对胸部手术后电子患者报告结果症状监测的定性研究
Alix Boisson-Walsh1, Chase Cox2, Meghan O'Leary3
1Gillings School of Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
The Journal of surgical research
|October 26, 2024
概括
患者报告结果 (ePRO) 监测可以改善胸部手术恢复. 关键障碍包括患者健康和技术访问,而易用性和团队参与是更好的数字健康采用促进者.
科学领域:
- 数字健康数字健康
- 医疗服务研究 医疗服务研究
- 外科手术的结果
背景情况:
- 胸部手术恢复通常是复杂的,数字健康系统为远程症状管理提供了潜力.
- 针对术后护理的电子患者报告结果 (ePRO) 平台的临床采用面临着持续的障碍.
- 这项研究调查了患者识别的使用ePRO平台监测胸部手术恢复的障碍和促进因素.
研究的目的:
- 确定患者认为的障碍和促进者,以便在胸部手术后采用ePRO监测平台.
- 在术后护理中为ePRO系统的设计和实施改进提供信息.
主要方法:
- 半结构面试对16名胸部手术后的患者进行了面试.
- 专题内容分析和代团队编码被用来分析采访数据.
- 主题被映射到能力,机会和动机模型中,以指导ePRO的改进.
主要成果:
- 确定的障碍包括患者的身体/精神健康,技术访问问题 (互联网,电子邮件),不清楚的临床整合和冗余的症状问题.
- 促进者包括易于完成ePRO,与外科小组的接触,以及提高患者的症状意识.
- 建议的改进包括替代完成方法,个性化评估和患者关于ePRO使用的教育.
结论:
- 确定了在胸部手术患者退院后实施ePRO症状监测的可解决障碍和促进因素.
- 未来的研究将评估设计改进对ePRO可行性和可接受性的影响.
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