University of Technology Sydney, Broadway, New South Wales, Australia.
University of Southern Queensland, Springfield, Queensland, Australia.
Psychooncology. 2023 Apr;32(4):569-580. doi: 10.1002/pon.6101. Epub 2023 Feb 3.
To assess the acceptability of a nurse-led prostate cancer survivorship intervention adapted for virtual delivery and tailored to post-surgical care, in a regional Australian hospital and health service.
A qualitative exploratory study using the Theoretical Framework of Acceptability (TFA).
Twenty-two participants took part in a semistructured interview comprising men who had completed the program (n = 16) and health professionals/service stakeholders involved in program delivery (n = 6). Acceptability of this virtual prostate cancer survivorship care program was very high across all constructs of the TFA, from the perspectives of both program recipients and those delivering the program. The quality of care received was seen as superior to what men had experienced previously (burden, opportunity costs). The time afforded by the regularly scheduled video-consultations allowed men to come to terms with the recovery process in their own time (self-efficacy), and provided an ongoing sense of support and access to care outside the consultation (ethicality). Clinically, the program improved care co-ordination, expedited identification of survivorship care needs, and met service priorities of providing quality care close to home (burden, perceived effectiveness).
Findings from this study suggest virtual post-surgical care delivered via videoconferencing is highly acceptable to prostate cancer survivors in a regional setting. Future research exploring virtual program implementation at scale and long-term patient and service outcomes is warranted.
评估一种经过改编以适应虚拟交付并针对术后护理量身定制的护士主导的前列腺癌生存者干预措施在澳大利亚一家地区医院和卫生服务机构的可接受性。
采用理论框架接受度(TFA)的定性探索性研究。
共有 22 名参与者参加了半结构式访谈,其中包括完成该计划的男性(n=16)和参与该计划交付的卫生专业人员/服务利益相关者(n=6)。从接受该计划的男性和提供该计划的人员的角度来看,TFA 所有构建模块的虚拟前列腺癌生存者护理计划的可接受性都非常高。所接受的护理质量被认为优于男性以前所经历的(负担,机会成本)。定期视频咨询所提供的时间使男性能够在自己的时间内接受康复过程(自我效能),并提供持续的支持感和获得在家附近护理的机会(道德)。从临床角度来看,该计划改善了护理协调,加快了对生存护理需求的识别,并满足了提供优质护理服务的服务重点(负担,感知效果)。
这项研究的结果表明,在地区环境中,通过视频会议提供的虚拟术后护理对前列腺癌幸存者非常可接受。需要进一步研究探索虚拟计划的大规模实施以及长期的患者和服务结果。