电子患者报告症状监测和管理系统的基本组成部分:一项随机临床试验
Kathi Mooney1,2, Mary Gullatte3, Eli Iacob1
1College of Nursing, University of Utah, Salt Lake City.
JAMA network open
|September 13, 2024
概括
完整的家庭症状护理 (SCH) 干预,结合数字指导和护士从业人员的随访,显著减少了接受化疗的癌症患者的症状负担. 单个组件的效果不如完整的多组件系统.
科学领域:
- 在瘤学瘤学.
- 数字健康数字健康
- 症状管理 症状管理
背景情况:
- 多元组件电子系统可以减少癌症症状负担.
- 每个组件在数字症状管理干预措施中的具体贡献尚未得到充分理解.
研究的目的:
- 解构在家症候群护理 (SCH) 系统的组件.
- 为了确定哪个组件或组件的组合导致癌症患者的症状负担最低.
主要方法:
- 一项随机临床试验,涉及757名接受化疗的成年癌症患者.
- 干预组接受了自动化自我管理指导,活动跟踪,可视化和执业护士 (NP) 随访的不同组合,有或没有决策支持.
- 症状负担是主要结果,根据11种化疗相关症状的总重度进行评估.
主要成果:
- 完整的SCH干预 (辅导+NP随访与决策支持) 在减轻症状负担方面优于单独的辅导或单独的NP随访.
- 自主管理跟进比自我管理指导更有效.
- 两组自我管理辅导小组或两组NP后续小组之间没有发现显著差异.
结论:
- 完整的,多组件的SCH干预表明,最大的减轻症状负担.
- 这些发现支持一个全面的数字方法,以实现最佳的癌症症状管理.
- SCH系统的单个组件的效果不如综合干预的效果.
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