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Service Enhancement Presentations
      HOSPITAL AUTHORITY CONVENTION 2017


             F6.1      Enhancing Partnership with Patients and Community                10:45  Room 421

            Tripartite Collaboration Project: The Effectiveness of Health Qigong Baduanjin on Head and Neck Cancer
            Patients
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            Chan Y , Chan WK , Chau LL , Wong MY , Kwong MY 1
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            1 Occupational Therapy  Department,  Community  and  Patient  Resources  Department,  Pamela  Youde  Nethersole  Eastern
            Hospital, Hong Kong
            Introduction
            Tripartite collaboration is one of the main strategies of patient empowerment. “Tripartite” refers to (1) patients and community
            partners; (2) clinical professionals; and (3) Patient Resource Centre.
            From 2015 to 2016, Health Qigong Baduanjin (BDJ) courses for head and neck (H&N) cancer patients were jointly organised
            by the Department of Occupational Therapy, Oncology, Community and Patient Resources of Pamela Youde Nethersole
            Eastern Hospital, and the independent patient association - Rising Sun Association. Qualified patients were referred by
            oncologists. BDJ courses were taught by occupational therapists who were certified by Beijing General Administration
            of Sport as BDJ instructors, while peers from Rising Sun Association participated as helpers. Besides, DVDs on BDJ
            demonstrations, participants’ sharing and PRC services introduction were produced. Patient Resources Centre for Cancer
            Patients (Cancer PRC) coordinates and monitors the progress of the project.
            Objectives
            (1) To empower H&N cancer patients for better rehabilitation management via close collaboration between clinical
            professionals, Cancer RPC and patient associations; (2) to reduce the side effects of chemotherapy and radiotherapy on H&N
            cancer patients;(3) to improve Qualities of Life (QOL) of H&N cancer patients; and (4) to sustain holistic care via peer support
            by patient associations.

            Methodology
            Three BDJ courses provided by occupational therapists were offered to 18 participants diagnosed with H&N cancer.  The
            three courses were held from November 2015 to August 2016. A pre-test was done to assess participants’ cervical active
            range of motions (AROMs). Questionnaires were distributed to survey participants’ QOL in initial assessment. Three months
            after the courses, cervical AROMs were assessed again. Also, a telephone survey was conducted to collect participants’
            feedback.

            Results
            Most cervical AROM was significantly improved after practising BDJ for three months. This was because there were five
            moves in BDJ that required neck extension and rotation. After analysing the data, participants’ cervical lateral flexion to the
            right was statistically and significantly improved.
            From the results of the questionnaires, at least 50% of participants reported to have mild improvement in all of the aspects
            mentioned in the questionnaires. 60% of them found that their neck and shoulder stiffness alleviated.
      Wednesday, 17 May  was well received.
            The  whole  collaborative  project  was  included  in  a  DVD  which  contained  BDQ  demonstrations,  participants’  sharing  and
            feedback, and PRC services introduction. Participants’ appreciation for the success of the Tripartite Collaboration Project

































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