一项关于使用聊天机器人和视频教育进行放射治疗的乳腺癌患者护理的研究:随机对照试验
Junbok Lee1, Hwa Kyung Byun2, Yong Tae Kim2
1Institute for Innovation in Digital Healthcare, Yonsei University, Seoul, Korea; Department of Human Systems Medicine, Seoul National University College of Medicine, Seoul, Korea.
International journal of radiation oncology, biology, physics
|December 28, 2024
概括
数字教育,包括聊天机器人和视频,并没有显著减少接受放射治疗的乳腺癌患者的焦虑. 然而,使用这些数字工具的年轻患者表现出更低焦虑水平的趋势.
科学领域:
- 在瘤学瘤学.
- 医学教育 医学教育
- 数字健康数字健康
背景情况:
- 焦虑是乳腺癌患者在放射治疗 (RT) 期间的常见问题.
- 数字教育工具提供了减少焦虑的潜力,但它们的有效性需要评估.
- 了解患者与不同媒体的接触对于优化支持性护理至关重要.
研究的目的:
- 评估聊天机器人和基于视频的教育在接受放射治疗 (RT) 的乳腺癌患者中减少焦虑的有效性.
- 为了比较不同组合的数字 (视频,聊天机器人) 和传统 (纸质) 教育材料对患者焦虑的影响.
主要方法:
- 一项随机对照试验,涉及145名接受RT的乳腺癌患者.
- 患者被分为四组:视频+聊天机器人,视频+纸质,纸质+聊天机器人,纸质+纸质.
- 在三个时间点使用阿姆斯特丹手术前焦虑和信息量表 (APAIS),状态特征焦虑清单 (STAI) 和线性模拟量表评估 (LASA) 测量焦虑.
主要成果:
- 不同的教育媒体群体之间没有观察到焦虑减轻的总体显著差异.
- 在使用聊天机器人资源的年轻患者 (≤50岁) 中,发现了减少焦虑的趋势 (APAIS评分).
- 视频+聊天机器人组的年轻患者的APAIS分数从3.06降至1.88,而纸质+纸质组的APAIS分数从2.42降至2.06.
结论:
- 目前的教育媒体,包括数字格式,没有显示出在减少乳腺癌患者在RT期间的焦虑方面显著的整体有效性.
- 年轻的患者可能更受益于数字教育干预措施,如视频和聊天机器人,用于在RT期间管理焦虑.
- 对数字素养和个性化数字干预的进一步研究可能会在特定的患者小组中增强减少焦虑.
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