电子患者报告结果系统在门诊心血管护理中的实施:一项随机临床试验
Shuhei Yamashita1, Yoshinori Katsumata1,2, Shun Kohsaka1
1Department of Cardiology, Keio University School of Medicine, Tokyo, Japan.
JAMA network open
|January 14, 2025
概括
一个电子患者报告结果 (ePRO) 系统通过提高患者与医生的沟通和治疗清晰度来改善心血管保健. 这项技术支持以患者为中心的护理,解决了以前的整合障碍.
科学领域:
- 心血管医学 心血管医学
- 医疗信息学 医疗信息学
- 临床试验研究 临床试验研究
背景情况:
- 患者报告结果 (PRO) 评估在心血管保健中具有临床意义,但面临着整合挑战.
- 开发了一种电子 PRO (ePRO) 监控系统,以解决医生和患者的可用性障碍.
研究的目的:
- 评估用户友好的ePRO系统对临床环境中心血管保健质量的影响.
- 评估患者满意度,信息质量和疾病知识的改善.
主要方法:
- 一项试点随机临床试验 (第二阶段) 涉及50名患有心力衰竭,心房动或冠状动脉疾病的患者在日本.
- 患者被随机分配到使用电子问卷的ePRO组或接受通常护理的对照组.
- 评估包括患者满意度,信息质量和大约4个月的疾病知识.
主要成果:
- 与对照组相比,ePRO组在患者满意度得分 (P=.01) 中表现出显著的改善.
- 关于治疗和医生沟通的信息质量在ePRO组中也显示出显著的改善 (P=.01).
结论:
- 实施ePRO监测系统显著改善了患者与医生的沟通和治疗解释的清晰度.
- "ePRO系统显示了支持以患者为中心的心血管护理的潜力.
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