远程医疗多学科癌症康复方案的患者经验:ReStOre@Home可行性研究的定性结果

IF 1.8 4区 医学 Q3 HEALTH CARE SCIENCES & SERVICES
A. O’Brien, L. Brennan, L. O’Neill, D. Connolly, E. Guinan, J. V. Reynolds, J. Hussey
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引用次数: 0

摘要

意图提供锻炼、营养支持、教育和同伴支持的多学科康复计划可以有效满足癌症上消化道(UGI)幸存者的康复需求。本研究旨在探索参与远程医疗、多学科康复计划的癌症幸存者的经验。方法。这项单臂可行性研究招募了完成UGI癌症治疗的参与者。参与者(n = 10,男性 = 9) 58–76岁 年龄为5-17岁 术后数月。通过视频通话提供了为期12周的远程健康康复计划,包括团体阻力训练、远程监测有氧训练、1 : 1饮食咨询,1 : 1次理疗支持和团体教育课程。独立研究人员在干预后评估中进行了半结构化访谈。使用反射性主题分析(RTA)对转录本进行分析。后果参与者成绩单的RTA产生了三个总体主题:(1)ReStOre@Home通过解决广泛而有意义的服务差距,(2)为繁荣铺平道路,以及(3)将体验与使用技术进行对比,影响了心理社会和身体需求。讨论了与会者对未来远程医疗方案的偏好和建议。结论。远程医疗多学科康复方案支持参与者进行身体和心理康复。定性分析确定了对一些面对面护理的重要持续需求,并对参与者在远程医疗提供康复期间的经历提供了详细的见解。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Patient Experiences of a Telehealth Multidisciplinary Cancer Rehabilitation Programme: Qualitative Findings from the ReStOre@Home Feasibility Study
Purpose. Multidisciplinary rehabilitation programmes providing exercise, nutrition support, education, and peer support can effectively meet the rehabilitation needs of upper gastrointestinal (UGI) cancer survivors. This study aimed to explore the experiences of participants who engaged in a telehealth, multidisciplinary rehabilitation programme for UGI cancer survivors. Methods. This single-arm feasibility study recruited participants who completed curative treatment for UGI cancer. Participants (n = 10, male = 9) aged 58–76 years were 5–17 months postsurgery. A 12-week telehealth rehabilitation programme was delivered via video call, consisting of group resistance training, remotely monitored aerobic training, 1 : 1 dietary counselling, 1 : 1 physiotherapy support, and group education sessions. Independent researchers conducted semistructured interviews at postintervention assessments. Transcripts were analysed using reflexive thematic analysis (RTA). Results. RTA of participant transcripts generated three overarching themes: (1) ReStOre@Home impacted psychosocial and physical needs by addressing a broad and meaningful gap in services, (2) paving a pathway towards prosperity, and (3) contrasting experiences with using technology. Participants’ preferences and recommendations for future telehealth programmes were discussed. Conclusions. A telehealth multidisciplinary rehabilitation programme supported participants in physical and psychosocial recovery. Qualitative analysis identified an important ongoing need for some in-person care and provided detailed insights into participant experiences during telehealth-delivered rehabilitation.
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来源期刊
European Journal of Cancer Care
European Journal of Cancer Care 医学-康复医学
CiteScore
4.00
自引率
4.80%
发文量
213
审稿时长
3 months
期刊介绍: The European Journal of Cancer Care aims to encourage comprehensive, multiprofessional cancer care across Europe and internationally. It publishes original research reports, literature reviews, guest editorials, letters to the Editor and special features on current issues affecting the care of cancer patients. The Editor welcomes contributions which result from team working or collaboration between different health and social care providers, service users, patient groups and the voluntary sector in the areas of: - Primary, secondary and tertiary care for cancer patients - Multidisciplinary and service-user involvement in cancer care - Rehabilitation, supportive, palliative and end of life care for cancer patients - Policy, service development and healthcare evaluation in cancer care - Psychosocial interventions for patients and family members - International perspectives on cancer care
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