腫瘍学研究クリニックにおける電子患者報告による症状認識の向上
Kimberly Freitas1,2, Chia-Lin Tsai1,2, Shu-Yi Wang1,2
1Author Affiliations: Nurse Practitioner, Sarah Cannon Research Institute, Denver Drug Development Unit, Denver, Colorado (Dr Freitas), Department of Applied Statistics & Research Methods, University of Northern Colorado, Greeley, Colorado (Dr Tsai).
Journal of nursing care quality
|August 27, 2025
まとめ
電子患者報告結果 (ePRO) 調査により,腫瘍学における症状評価が改善され,緊急診療所への訪問が減少しました. この技術は 患者の重篤な症状に注目し 心理社会的議論を増やすことで 患者のケアを向上させました
科学分野:
- 腫瘍学
- 医療情報学
- 価値 に 基づく 介護
背景:
- 症状の評価は主観性のために困難です.
- 電子患者報告結果 (ePRO) 調査では,症状の認識が改善されます.
- ePROは緊急治療室への訪問を減らし,心理社会的ケアを改善する可能性があります.
研究 の 目的:
- 腫瘍科クリニックにおける症状管理に対する ePRO調査の影響を評価する.
- 満たされていない症状管理のニーズと関連するER訪問を減らすために.
- 患者中心の症状評価を通じて 医療の質を向上させる
主な方法:
- 繰り返し計画・実行・研究・行動 (PDSA) サイクルが実施を導いた.
- 患者はEPRO調査を利用して重症症状を報告した.
- 診療所への訪問は,患者の報告した結果に基づいて再調整されました.
主要な成果:
- 月間ED訪問は 23. 25から 19. 5に減少しました.
- 重度の有害事象はわずかに減少した.
- 鬱に関する議論は21%から23.3%に増加した.
結論:
- ePRO調査の実施は ED訪問の減少と関連していた.
- ePROは 心理社会的会話の促進に役立っています
- ePROは,腫瘍学における価値ベースのケアを強化する可能性を示しています.
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