Kanser Hastalarına Sağlık Hizmet Sunumunda Teletıp ve Tele-Hemşireliğin Artan Önemi

Öz

Kanser hastalarının sayısı tüm dünyada giderek artmaktadır. Kanserli hastalarda hastalığın kendisi, kullanılan tedavi yöntemleri ve komorbiditeler, bu hastalara sunulan sağlık bakım hizmetlerini daha zor ve karmaşık bir hale getirmektedir. Bu doğrultuda teletıp uygulamaları, kolay uygulanabilen ve zamandan tasarruf sağlayan maliyet etkin bir yöntem olarak karşımıza çıkmaktadır. Hastaneye uzak mesafede yaşayan, hastane dışında da izlem ve takip gerektiren, yatağa bağımlı ve yaşlı gibi özel bakım alması gereken kanser hastalarının tedavi ve bakımını sürdürmede teletıp uygulamaları kullanılabilmektedir. Bu sayede kanser hastalarının sağlık bakım hizmetleri kesintiye uğramadan devam edebilmektedir. Teknolojinin sağlık bakım uygulamaları alanındaki gelişimi, tele-hemşirelik kavramını ön plana çıkarmıştır. Tele-hemşirelik; telekomünikasyon araçlarının kullanılarak, hemşire-sağlık profesyoneli, hemşire-hemşire ve hemşire-hasta etkileşiminin gerçekleştirilmesi olarak tanımlanmaktadır. Yapılan çalışmalarda, tele-hemşireliğin, kanserli hasta bakımındaki olumlu sonuçları belirtilmektedir. Teletıp ve tele-hemşirelik uygulamalarının onkoloji alanında kullanımına, uluslararası düzeyde büyük bir ilgi varken, ülkemizde bu alanda yapılan araştırmalar sınırlıdır. Bu derlemenin amacı; kanserli hastalara sunulan teletıp ve tele-hemşirelik uygulama örneklerinin incelenmesi, konunun öneminin kavranması ve alanda farkındalık yaratılmasıdır.

Anahtar Kelimeler

• kanser
• teknoloji
• tele-hemşirelik
• teletıp

Increasing Importance of Telemedicine and Tele-Nursing in Health Service Delivery to Cancer Patients

Öz

The number of cancer patients is increasing all over the world. In cancer patients, the disease itself, the treatment methods used and comorbid factors make the health care services of these patients more difficult and complex. Telemedicine is an easy-to-apply and time-saving, cost-effective method. Telemedicine can used to continue the treatment and care of cancer patients, living far from the hospital, requiring out-of-hospital monitoring and follow-up, bedridden and elderly, who need special care. In this way, health care services of cancer patients can continue without interruption. The development of technology in the field of health care applications has led to tele-nursing. Tele-nursing; It is defined as the realization of nurse-health professional, nurse-nurse and nurse-patient interaction using telecommunication tools. In the studies, positive results of tele-nursing in cancer patient care are indicated. While there is a great international interest in the use of telemedicine and tele-nursing applications in the field of oncology, research in this field in our country is limited. The aim of this review; examine the telemedicine and tele-nursing applications offered to cancer patients, to understand the importance of the subject and to raise awareness in the field.

Anahtar Kelimeler

• Cancer
• technology
• telemedicine
• tele-nursing

Kaynakça

1. 1. Nayeri ND, Bakhshi F, Khosravi A, Najafi Z. The effect of complementary and alternative medicines on quality of life in patients with breast cancer: a systematic review. Indian J Palliat Care. 2020 Jan-Mar;26(1):95-104. doi: 10.4103/IJPC.IJPC_183_19.
2. 2. ASCO. The state of cancer care in America. [İnternet]. October, 2014.[Erişim tarihi:12.11.2022]. Erişim adresi: www.asco.org/practice-research/cancercare-america
3. 3. GLOBOCAN. Cancer today. [İnternet]. 2020. [Erişim tarihi:15.11.2022]. Erişim adresi: https://gco.iarc.fr/
4. 4. TÜİK. Ölüm nedeni istatistikleri. [İnternet]. 2019.[Erişim tarihi: 03.11.2022]. Erişim adresi: https://data.tuik.gov.tr/Bulten/Index?p=Olumve-Olum-Nedeni-Istatistikleri2019-33710
5. 5. WHO. E-health in the western pacific. [İnternet]. 2016. [Erişim tarihi:07.11.2022]. Erişim adresi: https://www.who.int/westernpacific/health-topics/e-health
6. 6. COSA. Teleoncology Guidelines Working Group: Clinical Practice Guidelines for Teleoncology. Sydney, Australia, Clinical Oncological Society of Australia. 2022. [21.11.2022]. Erişim adresi : https://wiki.cancer.org.au/australia/COSA:Teleoncology.
7. 7. Rico TM, Dos Santos Machado K, Fernandes VP, Madruga SW, Santin MM, Petrarca CR. et al. Use of text messaging (sms) for the management of side effects in cancer patients undergoing chemotherapy treatment. J Med Syst 2020 Sep 30;44(11):193. doi: 10.1007/s10916-020-01663-x.
8. 8. Uysal B, Ulusinan E. Güncel dijital sağlık uygulamalarının incelenmesi. Selçuk Sağlık Dergisi 2020;1(1):46-60.

