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Pre-referral general practitioner consultations and subsequent experience of cancer care: evidence from the English Cancer Patient Experience Survey.

Prolonged diagnostic intervals may negatively affect the patient experience of subsequent cancer care, but evidence about this assertion is sparse. We analysed data from 73 462 respondents to two English Cancer Patient Experience Surveys to examine whether patients with three or more (3+) pre-referral consultations were more likely to report negative experiences of subsequent care compared with patients with one or two consultations in respect of 12 a priori selected survey questions. For each of 12 experience items, logistic regression models were used, adjusting for prior consultation catego

Информирование инвалидов и прогресс в области инвалидности у людей с множественным склерозом с использованием крупномасштабных данных здравоохранения.

СПРАВОЧНАЯ ИНФОРМАЦИЯ: Определение прогнозов развития инвалидности имеет решающее значение для борьбы с множественным склерозом (МС). Цель этого исследования заключается в изучении уровней инвалидности и информационных факторов для развития инвалидности у людей с MS (PwMS) с использованием медицинских данных без подробной клинической информации. МЕТОДЫ: Мы провели исследование по вопросам контроля/контроля данных, полученных от крупнейшей организации медицинского страхования Баварии. Набор данных включал в себя данные о вспомогательных устройствах, уходе за больными, отпусках по болезни, реаби

Effect of a community-based nursing intervention on mortality in chronically ill older adults: a randomized controlled trial.

BackgroundImproving the health of chronically ill older adults is a major challenge facing modern health care systems. A community-based nursing intervention developed by Health Quality Partners (HQP) was one of 15 different models of care coordination tested in randomized controlled trials within the Medicare Coordinated Care Demonstration (MCCD), a national US study. Evaluation of the HQP program began in 2002. The study reported here was designed to evaluate the survival impact of the HQP program versus usual care up to five years post-enrollment.Methods and findingsHQP enrolled 1,736 adult

The state of the science of interprofessional collaborative practice: A scoping review of the patient health-related outcomes based literature published between 2010 and 2018.

IntroductionIf interprofessional collaborative practice is to be an important component of healthcare reform, then an evidentiary base connecting interprofessional education to interprofessional practice with significantly improved health and healthcare outcomes is an unconditional necessity. This study is a scoping review of the current peer reviewed literature linking interprofessional collaborative care and interprofessional collaborative practice to clearly identified healthcare and/or patient health-related outcomes. The research question for this review was: What does the evidence from t

Combining rehabilitation nursing with nutritional intervention to improve self-care ability and nutritional status in elderly stroke patients: a randomized controlled trial.

This study was a randomized controlled trial (RCT) investigating the effects of combining rehabilitation nursing with nutritional intervention on self-care ability and nutritional status in elderly stroke patients. Three hundred elderly stroke patients admitted to a hospital from 2021 to 2023 were randomly allocated to either an experimental group (n = 150) receiving rehabilitation nursing combined with nutritional intervention, or a control group (n = 150) receiving standard care. Changes in clinical efficacy, self-care ability, nutritional status indicators, and recovery of motor function we

Совпадение в полном тексте источника
… Inoue M Ikeda S [Nursing process: nursing of apoplexy patients. Nursing of an apoplexy patient excessively dependent on her family] Kurinikaru Sutadi 1985 6 2 162 9 3846068 Inoue M, Ikeda S. [Nursing process: nursing of apoplexy patients. …

Core Competencies for Serious Illness Conversations: An Integrative Systematic Review.

Objective: The Serious Illness Care Program was developed to support goals and values discussions between seriously ill patients and their clinicians. The core competencies, that is, the essential clinical conversation skills that are described as requisite for effective serious illness conversations (SICs) in practice, have not yet been explicated. This integrative systematic review aimed to identify core competencies for SICs in the context of the Serious Illness Care Program. Methods: Articles published between January 2014 and March 2023 were identified in MEDLINE, PsycINFO, CINAHL, and Pu

Понимание иранскими пациентами, страдающими множественным склерозом, источников поддержки, необходимых для корректировки: качественный анализ содержания.

