Nurse-Led Telehealth Oncology Clinic on ‘Home Management During Chemotherapy’ for Gastrointestinal Cancer Patients: Study Protocol of A Mixed Method Study

Sarita Ahwal, Kanika Rai, Ankur Jindal, Puja Sahai
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Abstract

Introduction: Telehealth is increasingly being used for symptom management among cancer patients on chemotherapy. Objective of the study is to develop Nurse-led Tele-health Oncology Clinic for GI cancer patients regarding ‘Home Management during Chemotherapy’. Methods: The study will follow sequential explanatory mixed method design where during quantitative phase, using RCT (CTRI/2024/01/062028), GI cancer patients of age 18-65 years and undergoing 2nd or 3rd chemotherapy cycle will be randomised after obtaining consent to experimental (EG) & control (CG) groups. Ethical Clearance is already obtained. EG will be followed through Nurse-led Clinic which includes multiple virtual educational & counselling sessions, e-booklet on side effects management, PMRT, Support groups & telephonic follow ups. Effectiveness will be measured in terms of Quality of life, severity of side effects and Anxiety using FACT-G, CTCAE and DASS respectively. In qualitative phase, using extreme case sampling, in-depth interviews from consented participants will be conducted to explore experiences towards intervention. Analysis: Analysis of quantitative data will use descriptive and inferential statistics. This follows thematic analysis and integration of data. Conclusion: The study protocol will provide guidance to optimize utility of tele-medicine technology to improve healthcare outcomes especially for the GI cancer patients.
针对胃肠道癌症患者的 "化疗期间家庭管理 "护士远程保健肿瘤诊所:混合方法研究的研究方案
简介远程医疗越来越多地用于化疗期间癌症患者的症状管理。本研究的目的是为消化道癌症患者开设以护士为主导的有关 "化疗期间家庭管理 "的远程健康肿瘤诊所:本研究将采用顺序解释混合方法设计,在定量阶段,利用 RCT(CTRI/2024/01/062028),将年龄在 18-65 岁、正在接受第二或第三周期化疗的消化道癌症患者在征得同意后随机分为实验组(EG)和对照组(CG)。实验组已获得伦理许可。实验组将通过护士主导的诊所进行跟踪治疗,其中包括多个虚拟教育和咨询课程、副作用管理电子手册、PMRT、支持小组和电话跟踪治疗。疗效将通过 FACT-G、CTCAE 和 DASS 分别从生活质量、副作用严重程度和焦虑方面进行衡量。在定性阶段,将采用极端个案抽样法,对同意的参与者进行深入访谈,以探讨他们对干预措施的体验:分析:定量数据分析将使用描述性和推论性统计。结论:研究方案将为优化远程医疗技术的实用性提供指导,以改善医疗保健效果,尤其是消化道癌症患者的医疗保健效果。
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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