9. 9. T.C. Sağlık Bakanlığı. E-nabız Hakkında 2016/6 Sayılı Genelge. [İnternet] 2017. [Erişim tarihi: 05.11.2022]. Erişim adresi: https://sbsgm.saglik.gov.tr/Eklenti/820/0/genelge20166pdf.pdf
10. 10. Holtz BE. Patients perceptions of telemedicine visits before and after the coronavirus disease 2019 pandemic. Telemed J E Health. 2021;27(1):107-12. doi: 10.1089/tmj.2020.0168
11. 11. Gönderen HSÇ, Kapucu S. The effect of educational follow-Up with the motivational interview technique on self-efficacy and drug adherence in cancer patients using oral chemotherapy treatment: a randomized controlled trial. Semin Oncol Nurs.2021;37(2), 151140.doi: 10.1016/j.soncn.2021.151140
12. 12. Kawaguchi T., Toyomasu K. Health informatics: translating information into innovation innovation of community-based ıntegrated care. Innovation of community-based integrated care: the history and current status of telenursing in Japan. Springer. 2021; 24: 25- 35.
13. 13. DeGuazman PB, Horton BJ, Bernacchi V, Jameson MJ. A telemedicine-delivered nursing ıntervention for cancer-related distress in rural survivors. Oncol Nurs Forum. 2022 Aug 18;49(5):455-460. doi: 10.1188/22.ONF.455-460
14. 14. Cox A, Lucas G, Marcu A, Piano M,Grosvenor W, Mold F. et al: Cancer survivors' experience with telehealth: a systematic review and thematic synthesis. J Med Internet Res.2017 Jan 9;19(1):e11 2017.doi: 10.2196/jmir.6575
15. 15. Barlow J, Singh D, Bayer S, Curry R. A systematic review of the benefits of home telecare for frail elderly people and those with long-term conditions. J Telemed Telecare. 2007;13(4):172-9. doi: 10.1258/135763307780908058
16. 16. Souza-Junior VD, Mendes IAC, Mazzo A, Godoy S. Application of telenursing in nursing practice: an integrative literature review. Appl Nurs Res. 2016 Feb;29:254-60. doi: 10.1016/j.apnr.2015.05.005. Epub 2015 May 20.
17. 17. Finkelstein S, Speedie SM, Potthoff S. Home telehealth improves clinical outcomes. Telemed J E Health.2006;12(2):128-36. doi: 10.1089/tmj.2006.12.128.
18. 18. Larson JL, Rosen AB, Wilson FA. The effect of telehealth interventions on quality of life of cancer patients: A systematic review and meta-analysis. Telemed J E Health. 2018 Jun;24(6):397-405. doi: 10.1089/tmj.2017.0112.
19. 19. Jess M, Timm H, Dieperink KB: Video consultations in palliative care: A systematic integrative review. Palliat Med. 2019 Sep;33(8):942-958. doi: 10.1177/0269216319854938
20. 20. Auret K, Pikora T, Pola M: Specialist haematology consultation services in regional Western Australia: evaluating a model combining telehealth and onsite clinics. Intern Med J. 2022; 52(3):451-457. doi: 10.1111/imj.15127.
21. 21. Moradian S, Voelker N, Brown C, Liu G, Howell D. Effectiveness of Internet-based in terventions in managing chemotherapy-related symptoms in patients with cancer: A systematic literatüre review. Support Care Cancer. 2018 Feb;26(2):361-374. doi: 10.1007/s00520-017-3900-8
22. 22. Karaaslan EA, Ayaz AS. The effect of a mobile application on treatment adherence and symptom management in patients using oral anticancer agents: A randomized controlled trial. Eur J Oncol Nurs. 2021 Jun;52:101969. doi: 10.1016/j.ejon.2021.101969. Epub 2021 May 4.
23. 23. Kwok C, Degen C, Moradi N, Stacey D. Nurse-led telehealth interventions for symptom management in patients with cancer receiving systemic or radiation therapy: a systematic review and meta-analysis. Support Care Cancer 2022 Sep;30(9):7119-7132. doi: 10.1007/s00520-022-07052-z.
24. 24. Linder LA, Wu YP, Macpherson CF, Fowler B, Wilson A, Jo Y. et al. Oral medication adherence among adolescents and young adults with cancer before and following use of a smartphone-based medication reminder app. J Adolesc Young Adult Oncol.2019 Apr;8(2):122-130. doi: 10.1089/jayao.2018.0072
