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在瘤学中实现数字化的过渡期护理管理.

Bobby Daly1, Jennifer Cracchiolo1, Jessie Holland1

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远程患者监测 (RPM) 改善了癌症患者的过渡期护理,显示出高满意度和可行性. 需要进一步精细化,以减少30天的癌症护理转型再入院.

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科学领域:

  • 在瘤学瘤学.
  • 数字健康数字健康
  • 医疗保健服务研究 医疗服务研究

背景情况:

  • 改善癌症患者退院后的护理过渡对于质量护理至关重要.
  • 数字监测,包括远程患者监测 (RPM),通过更好的沟通和症状管理,为增强过渡期护理提供了潜力.
  • 在医院出院后的瘤患者护理中,RPM干预措施未得到充分利用.

研究的目的:

  • 实施和评估医疗瘤学患者在医院出院后的远程患者监测 (RPM) 干预措施.
  • 评估RPM干预的可行性,适当性和可接受性.
  • 检查干预措施对急性护理访问和投资回报的初始影响.

主要方法:

  • 实施了RPM干预,以在出院时识别瘤患者,在10天内监测症状,并在需要时进行干预.
  • 可行性被定义为>50%的患者参与症状评估.
  • 通过症状警报来评估适当性,通过净促销者得分>0.7.7来评估可接受性.

主要成果:

  • 该研究评估了从2021年1月到2022年12月的2,257名医疗瘤学出院者 (1,857名患者).
  • 65.9%的出院患者完成了至少一个症状评估,45.5%产生了严重症状警报.
  • 患者报告满意度很高 (净促销商得分为84%). 初步分析显示,胃肠道恶性瘤患者的30天再入院率下降了5.8%,但不显著.

结论:

  • 使用RPM的数字过渡护理管理对于瘤病患者来说是可行的.
  • 这项干预表明,在回家过渡的患者中,症状负担很大.
  • 虽然与高患者满意度相关,但该干预措施需要进一步细化,以有效地影响30天的再入院.