痛みを伴うがん患者に対する多成分自己管理介入:試験的なランダム化制御試験
Junfeng Zhang1, Wenru Yu2, Xing Wu3
1Nursing Department, The Affiliated Dongguan Songshan Lake Central Hospital of Guangdong Medical University, Avenue 1 Xianglong, Huangzhou District, Shilong Town, Dongguan, Guangdong Province, People's Republic of China; The Nethersole School of Nursing, The Chinese University of Hong Kong, 8/F, Esther Lee Building, Shatin, New Territories, the Hong Kong Special Administrative Region of China.
まとめ
この試験試験では,がんによる痛みの自己管理において,モバイルヘルス (mHealth) の介入が実行可能であり,薬の投与順序を大幅に改善することが示されました. 疼痛の強度と生活の質への影響を確認するには,さらなる研究が必要です.
科学分野:
- 腫瘍学
- デジタル・ヘルス
- 痛みの管理
背景:
- ガンによる痛みは 患者の生活の質に大きな影響を与えます
- 効果的な自己管理戦略は 患者の治療結果を改善するために不可欠です
- mHealthの介入は 癌患者を支援する有望な手段です
研究 の 目的:
- 痛みを経験するがん患者のために,mHealthによる多要素の自己管理介入の可行性と可受け入れ性を評価する.
- 痛みの強度,自己効能,生活の質,痛みの認識,そして薬の服用に対する介入の予備的な効果を評価する.
主な方法:
- 24人の参加者を対象に,前向きな,単盲,並列群のランダム化制御試験を実施した.
- 参加者は介入グループ (多成分自己管理とPainManagerアプリ) または対照グループ (通常のケア) にランダムに分けられました.
- 実現可能性は,入学率と留学率,受容性は満足度アンケートとインタビュー,予備的な効果は,検証された結果指標で評価された.
主要な成果:
- この研究は95. 8%の保持率で高い可行性を示した.
- 薬の服用に適度な効果が認められた (ヘッジのg=0. 484).
- 痛みの強度,自己効能,生活の質,痛みの認識については,わずかな効果が認められ,参加者の満足度が高いことが報告された.
結論:
- 複数の成分からなる mHealth 介入は 痛みを伴うがん患者にとって 実行可能で受け入れられるものです
- 治療の順守の改善が観察されましたが,他のアウトカムについてはさらなる調査が必要です.
- 結論を検証し,長期的な効果を探るには,より大規模な研究が必要である.
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