基于患者报告的结果的症状管理是乳腺癌手术后早期术后恢复的更好的选择:并行控制的随机临床试验
Weiwei Wang1,2, Xingcong Ma2, Changyou Shan2
1Department of Epidemiology and Biostatistics, School of Public Health, Xi'an Jiaotong University Health Science Center, Xi'an Jiaotong University, Xi'an, China.
在乳腺癌手术后,基于患者报告的结果 (PRO) 的症状管理显著减少了与通常护理相比的症状负担. 这种方法改善了患者的早期康复和生活质量.
科学领域:
- 在瘤学瘤学.
- 手术瘤学手术瘤学
- 患者报告的结果
背景情况:
- 评估基于患者报告结果 (PRO) 的症状管理在乳腺癌手术后早期康复中的有效性.
- 评估将PRO数据整合到术后护理途径中的可行性.
研究的目的:
- 为了确定基于PRO的症状管理是否能改善乳腺癌患者手术后的治疗结果.
- 为了比较基于PRO的护理与常规护理在治疗术后症状方面的有效性.
主要方法:
- 134名乳腺癌患者 (1:1比) 的随机对照试验,分配给基于PRO的症状管理或常规护理.
- 使用MD Anderson症状目录-中文版本 (MDASI-C) 通过电子PRO系统进行每日症状跟踪,直至手术后2周.
- 干预组接受了基于PRO的症状管理,症状得分≥4,而通常护理组的得分对外科医生来说是看不见的.
主要成果:
- 与常规护理组相比,基于PRO的护理组在出院时显示出明显较低的MDASI-C得分 (P = 0.002).
- 在手术后的14天内,通常护理组的FACT-B分数明显低于基于PRO的护理组 (P = 0.009).
- 在基于PRO的治疗组中,87.2%的患者报告说,这种方法有助于他们早期的术后恢复.
结论:
- 基于PRO的症状管理有效地减轻了乳腺癌手术后2周内症状负担.
- 与标准的术后护理相比,这种系统显著改善了患者的生活质量.
- 将PRO整合到术后护理中对乳腺癌患者来说是可行的和有益的.
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