25. 25. Humer MF, Campling BG: The role of telemedicine in providing thoracic oncology care to remote areas of British Columbia. Curr Oncol Rep. 2017 Aug;19(8):52. doi: 10.1007/s11912-017-0612-7.
26. 26. Ream E, Hughes AE, Cox A, Skarparis K, Richardson A, Pedersen VH. Telephone interventions for symptom management in adults with cancer. Cochrane Database Syst Rev. 2020 Jun 2;6(6):CD007568. doi: 10.1002/14651858.CD007568.pub2
27. 27. Xu A, Wang Y, Wu X: Effectiveness of e-health based self-management to improve cancer-related fatigue, self-efficacy and quality of life in cancer patients: systematic review and meta-analysis. J Adv Nurs. 2019 Dec;75(12):3434-3447. doi: 10.1111/jan.14197.
28. 28. Wang Y, Lin Y, Chen J, Wang C, Hu R, Wu Y et al: Effects of internet-based psycho-educational interventions on mental health and quality of life among cancer patients: a systematic review and meta-analysis. Support Care Cancer. 2020 Jun;28(6):2541-2552. doi: 10.1007/s00520-020-05383-3.
29. 29. Ebrahimabadi M, Rafiei F, Nejat N. Can tele-nursing affect the supportive care needs of patients with cancer undergoing chemotherapy? A randomized controlled trial follow-up study. Support Care Cancer. 2021 Oct;29(10):5865-5872. doi: 10.1007/s00520-021-06056-5. Epub 2021 Mar 23
30. 30. Jagos H, David V, Haller M, Kotzian S, Hofmann M. Schlossarek S. et al. A framework for (tele-) monitoring of the rehabilitation progress in stroke patients. Appl Clin Inform. 2015; 6(4):757–68 doi: 10.4338/ACI-2015-03-RA-0034.
31. 31. Torous J, Wisniewski H, Liu G, Keshavan M. Mental health mobile phone app usage, concerns, and benefits among psychiatric outpatients: comparative survey study. JMIR Ment Health 2018;5(4):e11715. doi: 10.2196/11715
32. 32. Shore JH, Yellowlees P, Caudill R, Johnston B, Turvey C, Mishkind M. et al. Best practices in video conferencing-based telemental health april 2018. Telemed J E Health, 2018;24(11):827-32. doi: 10.1089/tmj.2018.0237
33. 33. Lam K, Lu AD, Shi Y, Covinsky KE. Assessing telemedicine unreadiness among older adults in the united states during the COVID-19 pandemic. JAMA Intern Med. 2020 Oct 1;180(10):1389-1391. doi: 10.1001/jamainternmed.2020.2671
34. 34. Baldwin-Medsker A, Holland J, Rodriguez ES: Access to care: Using eHealth to limit location-based barriers for patients with cancer. Clin J Oncol Nurs. 2020 Jun 1;24(3):16-23. doi: 10.1188/20.CJON.S1.16-23.
35. 35. Dharmarajan H, Anderson JL, Kim S, Sridharan S, Duvvuri U, Ferris RL. et al. Transition to a virtual multidisciplinary tumor board during the COVID-19 pandemic: University of Pittsburgh experience. Head Neck. 2020 Jun;42(6):1310-1316. doi: 10.1002/hed.26195
36. 36. DeGuzman PB, Bernacchi V, Cupp CA, Dunn B, Ferrebee Ghamandi BJ, Hinton ID. et al: Beyond broadband: Digitalinclusion as a driver of inequities in accessto rural cancer care. J Cancer Surviv. 2020 Oct;14(5):643-652. doi: 10.1007/s11764-020-00874-y
37. 37. Uslu AS, Gerber S, Schmidt N, Röthlisberger C, Wyss P, Vanbellingen T. et al. Investigating a new tablet based telerehabilitation in aphasia: a randomised, controlled, evaluator-blinded, multicentre trial protocol, BMJ Open 2020;10:e037702
38. 38. Arber, A, Odelius A, Williams P, Lemanska A, Faithfull S. Do patients on oral chemotherapy have sufficient knowledge for optimal adherence? A mixed methods study. Eur J Cancer Care (Engl). 2017 Mar;26(2). doi: 10.1111/ecc.12413
39. 39. Zhou F, Yu T, Du R, Fan G, Liu Y, Liu Z. et al: Clinical course and risk factors formortality of adult inpatients with COVID-19 in Wuhan, China: A retrospective cohort study, Lancet. 2020 Mar 28;395(10229):1054-1062.doi: 10.1016/S0140-6736(20)30566-3
40. 40. Escriva Boulley G, Leroy T, Bernetière C, Paquienseguy F, Desfriches-Doria O. Digital health interventions to help living with cancer: A systematic review of participants engagement and psychosocial effects. Psychooncology. 2018 Dec;27(12):2677-2686. doi: 10.1002/pon.4867.