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远程护理能否影响正在接受化疗的癌症患者的支持性护理需求?一项随机对照试验随访研究。

Can tele-nursing affect the supportive care needs of patients with cancer undergoing chemotherapy? A randomized controlled trial follow-up study.

机构信息

Department of Nursing, School of Nursing, Arak University of Medical Sciences, Basij Square, Payambar-e Azam Complex, Blue Wings, Arak, 3848176941, Iran.

Department of Biostatistics and Epidemiology, School of Health, Scientific Research Center, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

Support Care Cancer. 2021 Oct;29(10):5865-5872. doi: 10.1007/s00520-021-06056-5. Epub 2021 Mar 23.

Abstract

PURPOSE

In some countries, telephone-based support is one of the key services used for supporting patients with cancer. However, there is a lack of research on the efficacy of this method in Iran. This study aimed to evaluate the effects of tele-nursing on supportive care needs (SCNs) of patients with cancer undergoing chemotherapy.

METHODS

This randomized controlled trial was conducted on 60 patients with cancer undergoing chemotherapy who were randomly assigned and allocated to two groups, an intervention group and a control group. Patients' SCNs were assessed in the baseline, and 1 and 2 months after commencement of the intervention using the SCNs Survey -Short Form 34. The data were analyzed through descriptive statistics, t-test, and repeated measure test, by SPSS version 16.

RESULTS

There were no significant statistical differences in the mean score of dimensions and total SCNs between the two groups in baseline (p˃0.05). However, the results showed that the mean score of dimensions and total SCNs in the intervention group were significantly less than the control group, after the intervention (p˂0.05).

CONCLUSIONS

Telephone-based support is an effective method to address and reduce SCNs of patients with cancer undergoing chemotherapy through increasing access to support for this population especially who may be in rural and remote settings. During the COVID_19 pandemic and given the vulnerability of patients with cancer, telephone support can be used to avoid unnecessary visits to hospitals and reduced the risk of transmitting the virus to the patients.

TRIAL REGISTRATION NUMBER

IRCT20170404033216N1.

摘要

目的

在一些国家,电话支持是用于支持癌症患者的关键服务之一。然而,伊朗缺乏对此方法疗效的研究。本研究旨在评估远程护理对正在接受化疗的癌症患者的支持性护理需求(SCNs)的影响。

方法

这是一项随机对照试验,共纳入 60 名正在接受化疗的癌症患者,随机分为干预组和对照组。在干预开始后的基线、1 个月和 2 个月,使用 SCNs 调查-短表 34 评估患者的 SCNs。使用 SPSS 版本 16 通过描述性统计、t 检验和重复测量检验分析数据。

结果

两组患者在基线时(p˃0.05),各维度和总 SCNs 的平均得分无统计学差异。然而,干预后结果显示,干预组各维度和总 SCNs 的平均得分明显低于对照组(p˂0.05)。

结论

电话支持是一种有效的方法,可以通过增加对这一人群的支持,特别是那些可能处于农村和偏远地区的患者的支持,来解决和减轻正在接受化疗的癌症患者的 SCNs。在 COVID_19 大流行期间,考虑到癌症患者的脆弱性,电话支持可用于避免不必要的医院就诊,降低病毒传播给患者的风险。

临床试验注册号

IRCT20170404033216N1。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a170/7987327/3287941867dc/520_2021_6056_Fig1_HTML.jpg

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