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优化头颈部癌症接受喉切除术和游离皮瓣手术患者的术前教育:一项定性研究。

Optimizing presurgical education for patients with head and neck cancer receiving laryngectomy and free flap surgery: A qualitative study.

机构信息

Morsani College of Medicine, University of South Florida, Tampa, Florida, USA.

Department of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, Florida, USA.

出版信息

Head Neck. 2024 Oct;46(10):2453-2463. doi: 10.1002/hed.27729. Epub 2024 Mar 9.

Abstract

BACKGROUND

There has been limited study of oncology professionals' perspectives on optimizing delivery of presurgical education for individuals with head and neck cancer (HNC). Therefore, we assessed oncology professionals' perspectives about presurgical education for laryngectomy and free flap surgeries, which have a significant impact on patients' quality of life.

METHODS

Interviews were conducted with 27 oncology professionals from an NCI-designated Comprehensive Cancer Center and a community oncology setting.

RESULTS

Participants identified six recommendations to improve presurgical education: (1) establishing preoperative consultations with allied health professionals; (2) educating patients and providers on the concept of team-based care; (3) optimizing education through multimodal strategies; (4) connecting patients with other HNC surgical patients; (5) preparing caregivers for their role; and (6) educating patients on insurance navigation.

CONCLUSIONS

Study findings demonstrate gaps in the timing, content, and mode of delivery for presurgical education and suggest strategies for further evaluation in future studies.

摘要

背景

目前针对肿瘤专业人员如何优化头颈部癌症(HNC)患者术前教育的研究较少。因此,我们评估了肿瘤专业人员对喉切除术和游离皮瓣手术术前教育的看法,这些手术对患者的生活质量有重大影响。

方法

对来自 NCI 指定的综合癌症中心和社区肿瘤学环境的 27 名肿瘤专业人员进行了访谈。

结果

参与者提出了六项改善术前教育的建议:(1)与辅助医疗专业人员建立术前咨询;(2)教育患者和提供者关于团队护理的概念;(3)通过多种模式策略优化教育;(4)将患者与其他 HNC 手术患者联系起来;(5)使护理人员做好照顾患者的准备;(6)教育患者有关保险导航。

结论

研究结果表明,术前教育在时间、内容和传递方式上存在差距,并为未来研究中进一步评估提供了策略。

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