Acceptability of a virtual prostate cancer survivorship care model in rural Australia: A multi-methods, single-centre feasibility pilot

IF 1.9 4区 医学 Q2 NURSING Australian Journal of Rural Health Pub Date : 2024-06-09 DOI:10.1111/ajr.13149
Nicole Heneka PhD, Suzanne K. Chambers PhD, Isabelle Schaefer MScMed, Kelly Carmont RN, Melinda Parcell MMgmt, Shannon Wallis GCert (Clinical Redesign), Stephen Walker RN, Haitham Tuffaha PhD, Michael Steele PhD, Jeff Dunn PhD
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Abstract

Design

A multi-methods, single-centre pilot comprising a quasi-experimental pre-/post-test design and an exploratory qualitative study.

Setting

A rural Australian hospital and health service.

Participants

Men newly diagnosed with localised prostate cancer who were scheduled to undergo, or had undergone, radical or robotic prostatectomy surgery within the previous 3 months.

Intervention

The intervention comprised a 12-week virtual care program delivered via teleconference by a specialist nurse, using a pre-existing connected care platform. The program was tailored to the post-operative recovery journey targeting post-operative care, psychoeducation, problem-solving and goal setting.

Main Outcome Measures

Primary outcome: program acceptability.

Secondary outcomes: quality of life; prostate cancer-related distress; insomnia severity; fatigue severity; measured at baseline (T1); immediately post-intervention (T2); and 12 weeks post-intervention (T3).

Results

Seventeen participants completed the program. The program intervention showed very high levels (≥4/5) of acceptability, appropriateness and feasibility. At T1, 47% (n = 8) of men reported clinically significant psychological distress, which had significantly decreased by T3 (p = 0.020). There was a significant improvement in urinary irritative/obstructive symptoms (p = 0.030) and a corresponding decrease in urinary function burden (p = 0.005) from T1 to T3.

Conclusions

This pilot has shown that a tailored nurse-led virtual care program, incorporating post-surgical follow-up and integrated low-intensity psychosocial care, is both acceptable to rural participants and feasible in terms of implementation and impact on patient outcomes.

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虚拟前列腺癌幸存者护理模式在澳大利亚农村地区的可接受性:多方法、单中心可行性试点。
设计:设计:多方法、单中心试验,包括准实验性前后测试设计和探索性定性研究:环境: 澳大利亚一家农村医院和医疗服务机构:新诊断出患有局部前列腺癌的男性,他们计划或已经在过去3个月内接受了根治性或机器人前列腺切除手术:干预措施包括一项为期 12 周的虚拟护理计划,由一名专科护士通过远程会议的方式,利用已有的联网护理平台提供服务。该项目针对术后恢复过程量身定制,目标是术后护理、心理教育、问题解决和目标设定:次要结果:生活质量;前列腺癌相关困扰;失眠严重程度;疲劳严重程度;基线测量(T1);干预后立即测量(T2);干预后 12 周测量(T3):结果:17 名参与者完成了该计划。该计划干预的可接受性、适宜性和可行性都达到了很高的水平(≥4/5)。在 T1 阶段,47%(n = 8)的男性报告有明显的临床心理困扰,到 T3 阶段,这种困扰明显减少(p = 0.020)。从 T1 到 T3,泌尿系统刺激性/梗阻性症状明显改善(p = 0.030),泌尿系统功能负担也相应减轻(p = 0.005):该试点项目表明,由护士主导的量身定制的虚拟护理计划包含手术后随访和综合低强度社会心理护理,既能为农村参与者所接受,在实施和对患者预后的影响方面也是可行的。
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来源期刊
Australian Journal of Rural Health
Australian Journal of Rural Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
2.30
自引率
16.70%
发文量
122
审稿时长
12 months
期刊介绍: The Australian Journal of Rural Health publishes articles in the field of rural health. It facilitates the formation of interdisciplinary networks, so that rural health professionals can form a cohesive group and work together for the advancement of rural practice, in all health disciplines. The Journal aims to establish a national and international reputation for the quality of its scholarly discourse and its value to rural health professionals. All articles, unless otherwise identified, are peer reviewed by at least two researchers expert in the field of the submitted paper.
期刊最新文献
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