"Boitsebiso ba pele le kalafo ea mathata a bophelo ba kelello bo bohlokoa, leha ho le joalo, khatello ea maikutlo le mathata a mang a bophelo bo botle ba kelello hangata ha li tsejoe hantle ebile ha li phekoloe hantle ho bakuli ba mofetše oa matsoele," ho boletse sengoli se etelletseng pele sa thuto, Erin E. Hahn, PhD, rasaense oa lipatlisiso. le Kaiser Permanente Southern California Department of Research & Evaluation. "Phuputso ea rona e bontšitse hore tšebeliso ea mekhoa ea ho kenya ts'ebetsong ho thusa ho hlahloba ho tepella maikutlong e sebetsa haholo 'me e fane ka leseli la ho etsa lenaneo le tsitsitseng ho thusa bakuli ba rona ba mofetše ho finyella bophelo bo botle ka ho fetisisa."
Ho bile thata historing ho kenyelletsa tlhahlobo ea khatello ea kelello nakong ea tlhokomelo ea mofetše ha bakuli ba atisa ho ba kotsing ea mathata a bophelo bo botle ba kelello. Bafuputsi ba Kaiser Permanente ba Southern California ba ikemiselitse ho fumana hore na ts'ebetso ea ho kenyelletsa tlhahlobo ea ho tepella maikutlong ho tlhokomelo ea meriana e tloaelehileng ka tšehetso ea bafuputsi e ka etsa phapang.
Ba arola lihlopha tsa oncology ea bongaka libakeng tse fapaneng ka lihlopha tse 2. Sehlopheng sa pele, lingaka le baoki ba ile ba fumana thuto mabapi le tlhahlobo ea khatello ea maikutlo, maikutlo a kamehla mabapi le ts'ebetso ea bona, le ts'ehetso ea ho fumana mekhoa e metle ea ho eketsa tlhahlobo ea ho tepella maikutlo mosebetsing oa bona oa hona joale. Sehlopheng sa bobeli - sehlopha sa taolo - lingaka le baoki ba fumane thuto feela. Ho hlahlojoa ho ile ha etsoa ho sebelisoa mofuta oa 9-item ea Patient Health Questionnaire, e tsejoang e le PHQ-9.
Bakuli bohle ba fumanoeng ba e-na le mofetše o mocha oa matsoele ba ileng ba buisana le oncology ea bongaka pakeng tsa la 1 Mphalane 2017 le la 30 Loetse 2018, ba kenyelelitsoe thutong. Bafuputsi ba ngolisitse litho tsa 1,436: 692 sehlopheng sa taolo le 744 sehlopheng sa ho kenella. Lihlopha li ne li tšoana ka litšobotsi tsa batho le kankere.
• 80% ea bakuli ba sehlopheng sa ho kenella ba qetile ho hlahloba ho tepella maikutlong ho bapisoa le tlase ho 1% sehlopheng sa taolo.
• Litlhahlobong tsa lihlopha tsa bokena-lipakeng, karolo ea 10 lekholong e ile ea fumana lintlha tse bontšang tlhokahalo ea ho fetisetsoa litšebeletsong tsa bophelo bo botle ba kelello. Ho bao, 94% e amohetse lithuso.
• Ho ba fetiselitsoeng, 75% ba qetile ketelo le mofani oa bophelo bo botle ba kelello.
• Ho phaella moo, bakuli ba sehlopha sa ho kenella ba ne ba e-na le ketelo e fokolang haholo ea litliniki ho mafapha a oncology, 'me ha ho na phapang pakeng tsa maeto a bakuli ba ka ntle bakeng sa tlhokomelo ea mantlha, tlhokomelo e potlakileng, le litšebeletso tsa lefapha la tšohanyetso.
"Teko ea lenaneo lena e atlehile hoo, ka chelete e tsoang ho Sehlopha sa rona sa Patlisiso ea Tlhokomelo ea Tlhokomelo, re kentse mehato ea ho hlahloba khatello ea maikutlo mafapheng ohle a rona a Kaiser Permanente a oncology a Southern California," ho boletse Hahn. "Re kenyelletsa lithuto tseo re ithutileng tsona tekong, haholo-holo bohlokoa ba tlhahlobo e tsoelang pele le maikutlo a mabapi le ts'ebetso 'me re khothaletsa lihlopha tsa rona tsa bongaka ho ikamahanya le ts'ebetso ho fihlela litlhoko tsa tsona."
SEO U LOKELANG HO SE NKA HO SEHLOOHO ENA:
- “Our study showed that the use of implementation strategies to facilitate depression screening is highly effective and provided insights into how to create a sustainable program to help our cancer patients achieve the best possible health.
- “We are incorporating the lessons learned from the trial, particularly the importance of ongoing audit and feedback of performance and are encouraging our clinical teams to adapt the workflow to meet their needs.
- In the first group, physicians and nurses received education about depression screening, regular feedback on their performance, and support in determining the best ways to add depression screening into their current workflow.
