从报告到相关:在癌症症状管理中重新想象ePROM
Karen S Schaepe1, Joan M Griffin2, Jennifer L Ridgeway2
1Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN, USA, 200 First Street SW, Rochester, 55905, MN, USA.
Social science & medicine (1982)
|November 26, 2025
概括
电子患者报告结果测量 (ePROM) 帮助癌症患者以数字方式报告症状. 这项研究发现,ePROM可以重塑患者与医疗服务提供者之间的沟通和理解,作为超越仅仅数据工具的关系文物.
科学领域:
- 数字健康数字健康
- 在瘤学瘤学.
- 患者报告的结果
背景情况:
- 电子患者报告结果测量 (ePROM) 越来越多地用于癌症护理,以监测疼痛,焦虑和疲劳等症状.
- 虽然ePROMs有助于症状识别,但它们对患者和医疗服务提供者的联系和相互理解的影响尚未得到充分研究.
研究的目的:
- 通过ePROMs整合数字症状报告如何影响症状报告内容和患者-提供者关系动态.
- 探索癌症患者对ePROM技术在症状管理中的经验和看法.
主要方法:
- 在梅奥诊所的E2C2试验中,与晚期癌症患者进行了46次深入采访.
- 采用了演框架分析和感应分析,以边界对象理论为基础.
主要成果:
- 患者对ePROM的参与是由个人症状感知,应对方式和先前护理团队互动所塑造的.
- ePROMs促进了症状的表达,但引起了患者对临床医生的审查和解释的担忧.
- 患者认为ePROM是症状提供者重视的指标,微妙地改变了他们的疾病理解和自我管理角色.
结论:
- 电子记忆器 (ePROM) 作为关系器件,影响患者和提供者之间的信息协调和人际关系.
- 设计ePROM需要注意它们的解释和情感效应,以促进连接和共享的理解以及数据收集.
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