一个基于网络的应用程序,以促进晚期卵巢癌的息护理:一个前后设计
Susie Cho1, Kenneth Pike2, Seth Wolpin2
1Seattle University College of Nursing, Seattle, USA.
Gynecologic oncology reports
|January 21, 2026
概括
电子自我评估和护理 (eSAC) 应用程序增加了晚期卵巢癌患者的息护理 (PC) 转诊,但没有显著增加访问. 诸如有限的理解和护理负担等障碍妨碍了PC参与.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 医疗信息学 医疗信息学
背景情况:
- 息治疗 (PC) 对于几乎所有患有晚期卵巢癌 (AOC) 的患者至关重要.
- 电子自我评估和护理 (eSAC) 应用程序被实施,以潜在地改善PC集成.
- 在eSAC实施之前和之后评估PC转介和访问率是关键.
研究的目的:
- 在晚期卵巢癌 (AOC) 患者中,比较eSAC实施前和后的息护理 (PC) 转诊和访问率.
- 探索患者体验,将PC整合到他们的癌症护理旅程中.
- 评估电子工具对PC服务利用的影响.
主要方法:
- 通过eSAC.com报告关于症状和生活质量 (QOL) 的前性数据收集.
- 基于患者报告的PC教育模块和临床医生提示的触发.
- 使用统计测试比较eSAC之前和之后的机构PC转诊/访问率.
- 与一小部分患者进行定性访谈,以探索PC集成经验.
主要成果:
- 在前样本中,65%触发了PC转介建议,59%被转介,63%参加了PC访问.
- 在eSAC实施后,机构PC转介率从8.6%增加到12.8% (p=0.014).
- 在机构上没有观察到PC访问率的显著增加;定性数据显示了PC理解和护理负担有限等障碍.
结论:
- eSAC的实施可能对机构PC推率产生了积极影响,但没有影响访问率.
- 引发转诊的大量患者确实参与了PC服务.
- 息护理参与的障碍包括对其范围的理解不足以及对治疗负担的担忧.
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