This study aimed to explore patients’ perspectives on the adoption of a prehabilitation multimodal online program. Patients recovering from gastrointestinal cancer surgery at a tertiary hospital between October 2021 and November 2022 were invited to participate. An e-Health program including intensity exercises, nutrition and psychological counselling was used. Patients were instructed to navigate the e-Health program over 24 h using an iPad and then complete the study survey. Patients’ characteristics, use of technology, views and minimal expected outcomes from a preoperative online program were collected. Of the 30 patients included, most were female, most reported confidence in the use of technology, most considered the online program safe and most agreed it would be beneficial for their health. “Poor preoperative health” and “lack of motivation and encouragement” were identified as the main barriers to the uptake of a preoperative online program, while program ‘simplicity’ and perceived ‘benefits’ were the main facilitators. Significant improvement in postoperative outcomes is perceived to influence patients’ willingness to participate in a preoperative multimodal e-Health program. Gastrointestinal cancer patients perceived the adoption of a preoperative multimodal e-Health application as safe to be performed at home and of potential benefit to their health. A range of patient’s characteristics, barriers and facilitators to the uptake of an online program were identified. These should be considered in future preoperative multimodal online programs to enhance patient experience, adherence and efficacy. The safety and efficacy of the online prehabilitation program will need to be determined in a larger randomized controlled trial.
本研究旨在探讨患者对采用多模式在线预康复计划的看法。研究邀请2021年10月至2022年11月期间在某三级医院接受胃肠癌手术康复的患者参与。采用的电子健康计划包含强度训练、营养指导和心理辅导。患者被要求在24小时内使用iPad操作该电子健康计划，并完成研究调查。研究收集了患者特征、技术使用情况、对术前在线计划的看法及最低预期效果。在纳入的30名患者中，大多数为女性，对使用技术有信心，认为在线计划安全，并认同其对健康有益。"术前健康状况不佳"和"缺乏动力与鼓励"被认为是采用术前在线计划的主要障碍，而计划的"简易性"和感知的"益处"则是主要促进因素。患者认为术后结果的显著改善会影响其参与术前多模式电子健康计划的意愿。胃肠癌患者认为采用术前多模式电子健康应用在家进行是安全的，并可能对健康有益。研究识别了一系列患者特征、采用在线计划的障碍和促进因素。未来的术前多模式在线计划应考虑这些因素，以提升患者体验、依从性和疗效。在线预康复计划的安全性和有效性需通过更大规模的随机对照试验加以验证。
肿瘤(癌症)患者之家