Schnittstellenproblematik beim Übergang von stationärer zu ambulanter Versorgung von Tumorpatienten

Stiel, Stephanie; Joppich, R.; Nachite, Salima; Elsner, Frank; Radbruch, Lukas; Rossaint, Rolf

doi:10.1016/j.zefq.2008.12.002

Cited by 2 publications

(2 citation statements)

References 18 publications

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“…Patienten beklagen schlechte Entlassungsvorbereitung sowie schlechte Erreichbarkeit der nachstationären Versorger. Sie wünschen sich oft eine konstante Betreuung ,,aus einer Hand'' [8]. Dieses Vernetzungsproblem betrifft Patienten im ländlichen Raum [9] und arztferne soziale Schichten besonders stark [10][11][12][13].…”

Section: Hintergrundunclassified

Sektorübergreifende Versorgung von Darmkrebspatienten: Design einer randomisierten kontrollierten Multicenter-Studie (FKZ 01GY1143)

Landenberger

Boese

Fach

et al. 2015

Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheit

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Section: Hintergrundunclassified

Sektorübergreifende Versorgung von Darmkrebspatienten: Design einer randomisierten kontrollierten Multicenter-Studie (FKZ 01GY1143)

Landenberger

Boese

Fach

et al. 2015

Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheit

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“…In Germany, deficits or even discontinuations in care can arise during the transition from the inpatient to the outpatient setting, due to different financing systems (Schlüchtermann 2020). Due to the rising incidence of cancer, outpatient support is becoming particularly important-an aspect that is barely researched and a need which is currently not well met in Germany (Stiel et al 2009). Therefore, appropriate interventions offered by nursing and medical staff are needed to reduce these deficits in patient care.…”

Section: Introductionmentioning

confidence: 99%

Health services research in colorectal cancer: a quasi-experimental interventional pilot study on in- and outpatient oncology

Reiter

Gerken

Lindberg-Scharf

et al. 2020

J Cancer Res Clin Oncol

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Introduction Due to frequent treatment side effects and weight loss, colorectal cancer patients require oncologic care and nutritional counseling both during and after hospitalization. The current study evaluated differences in discharge and side effects management and nutritional behavior between colorectal cancer patients of a control group without systematic counseling and of an intervention group with access to structured in- and outpatient oncology nurse and nutritional counseling. Methods The presented explorative, quantitative, single-center, interventional pilot study is a health services research project with a quasi-experimental design. Using a self-designed standardized questionnaire, data were collected from the control group (n = 75) before and from the intervention group (n = 114) after the introduction of in- and outpatient oncology nurse and structured systematic nutritional counseling. The in- and outpatient counseling services were developed and evaluated in the form of a structured nurse-led counseling concept. Results Intervention group patients profited significantly from inpatient oncology nurse counseling in seven different areas of discharge management. No differences were observed concerning patient-reported general and gastrointestinal side effects except for xerostomia and dysphagia, but of the patients participating in both in- and outpatient oncology nurse counseling, 90.0% were better able to cope with general side effects of treatment. Patients with in- and outpatient structured systematic nutritional counseling more frequently received nutritional information (p = 0.001), were better at gauging food intolerances (p = 0.023), and followed the dietician's advice in cases of gastrointestinal side effects significantly more often (p = 0.003) than control patients. Counselor-reported outcomes concerning gastrointestinal side effects showed improvement in most of the patients taking part in systematic in- and outpatient nutritional counseling, except for weight loss in 4 patients. Conclusion In- and outpatient counseling in discharge and side effects management and nutrition improve the outcomes of colorectal cancer patients. Outpatient counseling should be further developed and evaluated in future studies.

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Schnittstellenproblematik beim Übergang von stationärer zu ambulanter Versorgung von Tumorpatienten

Cited by 2 publications

References 18 publications

Sektorübergreifende Versorgung von Darmkrebspatienten: Design einer randomisierten kontrollierten Multicenter-Studie (FKZ 01GY1143)

Sektorübergreifende Versorgung von Darmkrebspatienten: Design einer randomisierten kontrollierten Multicenter-Studie (FKZ 01GY1143)

Health services research in colorectal cancer: a quasi-experimental interventional pilot study on in- and outpatient oncology

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