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使用沉浸式技术和建筑设计辅助头颈部癌症患者治疗后康复:一项焦点小组和技术接受度研究。

Using immersive technology and architectural design to assist head and neck cancer patients' recovery from treatment: A focus group and technology acceptance study.

机构信息

Oxford Institute of Nursing Midwifery and Allied Health, Faculty of Health and Life Sciences, Oxford School of Nursing and Midwifery, Oxford Brookes University, Jack Straws Lane, Marston, Oxford, OX3 OFL, UK.

Faculty of Technology, Design and Environment, School of Architecture, Oxford Brookes University, Gipsy Lane, Oxford, OX3 0BP, UK.

出版信息

Eur J Oncol Nurs. 2023 Feb;62:102261. doi: 10.1016/j.ejon.2022.102261. Epub 2022 Dec 22.

Abstract

PURPOSE

Head and neck cancer patients can face debilitating treatment related side-effects, resulting in requirement for support and negatively impacting on care outcomes. This study aimed to develop a digital recovery support package and assess its acceptability with head and neck cancer patients to support their information needs and assist with their self-management. It provided additional support through development of a WebXR platform 'recovery' package, which allowed patients to live a 'virtual reality' experience, entering and moving inside a 'virtual room', accessing targeted resources and specific learning materials related to their cancer.

METHOD

A qualitative intervention development study consisting of three phases. This study followed the COREQ checklist for qualitative research. Phase 1- Focus groups with seven head and neck cancer patients and six healthcare professionals. Phase 2- Development of 'recovery' package based on the focus group data which informed the content and design of the WebXR recovery platform. Phase 3- Technology acceptance study. Once developed, the platform's acceptability of the experience lived inside the virtual room was assessed via qualitative interviews with six different patient participants.

RESULTS

Most participants felt comfortable using the virtual reality platform, finding it a realistic and useful support for identifying resources and signposting to relevant materials. Participants agreed the WebXR platform was a feasible tool for the head and neck cancer setting and helped reduce anxiety.

CONCLUSIONS

Head and neck cancer patients welcome specific targeted, information and advice to support their ability to self-manage their rehabilitation and thus focus their nursing care. The platform was implemented during the Covid-19 pandemic, demonstrating its versatility and accessibility in providing complementary support to head and neck cancer patients, to empower them to adjust to their 'new' normal as part of their ongoing cancer journeys.

摘要

目的

头颈部癌症患者可能会面临严重的治疗相关副作用,需要支持,这会对护理结果产生负面影响。本研究旨在开发一种数字康复支持包,并对头颈部癌症患者进行评估,以满足他们的信息需求并帮助他们自我管理。它通过开发一个 WebXR 平台“康复”包提供了额外的支持,该平台允许患者体验“虚拟现实”,进入并在“虚拟房间”内移动,访问与癌症相关的靶向资源和特定学习材料。

方法

这是一项由三个阶段组成的定性干预开发研究。本研究遵循 COREQ 定性研究清单。第 1 阶段-七名头颈部癌症患者和六名医疗保健专业人员的焦点小组。第 2 阶段-根据焦点小组数据开发“康复”包,为 WebXR 康复平台的内容和设计提供信息。第 3 阶段-技术接受研究。一旦开发完成,通过与六名不同的患者参与者进行定性访谈,评估患者对虚拟室内体验的接受程度。

结果

大多数参与者都觉得使用虚拟现实平台很舒服,认为这是一种识别资源和引导相关材料的现实而有用的支持方式。参与者一致认为,WebXR 平台对头颈部癌症患者来说是一种可行的工具,可以帮助减少焦虑。

结论

头颈部癌症患者欢迎特定的、有针对性的信息和建议,以支持他们自我管理康复的能力,从而集中护理。该平台是在新冠疫情期间实施的,证明了它在为头颈部癌症患者提供补充支持方面的多功能性和可访问性,使他们能够适应作为其持续癌症治疗的一部分的“新常态”。

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