| Autor: |
Heneka, N., Chambers, S. K., Carmont, K., Parcell, M., Wallis, S., Walker, S., Tuffaha, H., Steele, M., Schaefer, I., Dunn, J. |
| Předmět: |
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| Zdroj: |
Australian Journal of Cancer Nursing; Jul2024, Vol. 25 Issue 1, p17-18, 2p |
| Abstrakt: |
Introduction Radical prostatectomy is often used as a curative treatment for men with low or intermediate risk prostate cancer. However, physical challenges immediately after surgery, including incontinence and sexual dysfunction, can have negative psychosocial impacts. Post-operative survivorship care is limited for men in rural areas, but virtual models are increasingly used to bridge the urban-rural care gap. Objectives/Aims To assess the acceptability and feasibility of an evidence-based prostate cancer survivorship virtual care intervention tailored to post-surgical care, and delivered using a novel nurse-led approach. Description/Methodology This multi-methods pilot comprised a quasiexperimental pre/post-test design and an exploratory qualitative study using the Theoretical Framework of Acceptability (TFA). Participants were eligible if they were: i) newly diagnosed with localised prostate cancer and had undergone radical/ robotic prostatectomy within the previous three months; or ii) clinicians/stakeholders involved in the development/delivery of the program. The 12-week videoconference intervention focused on postoperative recovery including: symptom management, psychoeducation, problem-solving and goal setting; guided by a best-practice survivorship framework. Program acceptability was the primary outcome measure. Secondary outcome measures included quality of life, prostate cancer-related distress, insomnia/fatigue severity, and program costs. Results/Outcomes The program was highly acceptable for men (n=17) and service stakeholders (n=6) across all TFA domains. Men's participation, adherence and perceived program effectiveness were supported by minimal burden and opportunity costs, and perceived ethical value of the program. Clinical care coordination was improved by earlier identification of survivorship care needs, and fulfilled service priorities to provide quality care near home. At baseline, almost half (47%) of men reported clinically significant psychological distress, which had significantly decreased at 24-weeks (P=0.020), as did urinary irritative/obstructive symptoms (P=0.030) and urinary function burden (P=0.005). Conclusions This pilot demonstrates that a tailored, nurse-led, virtual care program incorporating post-surgical follow up with integrated, low-intensity psychosocial care is acceptable to rural men, and feasible in terms of implementation and impact on patient outcomes. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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