癌症患者的远程医疗教育:缓解症状的独立解决方案?
Tracy Ruegg1, Xuesen Zhao2, Morgan S Mount3
1WellStar School of Nursing, Kennesaw State University, Kennesaw, Georgia. truegg@kennesaw.edu.
概括
先进实践提供者领导的远程医疗症状教育改善了癌症患者参与自我管理电话的情况. 然而,这种干预措施并没有减少急诊室的总体访问,一些肠道癌症患者的利用率增加.
科学领域:
- 在瘤学瘤学.
- 数字健康数字健康
- 患者教育 患者教育
背景情况:
- 远程医疗为化疗教育和症状自我管理支持提供了一种实用的方法.
- 先进实践提供者 (APP) 在指导瘤患者,管理症状和减少急诊室 (ED) 使用方面至关重要.
- 这项研究评估了APP领导的远程医疗症状教育和监测 (TSEM) 干预措施对症状自我管理和ED利用的影响.
研究的目的:
- 评估APP主导的TSEM干预措施的有效性.
- 为了确定TSEM是否有助于改善症状自我管理.
- 评估TSEM是否减少了癌症患者的ED利用率.
主要方法:
- 一项对120名患有胃肠道,肺部或肉瘤癌的患者进行的回顾性研究.
- 干预组从瘤应用程序中接受了定制的远程医疗教育;对照组接受了标准的教育.
- 测量结果包括ED访问和患者发起的症状支持电话,通过回归模型进行分析.
主要成果:
- 通过TSEM干预,整体ED利用率并没有显著降低.
- 在TSEM组中患有胃肠道癌症的患者显示ED访问的几率增加.
- TSEM组的症状自我管理呼叫率显著上升 (74%的增加),表明患者参与度更高.
结论:
- 由APP主导的远程医疗教育提高了患者参与症状自我管理的机会.
- 干预措施并没有减少ED的总体访问.
- 需要进一步的研究来探索量身定制的远程医疗教育对急性护理使用和不同癌症群体的结果的长期影响.
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