Onkološko zdravstveno svetovanje na daljavo Oncology tele-health counselling

Abstract

Izhodišče: V začetku leta 2023 smo v okviru klicnega centra vzpostavili zdravstveno svetovanje z namenom opolnomočenja in podpore bolnikov ter njihovih bližnjih. V raziskavi smo analizirali pogostost in stopnjo pojavljanja simptomov, povezanih z boleznijo in zdravljenjem, z uporabo ocenjevalnega protokola in nadaljnjih napotitev glede na izraženost težav. Metode: Izvedena je bila retrospektivna analiza telefonskih klicev na linijo zdravstvenega svetovanja v klicnem centru od 1. 10. 2023 do 31. 1. 2024. Za zbiranje podatkov o klicateljih je bilo potrjeno in uporabljeno ocenjevalno orodje v podatkovni bazi Redcap. Za izračun odstotnih deležev smo uporabili program Microsoft® Excel® for Office 365 in opisno statistiko. Rezultati: Vzorec je vključeval 144 telefonskih klicev, kar je predstavljalo 60 % telefonskih klicev bolnikov in 39 % klicev bolnikovih bližnjih. Vzrok telefonskih klicev je bil v 60,4 % posledica neželenih učinkov sistemskega zdravljenja, ki so bili najpogostejši do tedna dni od prejetja zadnjega zdravljenja. V analizi telefonskih klicev so bili najpogosteje izraženi simptomi bolečina (10 %), slabost (10 %), izguba apetita (7 %), driska (7 %). Na podlagi tega je bilo izvedenih 144 zdravstvenih svetovanj, 87 napotitev na osebnega zdravnika ali lečečega onkologa in 14 napotitev na nujno medicinsko pomoč. Zaključek: Zdravstveno svetovanje na daljavo je treba uporabiti kot priložnost za zagotavljanje dostopnosti do informacij in pravočasne zdravstvene oskrbe prek informacijskih in telekomunikacijskih sistemov, saj vpliva na spodbujanje samooskrbe, zmanjšanje števila hospitalizacij, znižanje stroškov zdravstvene oskrbe in nenazadnje na kakovost življenja onkoloških bolnikov.

Abstract (Eng)

Background: At the beginning of 2023, we established a tele-health counselling service in a call centre to empower and support patients and their relatives. In a study, we analyzed the frequency and severity of symptoms related to illness and treatment using an assessment protocol and further referrals according to the intensity of the problem. Methods: A retrospective analysis of telephone calls to the tele-health counselling line in the call centre was performed from 1.10.2023 to 31.1.2024. An assessment tool in the REDcap database was validated and used to collect data from callers. We used Microsoft® Excel® for Office 365 to calculate the percentages and descriptive statistics. Results: The sample included 144 phone calls, of which 60% were phone calls from patients and 39% from patients' relatives. The reason for 60.4% of the phone calls was due to side effects of systemic treatment, which were most common up to one week after the last treatment. In the analysis of telephone calls, the most frequently expressed symptoms were pain (10%), nausea (10%), loss of appetite (7%), and diarrhoea (7%). There were 144 tele-health consultations, 87 referrals to a general practitioner or specialist oncologist, and 14 referrals to emergency medical care. Conclusion: Tele-health counselling should be used as an opportunity to provide access to information and timely healthcare through information and telecommunication systems, as it has a positive impact on promoting self-care, reducing hospitalizations, lowering healthcare costs, and ultimately the quality of life of cancer patients.