电子恶性肠道阻塞症状监测智能手机应用程序用于患有妇科癌症的患者
Ainhoa Madariaga1,2, Nazlin Jivraj1, Pamela Soberanis Pina1
1Medical Oncology and Hematology, Princess Margaret Hospital Cancer Centre, Toronto, Ontario, Canada.
概括
这项研究表明,使用患者报告结果 (PROs) 的新电子监测程序对于患有恶性肠道阻塞的妇科癌症患者是可行的. 该系统成功地提醒护士在60%的患者中出现了令人担忧的症状,帮助及时干预.
科学领域:
- 在瘤学瘤学.
- 数字健康数字健康
- 患者监测 患者监测
背景情况:
- 恶性肠道阻塞 (MBO) 是妇科癌症的一个常见并发症.
- 护士主导的主动呼叫先前改善了MBO患者的结果.
- 电子监控为主动呼叫提供了一个可扩展的替代方案.
研究的目的:
- 评估一项电子监测计划的可行性和可扩展性,用于患有MBO风险的妇科癌症患者.
- 评估患者对电子监控系统的遵守情况.
- 确定系统警报的积极预测值 (PPV).
主要方法:
- 一个智能手机应用程序 ("My Bowels on Track") 每周/两周收集电子患者报告的结果 (PRO).
- 一个警报系统标记了患有有关症状或不完整的PROs的患者.
- 根据临床或合规警报,护士进行了干预.
主要成果:
- 该试点项目招募了40名妇科癌症患者.
- 两个月的遵守率为65%,整体遵守率为60%.
- 警报系统标记了60%的患者的症状,其中72%的PPV触发了护士的行动.
结论:
- 对于妇科癌症患者来说,电子MBO监测程序是可行的.
- 该系统表现出良好的坚持,并有效地识别了需要干预的患者.
- 这种数字化方法支持可扩展的实时患者监测和管理.
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