Colorectal cancer follow-up: Patient satisfaction and amenability to telephone after care

Colorectal cancer follow-up: Patient satisfaction and amenability to telephone after care
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DOI:
10.1016/j.ejon.2010.05.006
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发表时间:
2011-02-01
影响因子:
2.8
通讯作者:
Luker, K.
Luker, K.
中科院分区:
医学2区
文献类型:
--
作者:
Beaver, K.;Wilson, C.;Luker, K.

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目的:探讨患者满意度的不同方面的后续服务提供以下治疗结直肠癌和顺从性的替代战略follow-up care.Methods和样品:一个邮政调查管理到297名符合条件的患者谁已经在英国西北部的一家大医院接受了治疗结直肠癌。患者被要求表明回答问题,包括李克特量表,包括组织的护理,信息和建议,个人护理经验,满意度信息和护理,专家护理服务和顺从性的意见,电话following.Key结果:一百八十七完成调查返回(62.97%的响应率)。量表数据分析表明,所有结果的措施,但满意度次优率在某些项目的满意度高。受访者对疾病和治疗相关信息的满意度较高,但对遗传风险、性吸引力和自我护理相关项目的满意度较低。结直肠专科护士的评价很高,特别是在信息提供和个人护理经验方面。患者一般都服从电话随访,虽然男性患者表示更高的水平愿意接受这种方法比females.Conclusions:传统的医疗为基础的后续满意度普遍较高,在这个病人队列,但有改进的空间,在服务提供方面。高水平的满意度提供的护理结直肠专科护士和患者接受电话随访表明,护士主导的电话随访是一个可行的替代传统的医院为基础的后续行动。(C)2010爱思唯尔有限公司版权所有。
Purpose: To explore patient satisfaction on different aspects of follow-up service provision following treatment for colorectal cancer and amenability to an alternative strategy for follow-up care.Methods and sample: A postal survey was administered to 297 eligible patients who had been treated for colorectal cancer at a large hospital in the North West of England. Patients were asked to indicate responses to questions comprising likert scales, including views on organisation of care, information and advice, personal experience of care, satisfaction with information and care, views on specialist nursing services and amenability to telephone follow-up.Key results: One hundred and eighty-seven completed surveys were returned (62.97% response rate). Analysis of scale data indicated high levels of satisfaction on all outcome measures but sub-optimal rates of satisfaction on some items. Respondents indicated high levels of satisfaction with information related to disease and treatment but lower levels of satisfaction for items related to genetic risk, sexual attractiveness and self care. Colorectal nurse specialists were highly rated, especially in terms of information provision and personal experience of care. Patients were generally amenable to telephone follow-up, although male patients indicated higher levels of willingness to accept this approach than females.Conclusions: Satisfaction with traditional medical based follow-up is generally high in this patient cohort but there is room for improvement in terms of service delivery. High levels of satisfaction with the care delivered by colorectal nurse specialists and patient acceptance of telephone follow-up suggests nurse-led telephone follow-up is a viable alternative to traditional hospital based follow-up. (C) 2010 Elsevier Ltd. All rights reserved.