■已发现胸外科手术前的康复治疗可改善癌症患者的预后;然而,COVID-19对访问现场项目提出了挑战。我们描述了发展,实施,和同步的评估,针对COVID-19开发的虚拟身心康复计划。
符合条件的参与者是在学术癌症中心的胸部肿瘤外科部门就诊的患者,年龄18岁或以上,诊断为胸癌,并在手术前至少1周转诊。该计划每周通过Zoom(ZoomVideoCommunications,公司)。我们收集了转诊的数据,招生,参与,并评估患者报告的满意度和经验。我们对参与者的经历进行了简短的半结构化访谈。
■在278名患者中,接近260人,其中197例(76%)患者同意参加。在参与者中,140(71%)参加了至少1节课,平均每节课有11人参加。大多数参与者表示非常满意(97.8%),极有可能向其他人推荐课程(91.2%),并指出课程对准备手术非常有帮助(90.8%)。患者还报告说,这些课程有助于减少焦虑/压力(94.2%),疲劳(88.5%),疼痛(80.7%),呼吸急促(86.5%)。定性数据进一步表明,该计划使参与者感到更强壮,更多地与他们的同龄人联系在一起,更好地准备手术。
■这项虚拟的身心康复计划获得了很高的满意度和收益,并且实施起来非常可行。这种方法可能有助于克服面对面参与的一些挑战。
UNASSIGNED: Prehabilitation before thoracic surgery has been found to improve outcomes in patients with cancer; however, COVID-19 presented challenges to access on-site programs. We describe the development, implementation, and evaluation of a synchronous, virtual mind-body prehabilitation program developed in response to COVID-19.
UNASSIGNED: Eligible participants were patients seen at a thoracic oncology surgical department of an academic cancer center, aged 18 years or older with a diagnosis of thoracic cancer and referred at least 1 week before surgery. The program offered 2 45-minute preoperative mind-body fitness classes each week delivered via Zoom (Zoom Video Communications, Inc). We collected data for referrals, enrollment, participation, and evaluated patient-reported satisfaction and experience. We conducted brief semistructured interviews about participants\' experience.
UNASSIGNED: Among 278 patients referred, 260 were approached, and of those 197 (76%) patients agreed to participate. Among participants, 140 (71%) attended at least 1 class, with an average of 11 attendees per class. The majority of participants reported being extremely satisfied (97.8%), extremely likely to recommend the classes to others (91.2%), and indicated that classes were very much helpful in preparing for surgery (90.8%). Patients also reported that the classes helped reduce anxiety/stress (94.2%), fatigue (88.5%), pain (80.7%), and shortness of breath (86.5%). Qualitative data further suggest that the program made participants feel stronger, more connected to their peers, and better prepared for surgery.
UNASSIGNED: This virtual mind-body prehabilitation program was well received with high satisfaction and benefits and is highly feasible to implement. This approach may help overcome some of the challenges to in-person participation.