护理人员远程报告症状与不良临床结果之间的相关性:混合方法研究
Ingrid Oakley-Girvan1, Reem Yunis1, Stephanie J Fonda2
1Medable Inc, Palo Alto, CA, United States.
Journal of medical Internet research
|November 21, 2023
概括
通过智能手机应用程序报告的护理人员结果预测了患者的临床事件,包括住院治疗和不良事件. 这种方法可以减少患者的负担,并为癌症患者提供有关症状严重程度的早期见解.
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:
- 及时收集患者报告的结果 (PRO) 对于改善癌症患者的生存率和减少医疗保健利用率至关重要.
- 关于非正式护理人员使用临床评估工具报告结果的预测价值的数据有限.
研究的目的:
- 为了评估护理人员和患者遵守计划中的电子PRO数据收集方案.
- 确定电子收集的PRO是否与癌症患者未来的临床事件有关.
主要方法:
- 开发了两个iPhone应用程序用于PRO数据收集:一个用于患者,一个用于护理人员.
- 在一项为期4周的非随机化研究中,招募了52名患者护理人员,通过应用程序收集PRO.
- 使用电子健康记录用于临床事件数据和后勤/准-波松回归分析.
主要成果:
- 观察到的高坚持率:97%的患者报告的结果是不良事件的常用术语标准 (PRO-CTCAE) 和98%的患者报告的结果测量信息系统 (PROMIS) 调查.
- 护理人员报告的PRO-CTCAE数据与患者住院,急诊,严重不良事件,剂量减少和住院转诊有显著联系.
- 护理人员报告的PROMIS数据与宿舍转诊相关;患者报告的PROMIS数据与死亡率和其他临床事件相关.
结论:
- 基于智能手机应用程序的PRO收集由患者和护理人员都是可行的,并遵守.
- 护理人员报告的PRO-CTCAE数据在预测患者临床事件方面显示出希望,可能减少数据收集中的患者负担.
- 这种方法可以提供癌症患者症状严重程度恶化的早期指标.
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