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患者报告参与肝胆胰外科癌症护理:一项具有患者拥有的快速通道方案的先导性干预研究。

Patient-reported participation in hepatopancreatobiliary surgery cancer care: A pilot intervention study with patient-owned fast-track protocols.

机构信息

Department of Surgery in Linköping, Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden.

Department of Urology in Linköping, Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden.

出版信息

Eur J Cancer Care (Engl). 2022 May;31(3):e13570. doi: 10.1111/ecc.13570. Epub 2022 Mar 10.

DOI:10.1111/ecc.13570
PMID:35274386
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9542293/
Abstract

OBJECTIVE

Fast-track concepts have been implemented in hepatopancreatobiliary surgery cancer care to improve postoperative recovery. For optimal postoperative care, patient participation is also required. The aim was to investigate and analyse whether an intervention with patient-owned fast-track protocols (PFTPs) may lead to increased patient participation and improve information for patients who underwent surgery for hepatopancreatobiliary cancer.

METHODS

A quantitative comparative design with a control and intervention group was used. The participants in the intervention group followed a PFTP during their admission. After discharge, the patients answered a questionnaire regarding patient participation. Data analyses were performed with descriptive statistics and ANCOVA.

RESULTS

The results are based on a total of 222 completed questionnaires: 116 in the control group and 106 in the intervention group. It is uncertain whether the PFTP increased patient participation and information, but its use may indicate an improvement for the patient group.

CONCLUSION

A successful implementation strategy for the use of PFTP, with daily reconciliations, could be part of the work required to improve overall satisfaction with patient participation.

CLINICALTRIALS

gov ID: NCT04061902.

摘要

目的

在肝胆胰癌症护理中实施快速通道概念以改善术后恢复。为了实现最佳的术后护理,还需要患者的参与。本研究旨在调查和分析患者拥有的快速通道方案(PFTP)干预是否可以提高患者的参与度,并为接受肝胆胰癌症手术的患者提供更好的信息。

方法

采用对照干预设计进行定量比较。干预组患者在住院期间遵循 PFTP。出院后,患者回答了一份关于患者参与度的问卷。采用描述性统计和协方差分析进行数据分析。

结果

共有 222 份完整问卷的结果,其中对照组 116 份,干预组 106 份。PFTP 是否增加了患者的参与度和信息量尚不确定,但它的使用可能表明患者群体有所改善。

结论

成功实施 PFTP 使用的策略,包括每日核对,可能是提高患者整体满意度所需工作的一部分。

临床试验

gov ID:NCT04061902。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0312/9542293/6d11e16b6409/ECC-31-e13570-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0312/9542293/6e9dafc3b6d1/ECC-31-e13570-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0312/9542293/86942040cfc0/ECC-31-e13570-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0312/9542293/6d11e16b6409/ECC-31-e13570-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0312/9542293/6e9dafc3b6d1/ECC-31-e13570-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0312/9542293/86942040cfc0/ECC-31-e13570-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0312/9542293/6d11e16b6409/ECC-31-e13570-g002.jpg

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Patients with low activation level report limited possibilities to participate in cancer care.低激活水平的患者报告说,参与癌症护理的可能性有限。
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患者参与手术护理——医护人员对患者参与的看法及行为
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Psychol Health Med. 2020 Feb;25(2):252-258. doi: 10.1080/13548506.2019.1699660. Epub 2019 Dec 3.
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Eur J Cancer Care (Engl). 2019 Jul;28(4):e13071. doi: 10.1111/ecc.13071. Epub 2019 May 3.
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Achievement of patients' preferences for participation in oncological symptom management and its association with perceived quality of care.患者参与肿瘤症状管理偏好的实现及其与感知护理质量的关联。
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'I want to know why and need to be involved in my own care…': a qualitative interview study with liver, bile duct or pancreatic cancer patients about their experiences with involvement in care.“我想知道原因,需要参与自己的治疗……”:一项关于肝癌、胆管癌或胰腺癌患者参与治疗体验的定性访谈研究。
Support Care Cancer. 2019 Jul;27(7):2561-2567. doi: 10.1007/s00520-018-4548-8. Epub 2018 Nov 14.
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Information is the key to successful participation for patients receiving surgery for upper gastrointestinal cancer.信息是接受上消化道癌手术患者成功参与治疗的关键。
Eur J Cancer Care (Engl). 2019 Mar;28(2):e12959. doi: 10.1111/ecc.12959. Epub 2018 Nov 8.