ЦЕЛЬ: Большинство людей с множественным склерозом (МС) всегда стремятся получить многочисленные источники поддержки, чтобы приспособиться к этому состоянию здоровья; однако имеется ограниченная информация об их восприятии и опыте использования таких источников. Цель этого исследования заключалась в изучении представлений пациентов с НР об источниках поддержки, необходимой для их адаптации. МАТЕРИАЛЫ И МЕТОДЫ: Это качественное исследование было проведено в 2020-2022 годах на основе традиционного подхода к анализу содержания. Тринадцать пациентов с MS, одна пациентка, одна медсестра и один врач

Rationale and development of an e-health application to deliver patient-centered care during treatment for recently diagnosed multiple myeloma patients: pilot study of the MM E-coach.

BACKGROUND: Patients with multiple myeloma (MM) increasingly face complicated treatment regimens. E-health may support patients and healthcare providers in enhancing a patient-centered healthcare approach. Therefore, we aimed to develop a patient-centered multi-modality e-health application, to assess the application for usability and end-user experiences. METHODS: The application was developed following an iterative "action-based" methodology using the design thinking approach. Key end users participated, and relevant stakeholders were consulted in the development process. First, the care pa

Development of a Mindfulness-Based Stress Reduction Program for Hematologic Malignancy Patients: A Delphi Study.

PurposeHematologic malignancies (HM) are a group of malignant clonal diseases that pose significant treatment challenges and adversely impact patient survival and quality of life. This study aimed to develop a Mindfulness-Based Stress Reduction (MBSR) program specifically for HM patients and to refine it for application in China.Patients and methodsA research team comprised of nursing directors, psychology experts, and other professionals was established, and then a literature review was conducted to assemble information needed to develop the MBSR intervention protocol. Following this, a Delph

Transforming End-of-Life Care

Currently, hospice care which focuses on caring for a terminally ill person delivers holistic, supportive, interdisciplinary, and patient-centered management. There have been nu-merous efforts to establish hospice care for people who are in the end-stage of their illness.

Impact of nurse-led supportive care intensity on quality of life and symptom burden in patients undergoing palliative chemotherapy: A prospective cohort study

Nurse-led supportive care is integral to palliative oncology, yet the intensity of nursing contact is rarely quantified, and its clinical relevance remains incompletely defined. We prospectively examined the association between supportive care intensity (SCI) and patient-reported outcomes and survival in patients receiving palliative chemotherapy. This prospective observational cohort study enrolled adults with advanced solid tumors undergoing palliative chemotherapy. All participants received routine physician-led oncology care and standard chemotherapy nursing, while additional supportive se

Towards a definition of an existential approach in cancer patients: a co-produced scoping review.

BackgroundAttention to existential needs has become part of daily treatment. Studies have described the concepts of existential experiences and existential interventions. However, a consensus or conceptual clarity regarding an existential approach in cancer patients is currently missing. This scoping review investigates the term existential approach and suggests a definition.MethodsWe searched PubMed, Embase, Web of Science, and PsycINFO databases until March 2024. We used the Joanna Briggs Institute guidance, and the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension

Supportive care needs of adults living with a peripherally inserted central catheter (PICC) at home: a qualitative content analysis.

BackgroundPeripherally inserted central catheters (PICCs) are common vascular access devices inserted for adults undergoing intravenous treatment in the community setting. Individuals with a PICC report challenges understanding information and adapting to the device both practically and psychologically at home. There is a lack of research investigating the supportive care needs of individuals with a PICC to inform nursing assessment and the provision of additional supports they may require to successfully adapt to life with a PICC. The aim of this study was to identify the supportive care need

Адаптация программы психического здоровья для людей с множественной миеломой и миеломой: технико-экономическое обоснование с учетом интересов потребителей.

