Telehealth-based pre-operative education session for robot-assisted radical prostatectomy patients—A 2-year follow-up study

IF 0.4 Q4 NURSING

International Journal of Urological Nursing Pub Date : 2024-05-08 DOI:10.1111/ijun.12398

Marc Diocera RN, MN (Urology & Continence), Tiphany Catalan RN, Elizabeth Medhurst RN, MN (Cancer Science), Kenneth Chen MBBS (Singapore), MCI (Singapore), MRCS (Edin), FRCS (Glas), FAMS, Declan G. Murphy MB BCh BaO, FRACS, FRCS (Urol)

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引用次数: 0

Abstract

Introduction and Objectives

As a quality improvement initiative, our institution's pre-operative education program for patients undergoing robotic radical prostatectomy (Robocare) was changed into a telehealth-based program (Tele-Robocare). During the pre-surgery evaluation process, tele-Robocare was deemed useful (92%) and adequate (100%) in addressing pre-operative needs of patients. Follow-up was deemed necessary to compare patient feedback post-surgery.

Materials and Methods

2 years since the complete adoption of the Tele-Robocare program in our institution, a follow-up study was conducted on the participants who attended the original quality improvement initiative (n = 147). An 8-question survey was created via Redcap. A survey link was sent to all participants: 144 via email link and 3 via QR code sent via postal mail. All responses were logged onto the Redcap database.

Results

A total of 87 patients (59.2%) completed the survey. 86 patients completed the survey via email link and 1 patient accessed the survey via the mailed QR code.

The percentage of patients who found Tele-Robocare useful in the following sections are: pre-surgery preparation (90%), discharge care (89%), catheter care (82%), follow-up (93%), troubleshooting (80%).

When asked about what should remain as a part of the program handout and presentation, the findings were similar: pre-surgery preparation (94%), hospital stay information (92%), discharge information (93%), follow-up (90%), access to allied health (90%). The most requested topics that needed additional emphasis were sexual health (n = 5) and impact on mental health (n = 3).

78% agree or strongly agree that telehealth was sufficient in receiving patient education programs such as Tele-Robocare. The most common advice from patients (n = 25) to improve the patient experience and sense of preparedness was to actively seek additional information from the healthcare team, patients and/or patient advocates.

Conclusion

Tele-Robocare is now the standard method in delivering pre-prostatectomy patient education in our institution. However, these follow-up findings highlight the importance of sufficient follow-up and support of patients after surgery as their needs change along with their recovery and outcomes.

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针对机器人辅助前列腺癌根治术患者的远程医疗术前教育--一项为期两年的随访研究

简介和目标作为一项质量改进措施，我院将机器人前列腺癌根治术（Robocare）患者的术前教育计划改为基于远程医疗的计划（Tele-Robocare）。在术前评估过程中，我们认为 Tele-Robocare 在满足患者术前需求方面有用（92%）且足够（100%）。我们认为有必要进行后续跟踪，以比较手术后患者的反馈。材料和方法在我院完全采用远程康复护理计划两年后，我们对参加过最初质量改进计划的参与者（n = 147）进行了跟踪研究。我们通过 Redcap 创建了一份包含 8 个问题的调查问卷。向所有参与者发送了调查链接：其中 144 人通过电子邮件链接参与调查，3 人通过邮寄二维码参与调查。所有回复均被记录到 Redcap 数据库中。结果共有 87 名患者（59.2%）完成了调查。86 名患者通过电子邮件链接完成了调查，1 名患者通过邮寄的 QR 码完成了调查。认为 Tele-Robocare 在以下方面有用的患者比例分别为：手术前准备（90%）、出院护理（89%）、导管护理（82%）、随访（93%）、故障排除（80%）。当被问及哪些内容应保留在计划手册和演示文稿中时，调查结果相似：术前准备（94%）、住院信息（92%）、出院信息（93%）、随访（90%）、获得专职医疗服务（90%）。最需要额外强调的主题是性健康（5 人）和对心理健康的影响（3 人）。 78%的人同意或非常同意远程医疗在接受远程康复护理等患者教育项目方面是足够的。患者（n = 25）最常提出的改善患者体验和准备感的建议是积极向医疗团队、患者和/或患者权益倡导者寻求更多信息。结论 Tele-Robocare 目前已成为我院提供前列腺切除术前患者教育的标准方法。然而，这些随访结果强调了术后对患者进行充分随访和支持的重要性，因为患者的需求会随着他们的恢复和结果而发生变化。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Urological Nursing 医学-护理

CiteScore

0.80

自引率

20.00%

发文量

审稿时长

>12 weeks

期刊介绍： International Journal of Urological Nursing is an international peer-reviewed Journal for all nurses, non-specialist and specialist, who care for individuals with urological disorders. It is relevant for nurses working in a variety of settings: inpatient care, outpatient care, ambulatory care, community care, operating departments and specialist clinics. The Journal covers the whole spectrum of urological nursing skills and knowledge. It supports the publication of local issues of relevance to a wider international community to disseminate good practice. The International Journal of Urological Nursing is clinically focused, evidence-based and welcomes contributions in the following clinical and non-clinical areas: -General Urology- Continence care- Oncology- Andrology- Stoma care- Paediatric urology- Men’s health- Uro-gynaecology- Reconstructive surgery- Clinical audit- Clinical governance- Nurse-led services- Reflective analysis- Education- Management- Research- Leadership The Journal welcomes original research papers, practice development papers and literature reviews. It also invites shorter papers such as case reports, critical commentary, reflective analysis and reports of audit, as well as contributions to regular sections such as the media reviews section. The International Journal of Urological Nursing supports the development of academic writing within the specialty and particularly welcomes papers from young researchers or practitioners who are seeking to build a publication profile.