Evaluation of a Nurse-led Aftercare Intervention for Patients With Head and Neck Cancer Treated With Radiotherapy and Cisplatin or Cetuximab

被引：8

作者：

Braat, Cora ^{[1
]}

Verduijn, Gerda M. ^{[1
]}

van der Stege, Heleen A. ^{[2
]}

Offerman, Marinella P. J. ^{[3
]}

Peeters, Marielle A. C. ^{[2
]}

van Staa, AnneLoes ^{[2
]}

Oldenmenger, Wendy H. ^{[4
]}

机构：

[1] Univ Med Ctr Rotterdam, Erasmus MC, Dept Radiotherapy, Canc Inst, Rotterdam, Netherlands

[2] Rotterdam Univ Appl Sci, Res Ctr Innovat Care, Rotterdam, Netherlands

[3] Univ Med Ctr Rotterdam, Erasmus MC, Dept Head & Neck Oncol, Canc Inst, Rotterdam, Netherlands

[4] Univ Med Ctr Rotterdam, Erasmus MC, Dept Med Oncol, Canc Inst, Rotterdam, Netherlands

来源：

CANCER NURSING | 2022年 / 45卷 / 02期

关键词：

Aftercare; Head and neck cancer; Nurse-led intervention; Quality of care; Quality of life; Self-management; QUALITY-OF-LIFE; SELF-MANAGEMENT EDUCATION; LOCALLY ADVANCED HEAD; SUPPORT; SURVIVORSHIP; OUTCOMES; QLQ-C30; PEOPLE;

D O I：

10.1097/NCC.0000000000000983

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Background The supportive needs for head and neck cancer (HNC) patients during the vulnerable period after treatment are not always met. Therefore, more professional support regarding physical, social, and psychological care as well as lifestyle is recommended. Objective This study is an evaluation of a nurse-led aftercare intervention to support patients recovering from HNC treatment. Methods Intervention group (IG) participants received 2 extra consultations from a nurse practitioner 3 and 9 months after treatment of HNC. A holistic conversational tool, the Self-Management Web, was developed to guide the nurse through the conversation. Primary outcomes were health-related quality of life (HRQoL) and quality of patient-centered care. A secondary outcome was self-management skills. Results Twenty-seven patients were included in the IG, and 28 were included in the control group. Differences in HRQoL and self-management between the IG and the control group were not statistically significant. For the IG, all domains of the Self-Management Web were perceived important and addressed by the nurse practitioner. Conclusion This holistic nurse-led aftercare intervention was highly appreciated by HNC patients. Although the intervention met the need for support in recovery after treatment, it did not improve HRQoL or self-management skills. Implications of Practice For both nurses and patients, the intervention is feasible and acceptable in daily practice. Self-management support for patients after their cancer treatment is of added value and has potential to improve the quality of regular follow-up care.

引用

页码：E436 / E446

页数：11

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