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头颈癌患者术前教育与出院计划:一项关于患者及照顾者观点的定性研究

Pre-Surgical Education and Discharge Planning for Head and Neck Cancer: A Qualitative Study of Patient and Caregiver Perspectives.

作者信息

Basta Ameer, Mikhael Marian, Kansara Bhargav, Hume Emma, Nguyen Oliver T, Reblin Maija, Tabriz Amir Alishahi, Hong Young-Rock, Magnuson Jeffery Scott, Patel Krupal, Turner Kea

机构信息

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

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

出版信息

Cancer Control. 2025 Jan-Dec;32:10732748251331979. doi: 10.1177/10732748251331979. Epub 2025 Apr 14.

Abstract

IntroductionResearch on pre-surgical education and discharge planning for head and neck cancer (HNC) remains limited. To address this gap, this qualitative study aims to assess patient and caregiver perspectives on pre-surgical education and discharge planning in HNC surgery.Methods and MaterialsSemi-structured interviews were conducted with 13 individuals who received HNC surgery and 10 of their caregivers after hospital discharge. Participants were recruited from an NCI-designated Comprehensive Cancer Center and a community oncology setting.ResultsFive key recommendations for HNC surgical care emerged from the data: (1) improve communication about anticipated side effects; (2) provide targeted education through multiple modalities; (3) connect patients and caregivers with individuals who have gone through HNC surgery; (4) improve patient-provider communication for individuals with speech, vision, and hearing impairment; and (5) present the best and worst case scenarios to prepare individuals for post-surgical recovery. ConclusionParticipants identified gaps in pre-surgical education and discharge planning and provided recommendations to improve HNC surgical care.

摘要

引言

关于头颈癌(HNC)术前教育和出院计划的研究仍然有限。为填补这一空白,本定性研究旨在评估患者及其护理人员对HNC手术术前教育和出院计划的看法。

方法与材料

对13名接受过HNC手术的患者及其10名出院后的护理人员进行了半结构化访谈。参与者来自一个由美国国立癌症研究所指定的综合癌症中心和一个社区肿瘤机构。

结果

数据得出了HNC手术护理的五项关键建议:(1)改善关于预期副作用的沟通;(2)通过多种方式提供有针对性的教育;(3)将患者和护理人员与经历过HNC手术的人联系起来;(4)改善针对有言语、视力和听力障碍患者的医患沟通;(5)呈现最佳和最坏的情况,让患者为术后恢复做好准备。

结论

参与者指出了术前教育和出院计划中的差距,并提出了改善HNC手术护理的建议。

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