晚期癌症患者多次住院的风险增加，并且出院后往往有相当大的需求。缺乏满足患者回家后需求的干预措施。我们试图证明出院后干预对该人群的可行性和可接受性。我们进行了出院后干预的单臂试点试验（n = 54），包括在出院三天内与肿瘤科执业护士 (NP) 进行视频访问，以解决症状、药物、住院相关问题和护理协调。我们招募了患有晚期乳腺癌、胃肠道癌、泌尿生殖道癌或胸部癌的说英语的成年人，他们经历了计划外住院治疗并准备出院回家。如果≥70%的接触患者入组并且≥70%的入组患者在出院三天内完成干预，则认为干预是可行的。出院两周后，患者对视频技术的易用性和实用性进行了 0-10 分评分（分数越高表示易用性越高）。 NP 完成了干预后调查以评估方案遵守情况。我们招募了 75 名接触过的患者中的 54 名 (77.3%)。在入组患者（中位年龄=65.0岁）中，83.3%在出院三天内参与了干预。参与干预的中位难易度为 9.0（IQR：6.0-10.0），干预的中位有用性为 7.0（IQR：4.5-8.0）。大多数就诊重点是症状管理（85.7%），其次是出院后医疗问题（69.0%）。出院后立即由肿瘤科 NP 提供干预是为住院患者提供出院后护理的可行且可接受的方法患有晚期癌症。版权所有 © 2024。由 Elsevier Inc. 出版。

Patients with advanced cancer are at increased risk for multiple hospitalizations and often have considerable needs post-discharge. Interventions to address patients' needs after transitioning home are lacking.We sought to demonstrate the feasibility and acceptability of a post-discharge intervention for this population.We conducted a single-arm pilot trial (n=54) of a post-discharge intervention, consisting of a video visit with an oncology nurse practitioner (NP) within three days of discharge to address symptoms, medications, hospitalization-related issues, and care coordination. We enrolled English-speaking adults with advanced breast, gastrointestinal, genitourinary, or thoracic cancers experiencing an unplanned hospitalization and preparing for discharge home. The intervention was deemed feasible if ≥70% of approached patients enrolled and ≥70% of enrolled patients completed the intervention within three days of discharge. Two weeks after discharge, patients rated the ease and usefulness of the video technology on a 0-10 scale (higher scores indicate greater ease of use). NPs completed post-intervention surveys to assess protocol adherence.We enrolled 54 of 75 approached patients (77.3%). Of enrolled patients (median age=65.0 years), 83.3% participated in the intervention within three days of discharge. The median ease of participating in the intervention was 9.0 (IQR: 6.0-10.0) and the median usefulness of the intervention was 7.0 (IQR: 4.5-8.0). The majority of visits focused on symptom management (85.7%), followed by post-hospital medical issues (69.0%).An oncology NP-delivered intervention immediately after hospital discharge is a feasible and acceptable approach to providing post-discharge care for hospitalized patients with advanced cancer.Copyright © 2024. Published by Elsevier Inc.