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新冠疫情时期的癌症护理:肺癌患者对远程医疗和联系的体验。

Cancer care in a time of COVID: lung cancer patient's experience of telehealth and connectedness.

机构信息

Auckland City Hospital, 2 Grafton Road, Auckland, New Zealand.

School of Population Health, University of Auckland, Private Bag 92019, Auckland, 1142, New Zealand.

出版信息

Support Care Cancer. 2022 Feb;30(2):1823-1830. doi: 10.1007/s00520-021-06528-8. Epub 2021 Oct 4.

Abstract

OBJECTIVE

To explore lung cancer patient's experiences of telehealth during COVID-19 restrictions.

METHODS

Thirty patients with lung cancer were recruited. Data was collected using a qualitative exploratory design with semi-structured interviews. Transcripts were thematically coded using NVivo software.

RESULTS

Five key themes were identified: maintaining resilience, participants acknowledged that they were self-reliant prior to their diagnosis and that the sense of their own internal capabilities was a source of comfort for them; importance of pre-established relationships with healthcare professionals, the sense of connection established prior to the telehealth consultation supported participants to engage with healthcare professionals where the need for connectedness was amplified by a sense of isolation; seeking help, participants sought help from services that they perceived as being "expert"; convenience, factors such as costs and saving time were highlighted; and preferences for consultation type, majority of participants identified physical and emotional comfort being in their own space. For a small number of patients, continuing a face-to-face assessment was important due to expectation based on previous experience.

CONCLUSION

The use of telehealth was supported during the management of COVID-19. Connectedness and convenience were key to the level of comfort and confidence for patients with lung cancer using telehealth during "lockdown."

摘要

目的

探索在 COVID-19 限制期间,远程医疗对肺癌患者的影响。

方法

招募了 30 名肺癌患者。采用半结构式访谈的定性探索性设计收集数据。使用 NVivo 软件对转录本进行主题编码。

结果

确定了五个关键主题:保持韧性,参与者承认他们在诊断前是自力更生的,他们自己内在能力的意识是他们的舒适来源;与医疗保健专业人员预先建立关系的重要性,远程医疗咨询前建立的联系感使参与者能够与医疗保健专业人员建立联系,这种联系感因孤立感而增强;寻求帮助,参与者寻求他们认为“专业”的服务的帮助;便利性,突出了成本和节省时间等因素;以及对咨询类型的偏好,大多数参与者认为在自己的空间里感到身体和情绪上的舒适。对于少数患者,由于基于以往经验的期望,继续进行面对面评估很重要。

结论

在 COVID-19 管理期间,远程医疗的使用得到了支持。在“封锁”期间,对于使用远程医疗的肺癌患者来说,保持联系和便利性是舒适和信心的关键。

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