Abstract：
METHODS: A multi-methods, single-centre pilot comprising a quasi-experimental pre-/post-test design and an exploratory qualitative study.
METHODS: A rural Australian hospital and health service.
METHODS: Men newly diagnosed with localised prostate cancer who were scheduled to undergo, or had undergone, radical or robotic prostatectomy surgery within the previous 3 months.
METHODS: The intervention comprised a 12-week virtual care program delivered via teleconference by a specialist nurse, using a pre-existing connected care platform. The program was tailored to the post-operative recovery journey targeting post-operative care, psychoeducation, problem-solving and goal setting.
METHODS: Primary outcome: program acceptability.
RESULTS: quality of life; prostate cancer-related distress; insomnia severity; fatigue severity; measured at baseline (T1); immediately post-intervention (T2); and 12 weeks post-intervention (T3).
RESULTS: Seventeen participants completed the program. The program intervention showed very high levels (≥4/5) of acceptability, appropriateness and feasibility. At T1, 47% (n = 8) of men reported clinically significant psychological distress, which had significantly decreased by T3 (p = 0.020). There was a significant improvement in urinary irritative/obstructive symptoms (p = 0.030) and a corresponding decrease in urinary function burden (p = 0.005) from T1 to T3.
CONCLUSIONS: This pilot has shown that a tailored nurse-led virtual care program, incorporating post-surgical follow-up and integrated low-intensity psychosocial care, is both acceptable to rural participants and feasible in terms of implementation and impact on patient outcomes.
METHODS: A rural Australian hospital and health service.
METHODS: Men newly diagnosed with localised prostate cancer who were scheduled to undergo, or had undergone, radical or robotic prostatectomy surgery within the previous 3 months.
METHODS: The intervention comprised a 12-week virtual care program delivered via teleconference by a specialist nurse, using a pre-existing connected care platform. The program was tailored to the post-operative recovery journey targeting post-operative care, psychoeducation, problem-solving and goal setting.
METHODS: Primary outcome: program acceptability.
RESULTS: quality of life; prostate cancer-related distress; insomnia severity; fatigue severity; measured at baseline (T1); immediately post-intervention (T2); and 12 weeks post-intervention (T3).
RESULTS: Seventeen participants completed the program. The program intervention showed very high levels (≥4/5) of acceptability, appropriateness and feasibility. At T1, 47% (n = 8) of men reported clinically significant psychological distress, which had significantly decreased by T3 (p = 0.020). There was a significant improvement in urinary irritative/obstructive symptoms (p = 0.030) and a corresponding decrease in urinary function burden (p = 0.005) from T1 to T3.
CONCLUSIONS: This pilot has shown that a tailored nurse-led virtual care program, incorporating post-surgical follow-up and integrated low-intensity psychosocial care, is both acceptable to rural participants and feasible in terms of implementation and impact on patient outcomes.
摘要：
方法：多方法，单中心试点，包括准实验前/后测试设计和探索性定性研究。
方法：澳大利亚农村医院和医疗服务。
方法：新诊断为局部前列腺癌的男性，或者经历过，在过去3个月内进行根治性或机器人前列腺切除术。
方法：干预包括由专科护士通过电话会议提供的为期12周的虚拟护理计划，使用预先存在的互联护理平台。该计划是针对术后护理的术后恢复旅程量身定制的，心理教育,解决问题和目标设定。
方法：主要结果：项目可接受性。
结果：生活质量；前列腺癌相关的痛苦；失眠严重程度；疲劳严重程度；基线测量（T1）；干预后立即测量（T2）；干预后12周（T3）。
结果：17名参与者完成了该计划。项目干预显示出非常高的可接受性（≥4/5），适当性和可行性。在T1时，47%(n=8)的男性报告了临床上显著的心理困扰，到T3时显著降低(p=0.020)。从T1到T3，泌尿刺激/阻塞性症状显着改善（p=0.030），排尿功能负担相应降低（p=0.005）。
结论：该试点表明，量身定制的护士主导的虚拟护理计划，结合术后随访和综合低强度社会心理护理，在实施和对患者结局的影响方面，农村参与者都可以接受，也是可行的。
方法：澳大利亚农村医院和医疗服务。
方法：新诊断为局部前列腺癌的男性，或者经历过，在过去3个月内进行根治性或机器人前列腺切除术。
方法：干预包括由专科护士通过电话会议提供的为期12周的虚拟护理计划，使用预先存在的互联护理平台。该计划是针对术后护理的术后恢复旅程量身定制的，心理教育,解决问题和目标设定。
方法：主要结果：项目可接受性。
结果：生活质量；前列腺癌相关的痛苦；失眠严重程度；疲劳严重程度；基线测量（T1）；干预后立即测量（T2）；干预后12周（T3）。
结果：17名参与者完成了该计划。项目干预显示出非常高的可接受性（≥4/5），适当性和可行性。在T1时，47%(n=8)的男性报告了临床上显著的心理困扰，到T3时显著降低(p=0.020)。从T1到T3，泌尿刺激/阻塞性症状显着改善（p=0.030），排尿功能负担相应降低（p=0.005）。
结论：该试点表明，量身定制的护士主导的虚拟护理计划，结合术后随访和综合低强度社会心理护理，在实施和对患者结局的影响方面，农村参与者都可以接受，也是可行的。
