Feasibility and Acceptance of a Telehealth Intervention to Promote Symptom Management during Treatment for Head and Neck Cancer.
Feasibility and Acceptance of a Telehealth Intervention to Promote Symptom Management during Treatment for Head and Neck Cancer.
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DOI：
10.1016/j.suponc.2010.12.006
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发表时间：
2011-01-01
期刊：
影响因子：
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通讯作者：
Pfeifer, Mark
中科院分区：
文献类型：
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作者：
Head, Barbara A;Keeney, Cynthia;Pfeifer, Mark
接受头颈部癌症治疗的患者有无数令人痛苦的症状和治疗副作用，这些症状和副作用显著改变了沟通，降低了生活质量。远程医疗技术通过在患者家中提供支持性教育内容和指导，在改善患者与提供者之间的沟通方面表现出了希望。开发了一种使用简单的远程信息设备的远程健康干预，为接受头颈癌初步治疗的患者提供日常教育、指导和鼓励。这篇文章的目的是报告干预的可行性和接受性，采用定量和定性两种方法。没有符合条件的患者因技术问题而拒绝参加。参与者在预期使用天数的86%以上完成了干预。在研究期间很少需要直接的护理接触。对技术和干预的满意度非常高。在这项研究中，远程健康干预被证明是可行的，被广泛接受，并经常被由于积极治疗头颈癌而经历极端症状负担和生活质量下降的患者使用。
Patients undergoing treatment for head and neck cancers have a myriad of distressing symptoms and treatment side effects which significantly alter communication and lower quality of life. Telehealth technology has demonstrated promise in improving patient-provider communication by delivering supportive educational content and guidance to patients in their homes. A telehealth intervention using a simple telemessaging device was developed to provide daily education, guidance, and encouragement for patients undergoing initial treatment of head and neck cancer. The goal of this article is to report the feasibility and acceptance of the intervention using both quantitative and qualitative measures. No eligible patients declined participation based on technology issues. Participants completed the intervention over 86% of the expected days of use. Direct nursing contact was seldom needed during the study period. Satisfaction with the technology and the intervention was very high. In this study a telehealth intervention was shown to be feasible, well accepted, and regularly used by patients experiencing extreme symptom burden and declining quality of life as a result of aggressive treatment for head and neck cancer.