Hospital del Salvador, Servicio de Salud Metropolitano Oriente, 7500787, Santiago de Chile, Chile.
Department of Kinesiology, Faculty of Health Sciences, Catholic University of Maule, Talca, Chile.
Support Care Cancer. 2023 May 22;31(6):346. doi: 10.1007/s00520-023-07799-z.
Many rehabilitation services in the face of the COVID-19 health emergency have had to adapt face-to-face interventions with remote care through teleprehabilitation. We aim to describe the implementation of a teleprehabilitation program during the COVID-19 pandemic for patients who are candidates for elective cancer surgery in a low-income Chilean public hospital. Secondarily, describe the perspectives and satisfaction of patients with the program.
Correspond to a descriptive and retrospective pre-habilitation telemedicine intervention study. Implementation was measured in terms of, recruitment rate, retention, dropouts, and occurrence of adverse events. User perspectives and satisfaction were evaluated through a survey composed of nine items on a Likert scale with five response options. Descriptive analyses were considered with mean, standard deviation, minimum, maximum, as well as absolute and relative frequency. For patients' perspectives on the program, a qualitative analysis was considered to describe them. The most relevant domains were identified in a text box to illustrate the results.
One hundred fifty-five patients were referred to the teleprehabilitation program, with 99.3% recruitment, a retention rate of 46.7%, and no adverse events reported. In relation to user satisfaction, in general, patients showed good satisfaction with the teleprehabilitation program except items related to "access to the teleprehabilitation program connection" and "number of sessions." Thirty-three patients reported their perspectives on the intervention, represented in 12 domains.
It is possible to implement a teleprehabilitation program for oncosurgical patients in the context of preoperative care during the COVID-19 pandemic, with good user satisfaction. Likewise, this study provides guidance for other health institutions that wish to implement a teleprehabilitation program.
在 COVID-19 健康紧急情况下，许多康复服务机构不得不将面对面干预改为远程康复的远程康复。我们旨在描述在 COVID-19 大流行期间，在一家智利低收入公立医院中，为接受择期癌症手术的患者实施远程康复计划的情况。其次，描述患者对该计划的看法和满意度。
这是一项描述性和回顾性的远程康复医学干预研究。实施情况通过招募率、保留率、脱落率和不良事件发生率来衡量。通过包含九个项目的李克特量表调查问卷评估用户的观点和满意度，共有五个回答选项。采用均值、标准差、最小值、最大值以及绝对和相对频率进行描述性分析。对于患者对该计划的看法，考虑进行定性分析来描述他们。在文本框中确定了最相关的领域来举例说明结果。
共有 155 名患者被转介到远程康复计划，招募率为 99.3%，保留率为 46.7%，未报告不良事件。关于用户满意度，总的来说，患者对远程康复计划的满意度较高，但对“访问远程康复计划连接”和“疗程数”项目的满意度较低。33 名患者报告了他们对干预的看法，涵盖了 12 个领域。
在 COVID-19 大流行期间，在术前护理背景下，为肿瘤外科患者实施远程康复计划是可行的，且用户满意度较高。此外，本研究为其他希望实施远程康复计划的医疗机构提供了指导。
