がん患者のアドレセントにおけるオンライン患者ポータルへのアクセス:利点、懸念、および課題
Lauren L Baker1, Sarah E Stevens1, Danielle Cicka1
1Washington University School of Medicine, St. Louis, Missouri, USA.
Pediatric blood & cancer
|January 12, 2026
まとめ
がんのアドレセントとその親は、患者ポータルを介した電子健康情報(EHI)へのアクセスを支持している。しかし、年齢、成熟度、およびアドレセントの精神的健康への潜在的な悪影響に関する懸念が存在する。
科学分野:
- アドレセント腫瘍学、ヘルスインフォマティクス、患者エンゲージメント
背景:
- オンライン患者ポータルは電子健康情報(EHI)へのアクセスを提供します。がんのアドレセントは、自身の健康情報管理において特有の課題に直面しています。
研究 の 目的:
- オンライン患者ポータルにアクセスするがんのアドレセントにとって、認識されている利点、懸念、および課題を特定すること。
主な方法:
- 48組のアドレセントと親のペアを対象とした半構造化面接による質的研究。ポータルアクセスに関する経験と懸念を探るための面接記録のテーマ分析。
主要な成果:
- ほとんどのアドレセント(85%)と親(87.5%)は、年齢と成熟度を条件として、アドレセントによるEHIアクセスを支持しています。ほとんどの親(88%)はポータルにアクセスしましたが、アドレセントがアクセスできたのは25%のみでした。特定されたテーマ:コミュニケーションの改善、安心感、エンゲージメント、知識、しかし混乱、心配、誤用の可能性も。
結論:
- がんのアドレセントとその親はEHIアクセスを支持していますが、実施方法については意見が異なります。ポータルは、がん治療と予後に関する不安を軽減することも、増大させることもあります。アドレセントの精神的健康への潜在的な悪影響に関する新たな懸念が特定されました。
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