症状监测和协作护理干预对息治疗利用率的影响
Deirdre R Pachman1, Kathryn J Ruddy2, Joan M Griffin3
1Division of Community Internal Medicine, Geriatrics and Palliative Care, Mayo Clinic, Rochester MN.
Journal of pain and symptom management
|March 3, 2026
概括
通过电子健康记录 (EHR) 促进的协作护理 (CC) 干预显著增加了晚期癌症患者的门诊息治疗 (PC) 使用率,增加了50%. 这种远程症状监测方法可以提高及时访问必需的PC服务.
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:
- 门诊息治疗 (PC) 对晚期癌症患者至关重要,但未得到充分利用.
- 远程症状监测和协作护理 (CC) 可以改善PC访问.
- SPPADE症状集群 (睡眠,疼痛,身体功能,焦虑,抑郁,能量不足) 影响生活质量.
研究的目的:
- 评估EHR促进的CC干预,用于监测和管理SPPADE症状.
- 确定该干预措施是否会增加晚期癌症患者的门诊PC利用率.
主要方法:
- 对E2C2集群随机试验数据的二次分析.
- 包括患有转移性疾病的瘤患者,使用与电子健康记录相关的问卷.
- 使用混合效应波桑回归方法,比较常规护理和干预组之间的PC咨询率.
主要成果:
- 分析了16406名转移性癌症患者 (平均年龄65岁,女性49%).
- 与通常护理相比,干预组的PC咨询率高出50% (IRR=1.50,p<0.001).
- 这项干预涉及每月进行调查,自动化症状管理和接触护理经理.
结论:
- 通过EHR促进的症状监测和CC显著提高了门诊PC的使用.
- 这种干预模式有效地改善了转移性癌症患者的PC接入.
- 远程监测和协作护理是加强息护理提供的关键.
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