首页> 外文期刊>European journal of cancer care >Is a nurse-led telephone intervention a viable alternative to nurse-led home care and standard care for patients receiving oral capecitabine? Results from a large prospective audit in patients with colorectal cancer
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Is a nurse-led telephone intervention a viable alternative to nurse-led home care and standard care for patients receiving oral capecitabine? Results from a large prospective audit in patients with colorectal cancer

机译:对于接受口服卡培他滨的患者,由护士主导的电话干预是否可以替代由护士主导的家庭护理和标准护理?来自大肠癌患者的大规模前瞻性审计结果

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Home care nursing has been shown to be a valuable service for patients receiving oral chemotherapy; however, associated costs can be high and telephone-based services may be more cost-effective options. This prospective audit explored the usefulness of a nurse-led telephone intervention for supporting cancer patients treated with Capecitabine, comparing historical findings from a randomised trial evaluating a home-based intervention over standard care with a modified nurse-led telephone follow-up intervention. Self-reported toxicity and service use were assessed in 298 patients who received nurse-led telephone follow-up, compared with historical data from 164 patients (81 receiving standard care and 83 home care intervention). Findings suggested that nurse-led telephone follow-up can potentially lead to reduced toxicity (chest pain, vomiting, oral mucositis, nausea, insomnia) when compared with standard care, and that it has a similar impact on the management of some symptoms when compared with home care (i.e. vomiting, oral mucositis), although it was not as effective as the home care intervention for other toxicities (diarrhoea and insomnia). These encouraging findings need to be explored further using a randomised trial design before we reach any conclusions. Further research should also include a health economics study to assess the cost-effectiveness of the telephone-based services for patients receiving oral chemotherapy.
机译:事实证明,家庭护理对接受口服化疗的患者是一项有价值的服务。但是,相关成本可能很高,而基于电话的服务可能是更具成本效益的选择。这项前瞻性审计探索了由护士主导的电话干预对支持卡培他滨治疗的癌症患者的有用性,将来自随机试验的历史发现与评估后的结果进行了比较,该随机试验评估了以家庭护理为基础的标准护理与改良的由护士主导的电话随访干预。与164例患者的历史数据(81例接受标准护理和83例家庭护理)相比,对298名接受护士指导的电话随访的患者进行了自我报告的毒性和服务使用评估。研究结果表明,与标准护理相比,由护士领导的电话随访可能会导致毒性降低(胸痛,呕吐,口腔粘膜炎,恶心,失眠),并且与某些症状的处理相比,其影响相似尽管它不如其他毒性(腹泻和失眠)的家庭护理干预措施有效,但仍可用于家庭护理(即呕吐,口腔粘膜炎)。在得出任何结论之前,需要使用随机试验设计进一步探索这些令人鼓舞的发现。进一步的研究还应包括一项健康经济学研究,以评估接受口服化学疗法的患者的电话服务的成本效益。

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