瘤药剂师在多数少数群体中的电子患者报告结果驱动的症状管理:一项实施研究
Alexandre Chan1,2, Ding Quan Ng1, Daniela Arcos1
1School of Pharmacy & Pharmaceutical Sciences, University of California Irvine, Irvine, CA.
JCO oncology practice
|July 15, 2024
概括
瘤药剂师使用电子工具来管理癌症患者的症状,减少种族/少数民族的差异. 这种干预改善了症状评估和护理,显示出高患者满意度.
科学领域:
- 在瘤学瘤学.
- 健康差异 在健康上的差异
- 数字健康数字健康
背景情况:
- 在癌症治疗中,种族/民族少数群体 (REM) 的支持性护理缺乏系统的管理解决方案.
- 南加利福尼亚州的一个多数少数癌症中心实施了一项新的干预措施.
研究的目的:
- 用电子患者报告结果 (ePRO) 驱动的症状管理工具评估多层次干预的实施结果.
- 评估瘤学药剂师主导护理在不同患者群体中管理癌症相关症状的有效性.
主要方法:
- 展望,务实实施研究 (2021年7月至2023年6月) 涉及接受静脉注射治疗的成人癌症患者.
- 患者在输液检查时通过ePRO (患者报告结果测量信息系统) 完成了症状查.
- 瘤药剂师根据EPRO结果提供了个性化的症状管理和咨询,以RE-AIM框架为指导.
主要成果:
- 招募了250名患者 (64.4%的接受率);完成了564项评估. 样本包括西班牙裔/拉丁裔 (30.8%),非西班牙裔亚裔 (20.4%),非西班牙裔白人 (42.4%) 患者.
- 与非西班牙裔/拉丁裔白人患者相比,西班牙裔/拉丁裔患者报告疼痛干扰和恶心/吐的几率更高,以及紧急护理利用率增加.
- 恶心/吐,疼痛和疲劳是最常见的干预,患者满意度为90%.
结论:
- 由药剂师领导的ePRO驱动的干预有效地促进了癌症患者的症状评估和管理.
- 这种方法显示出减少接受癌症治疗的种族/族裔少数群体健康差异的潜力.
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