为转移性乳腺癌患者提供基于技术的支持性护理
Kathryn H Schmitz1, Beth Kanski2, Brett Gordon2
1Division of Hematology and Oncology, University of Pittsburgh, Pittsburgh, PA, USA. schmitzk@upmc.edu.
概括
使用亚马逊Alexa的虚拟助理显示了高的患者满意度和治疗转移性乳腺癌症状的可行性. 尽管症状或生活质量没有显著改善,但需要进一步的研究.
科学领域:
- 在瘤学瘤学.
- 数字健康数字健康
- 患者报告的结果
背景情况:
- 转移性乳腺癌 (MBC) 患者的寿命越来越长,从而增加了有效的症状管理的需要.
- 基于技术的干预措施为解决MBC的症状负担提供了潜在的解决方案.
- 虚拟助理可能提供一种新的方法来支持转移性乳腺癌患者.
研究的目的:
- 评估虚拟助理护士AMIE (每天针对转移性个体) 在MBC患者的症状管理方面的有效性.
- 评估使用亚马逊回声秀与Alexa用于MBC症状管理的可行性,可用性和满意度.
- 确定虚拟助理对心理社会困扰,疼痛,睡眠,疲劳,生活质量和身体功能的影响.
主要方法:
- 一项涉及42名MBC患者的部分交叉随机试验在6个月内进行.
- 参与者被随机分配到接受即时或延迟 (3个月的延迟) 与护士AMIE的干预.
- 关于症状,功能,可行性,可用性和满意度的数据在基线和3个月后收集.
主要成果:
- 在心理困扰,疼痛,睡眠障碍,疲劳,生活质量或椅子站测试中没有观察到显著改善.
- 尽管缺乏显著的临床效应,但报告报告了高水平的可接受性 (51%),可行性 (65%) 和满意度 (70%).
- 参与者年龄为53±11岁,从诊断转移性疾病以来平均4±7年.
结论:
- 高接受度,可行性和满意度表明,虚拟助理平台值得进一步研究.
- 缺乏统计学显著的影响可能归因于样本规模较小.
- 未来的研究应该探索更大的队列,以验证这项技术在MBC症状管理中的潜力.
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