在瘤研究诊所使用电子患者报告结果提高症状识别
Kimberly Freitas1,2, Chia-Lin Tsai1,2, Shu-Yi Wang1,2
1Author Affiliations: Nurse Practitioner, Sarah Cannon Research Institute, Denver Drug Development Unit, Denver, Colorado (Dr Freitas), Department of Applied Statistics & Research Methods, University of Northern Colorado, Greeley, Colorado (Dr Tsai).
Journal of nursing care quality
|August 27, 2025
概括
电子患者报告结果 (ePRO) 调查改善了瘤学中的症状评估,减少了急诊室的访问. 这项技术通过专注于自我认同的严重症状和增加心理社会讨论来增强患者的护理.
科学领域:
- 癌症学
- 医疗信息学
- 基于价值的照顾
背景情况:
- 由于主观性,对症状的评估具有挑战性.
- 电子患者报告结果 (ePRO) 调查可以提高症状识别.
- 可以减少急诊室的访问,改善心理护理.
研究的目的:
- 评估ePRO调查对瘤诊所症状管理的影响.
- 减少未满足的症状管理需求和相关的急救访问.
- 通过以患者为中心的症状评估来提高护理质量.
主要方法:
- 代计划-做-研究-行动 (PDSA) 循环指导了实施.
- 患者使用ePRO调查报告严重症状.
- 根据患者报告的结果重新定位了临床访问.
主要成果:
- 每个月的急救诊所访问量从23.25下降到19.5.
- 严重不良事件略有减少.
- 关于抑郁症的讨论从21%增加到23.
结论:
- 实施ePRO调查与ED访问的减少有关.
- 似乎可以促进更多的心理对话.
- 基于价值的护理在瘤学中具有潜力.
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