4.4 Article

Development of a Core Set of Self-Management Support Needs of Esophageal Cancer Patients: Results from a Delphi Study among Healthcare Professionals

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EUROPEAN JOURNAL OF CANCER CARE
卷 2023, 期 -, 页码 -

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WILEY
DOI: 10.1155/2023/3164450

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This study aimed to gain consensus on healthcare professionals' perspectives on the self-management support information needs of esophageal cancer patients during the preoperative phase. A survey was created based on literature, clinical consultations, and patient information leaflets. A total of 33 important topics were identified, and consensus was reached on the preferred sources of support, which were face-to-face contact and a case manager.
Objective. We aimed to gain consensus on HCPs' perspectives on self-management support information needs of patients with esophageal cancer during the preoperative phase. Methods. Based on the literature, observations of clinical consultations, and hospital patient information leaflets, a survey was created. HCPs were surveyed twice about their opinion on importance of information, from not essential to absolutely essential, using Delphi methods. Topics were included in the second round if predetermined criteria were met. To be included in the final list, topics had to meet criteria for consensus and stability. Results. 64 information items and 6 sources of support were identified. Survey response rates were 59% (68 out of 116, first round) and 75% thereafter. The final list included 33 topics, including logistical information, expectations for future health condition, complications, follow-up care, nutrition during treatment, and nutrition during recovery as topics with 100% agreement. Consensus on the source of support was reached for face-to-face contact, written information, information video, and a case manager. Conclusion. This study provides a list of important topics, from the perspectives of HCPs, to guide the systematic provision of education to support EC patients' self-management during the preoperative phase. Additionally, the most preferred sources of support were face-to-face contact and a case manager.

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