Background 

Complex survivorship cancer care requires nurse-led interventions. Therefore, a nurse-led patient navigation intervention was developed in which trained cancer nurses gave advice and referred to other professionals during the process of recovery and rehabilitation of hematopoietic stem cell transplantation (HSCT) patients.

Objective 

The aim of this study was to understand the nature and effect of this nurse-led information and referral intervention.

Methods 

Of the 199 included patients in the intervention group, 75 completed the quality of life, quality of care, self-efficacy, and self-management behavior questionnaires at baseline and at 6 and 12 months after HSCT. A historical control group of 62 patients completed the same questionnaires 12 months after HSCT. In addition, patients’ experiences with the intervention were evaluated in 2 focus groups.

Results 

Patients emphasized the holistic approach of the cancer nurses and the opportunity to discuss psychosocial domains of life. Within the intervention group, a statistically significant effect on quality of life was demonstrated over time. The differences in quality of life, self-efficacy, and self-management were not significant between the intervention group and control group.

Conclusion 

The holistic focus of this nurse-led intervention proved to be acceptable to the HSCT patients and promising in supporting the (complex) challenges that these patients face during their process of recovery and rehabilitation.

Implications for Practice 

Nurse-led patient navigation interventions with a holistic approach when included in the daily practice of complex survivorship cancer care can support HSCT patients’ information and referral needs during their rehabilitation.

中文翻译：

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护士主导的患者导航干预评估：自体和同种异体干细胞移植后患者的随访

背景 

复杂的生存癌症护理需要护士主导的干预措施。因此，开发了一种以护士为主导的患者导航干预措施，其中训练有素的癌症护士在造血干细胞移植 (HSCT) 患者的康复和康复过程中提供建议并转诊给其他专业人员。

客观的 

本研究的目的是了解这种以护士为主导的信息和转诊干预的性质和效果。

方法 

在干预组的 199 名患者中，75 名在基线以及 HSCT 后 6 个月和 12 个月完成了生活质量、护理质量、自我效能和自我管理行为问卷。62 名患者的历史对照组在 HSCT 后 12 个月完成了相同的问卷调查。此外，在 2 个焦点小组中评估了患者的干预体验。

结果 

患者强调癌症护士的整体方法和讨论生活心理社会领域的机会。在干预组中，随着时间的推移，显示出对生活质量的显着影响。干预组和对照组在生活质量、自我效能和自我管理方面的差异不显着。

结论 

事实证明，这种以护士为主导的干预措施的整体重点是 HSCT 患者可以接受的，并且有望支持这些患者在康复和康复过程中面临的（复杂）挑战。

对实践的启示 

护士主导的患者导航干预采用整体方法，当包括在复杂生存癌症护理的日常实践中时，可以支持 HSCT 患者在康复期间的信息和转诊需求。