/s12885-017-3643-4.
BACKGROUND
As more men survive a diagnosis of prostate cancer, alternative models of follow-up care that address men's enduring unmet needs and are economical to deliver are needed. This paper describes the protocol for an ongoing evaluation of a nurse-led supported self-management and remote surveillance programme implemented within the secondary care setting.
METHODS/DESIGN: The evaluation is taking place within a real clinical setting, comparing the outcomes of men enrolled in the Programme with the outcomes of a pre-service change cohort of men, using a repeated measures design. Men are followed up at four and 8 months post recruitment on a number of outcomes, including quality of life, unmet need, psychological wellbeing and activation for self-management. An embedded health economic analysis and qualitative evaluation of implementation processes are being undertaken.
DISCUSSION
The evaluation will provide important information regarding the effectiveness, cost effectiveness and implementation of an integrated supported self-management follow-up care pathway within secondary care.
背景
随着越来越多的男性在被诊断出患有前列腺癌后存活下来，需要寻找替代的后续护理模式，以满足男性持久存在的未满足需求，并具有经济可行性。本文描述了正在进行的一项评估的方案，该评估针对的是在二级保健环境中实施的护士主导的支持性自我管理和远程监测计划。
方法/设计：评估是在真实的临床环境中进行的，通过重复测量设计，将参加该计划的男性的结果与服务前改变队列的男性的结果进行比较。男性在招募后的 4 个月和 8 个月，根据生活质量、未满足的需求、心理幸福感和自我管理的积极性等多项指标进行随访。同时还进行了嵌入式健康经济分析和实施过程的定性评估。
讨论
该评估将提供有关在二级保健中实施综合支持性自我管理随访护理途径的有效性、成本效益和实施情况的重要信息。
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