Участие потребителей в мероприятиях по охране психического здоровья признается в качестве важнейшего элемента проведения исследований, которые являются актуальными, приемлемыми и в конечном счете более эффективными. Здесь мы сообщаем о смешанном экспериментальном исследовании по оценке пригодности существующей программы в области психического здоровья для людей, страдающих неизлечимым раком крови, множественной миеломой и формой прекурсора, в результате чего у них возникает множественный миелома. Цель этого исследования состояла в том, чтобы определить рекомендации с учетом интересов потребите

Trimodal prehabilitation for hematopoietic stem cell transplantation: A best evidence summary.

ObjectiveTo systematically evaluate and synthesize the best practice evidence of trimodal prehabilitation comprising exercise, nutritional optimization, and psychological support in patients undergoing hematopoietic stem cell transplantation, so as to enhance patients' physiological reserve and stress resistance, and provide a scientific basis and practical reference for formulating individualized prehabilitation programs in clinical practice.MethodsA comprehensive computerized literature search was conducted across multiple databases and evidence sources, including UpToDate, BMJ Best Practice

Integrating digital and narrative medicine in modern healthcare: a systematic review.

The increasing integration of digital technologies in healthcare, such as electronic health records, telemedicine, and diagnostic algorithms, improved efficiency but raised concerns about the depersonalization of care. Narrative medicine has emerged as a pedagogical and clinical response to this shift, emphasizing the value of patient stories, socio-cultural contexts, and reflective practice. Understanding how digital tools support, rather than undermine, narrative competencies is critical for developing a more human-centered healthcare education. This review systematically examined empirical

Alignment of preferences in the treatment of multiple myeloma - a discrete choice experiment of patient, carer, physician, and nurse preferences.

BACKGROUND: Multiple Myeloma (MM) is a cancer characterised by the proliferation of malignant plasma cells in the bone marrow. This study examined the treatment preferences of people living with MM compared to the treatment preferences of other groups involved in treatment decision making, including carers, as well as physicians and nurses who treat people living with MM in Australia. METHODS: Data were collected using discrete choice experiments (DCEs) through an online survey. The DCEs presented participants with a traditional treatment generic choice experiment (e.g., treatment A vs treatm

Рационализация аферез: Инициатива по повышению качества стволовых ячеек в целях повышения эффективности сбора данных.

Для автоматической трансплантации стволовых клеток (ASCT) требуется эффективный сбор периферийных стволовых клеток крови. В Лондонском научно-медицинском центре (ЛЦЗ) пациенты с высокой степенью риска, страдающие миэломой, регулярно записываются на лечение three- дневные аферозные коллекции для достижения более высоких целевых показателей по количеству клеток CD34+, хотя многим не нужны все запланированные дни, что ведет к неэффективности ресурсов. Была реализована инициатива по повышению качества, направленная на сокращение числа ненужных сессий в рамках two мероприятия:1) снижение целевых по

Early follow-up of outpatients with oral anticancer therapy in the ONCORAL multidisciplinary community-hospital program.

BackgroundHealthcare professionals are faced with the new challenges of preventing and managing drug-related problems (DRPs) with oral anticancer therapy (OAT): side-effects, drug-drug interactions (DDIs), non-adherence, or medication errors. This study aims to assess the impact of ONCORAL, a real-life multidisciplinary care plan for cancer patients based on community and hospital follow-up, for the first OAT cycle.MethodsA prospective cohort study was conducted between October 1, 2021 and October 1, 2022 including all outpatients starting OAT treatment. During the first OAT cycle, the program

Distress and quality of life after autologous stem cell transplantation: a randomized clinical trial to evaluate the outcome of a web-based stepped care intervention.

BackgroundPsychological distress (i.e. depression and anxiety) is a strong predictor of functional status and other aspects of quality of life in autologous stem cell transplantation following high-dose chemotherapy. Treatment of psychological distress is hypothesized to result in improvement of functional status and other aspects of quality of life. The aim is to evaluate the outcome of stepped care for psychological distress on functional status and other aspects of quality of life in patients with hematological malignancy treated with autologous stem cell transplantation.Methods/designThe s