Chavez Melody N, Grabowski Chloe, Simon Lanie A, Marshall Victoria K
College of Public Health, University of South Florida, Tampa, FL 33612, USA.
College of Nursing, University of South Florida, Tampa, FL 33612, USA.
J Oncol Pharm Pract. 2025 Jun 17:10781552251346688. doi: 10.1177/10781552251346688.
IntroductionOral anticancer agents (OAAs) offer a level of convenience to receive cancer care in the home environment. However, oncology health care providers face barriers when providing patient education to ensure patient and caregiver's ability to learn and adhere to the medication regimen. The purpose of this study was to explore the perceptions of oncology health care providers who provide care to older adults, aged 65 and older, prescribed OAAs using the Information-Motivation-Behavioral Skills model as a guiding framework.MethodsA qualitative study using a phenomenological approach, utilizing a semi-structured interview guide was used to elicit oncology health care provider perceptions of providing care for older adults prescribed OAAs. Interviews were audio recorded, transcribed and coded using Atlas.ti version 9. Inductive applied thematic analysis techniques were employed to identify emergent themes.ResultsParticipants (N = 24) were mainly female and registered nurses (45.8%). The over-arching themes included 1) patient education and assessing comprehension, 2) adherence support, and 3) most challenging aspects of oral anticancer agent care.ConclusionFindings show that delivering patient education and managing ongoing surveillance of OAAs is vital for patients aged 65 and older, however standard practices for these areas have not been established and vary depending on the resource of the institutions, the type of prescribed OAAs and patient-specific differences.
引言
口服抗癌药物（OAAs）为患者在家中接受癌症治疗提供了一定程度的便利。然而，肿瘤医疗保健提供者在为患者提供教育以确保患者及其护理人员有能力学习并遵守药物治疗方案时面临障碍。本研究的目的是使用信息-动机-行为技能模型作为指导框架，探讨为65岁及以上老年人开具OAAs处方的肿瘤医疗保健提供者的看法。
方法
采用现象学方法进行定性研究，使用半结构化访谈指南来引出肿瘤医疗保健提供者对为开具OAAs处方的老年人提供护理的看法。访谈进行录音、转录并使用Atlas.ti 9版本进行编码。采用归纳应用主题分析技术来识别新出现的主题。
结果
参与者（N = 24）主要为女性和注册护士（45.8%）。总体主题包括：1）患者教育和评估理解能力，2）依从性支持，以及3）口服抗癌药物护理中最具挑战性的方面。
结论
研究结果表明，为65岁及以上的患者提供患者教育和对OAAs进行持续监测至关重要，然而这些领域的标准做法尚未确立，并且因机构资源、开具的OAAs类型以及患者的个体差异而有所不同。
