癌症患者疼痛的多组分自我管理干预:试点随机对照研究
Junfeng Zhang1, Wenru Yu2, Xing Wu3
1Nursing Department, The Affiliated Dongguan Songshan Lake Central Hospital of Guangdong Medical University, Avenue 1 Xianglong, Huangzhou District, Shilong Town, Dongguan, Guangdong Province, People's Republic of China; The Nethersole School of Nursing, The Chinese University of Hong Kong, 8/F, Esther Lee Building, Shatin, New Territories, the Hong Kong Special Administrative Region of China.
这项试点研究发现移动健康 (mHealth) 干预是可行的,可接受的癌症疼痛自我管理,显著改善药物坚持. 需要进一步的研究来证实对疼痛强度和生活质量的影响.
科学领域:
- 癌症学
- 数字健康
- 治疗疼痛
背景情况:
- 癌症疼痛显著影响患者的生活质量.
- 有效的自我管理策略对于改善患者的结果至关重要.
- 移动健康干预为支持癌症患者提供了一个有前途的途径.
研究的目的:
- 对患有癌症的癌症患者进行多组件自理干预的可行性和可接受性进行评估.
- 评估这种干预对疼痛强度,自我效能,生活质量,疼痛知识和药物坚持的初步影响.
主要方法:
- 对24名参与者进行了前性,单盲,并行组随机对照试验.
- 参与者被随机分配到干预组 (多组分自我管理以及PainManager应用程序) 或对照组 (常规护理).
- 通过招生和保留率评估可行性;通过满意度问卷和面试评估可接受性;通过验证的结果测量初步效果.
主要成果:
- 这项研究显示了高可行性,其保留率为95. 8%.
- 在药物坚持方面观察到中度的积极效应 (Hedge' s g = 0. 484).
- 在疼痛强度,自我效能,生活质量和疼痛认知方面发现了较小的影响,参与者满意度较高.
结论:
- 对于患有癌症的患者来说, 多组件的mHealth干预是可行的和可接受的.
- 观察到药物坚持的改善,但需要进一步研究其他结果.
- 需要进行更大规模的研究来验证这些发现并探讨长期影响.
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