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癌症疼痛管理决策支持计算机程序的评估

Evaluation of the decision support computer program for cancer pain management.

作者信息

Im Eun-Ok, Chee Wonshik

机构信息

School of Nursing, University of Texas, Austin, USA.

出版信息

Oncol Nurs Forum. 2006 Sep 1;33(5):977-82. doi: 10.1188/06.ONF.977-982.

Abstract

PURPOSE/OBJECTIVES: To evaluate a decision support computer program (DSCP) for cancer pain management.

DESIGN

An Internet intervention study to evaluate the usage profile, accuracy, and acceptance of the DSCP.

SETTING

Internet and community settings.

SAMPLE

122 nurses working with patients with cancer were recruited through the Internet through a convenience sampling method.

METHODS

The instruments included tools for registration and for evaluation of the DSCP. To evaluate the DSCP, the usage profile was measured by counting the total number of cases in which the participants used the DSCP; accuracy was measured by determining whether the decision support from the DSCP was appropriate and accurate; and acceptance was measured using the Questionnaire for User Interaction Satisfaction.

MAIN RESEARCH VARIABLES

Usage profile, accuracy, and acceptance of the DSCP.

FINDINGS

Participants used the DSCP an average of 1.49 times per person (SD = 1.16). Eighty-eight percent of the participants evaluated the DSCP as appropriate and accurate. The mean scores of overall satisfaction in four major areas of the computer program ranged from 7.46-9.69.

CONCLUSIONS

The DSCP could provide accurate and acceptable computerized evidence-based practice guidelines for cancer pain management.

IMPLICATIONS FOR NURSING

The findings suggest that researchers should develop decision support systems in multiple aspects and dimensions of cancer pain experience and that hand-held devices would increase the usability of the DSCP.

摘要

目的/目标:评估一种用于癌症疼痛管理的决策支持计算机程序(DSCP)。

设计

一项互联网干预研究,以评估DSCP的使用情况、准确性和可接受性。

设置

互联网和社区环境。

样本

通过便利抽样法从互联网上招募了122名护理癌症患者的护士。

方法

所使用的工具包括用于DSCP注册和评估的工具。为评估DSCP,通过计算参与者使用DSCP的病例总数来衡量使用情况;通过确定DSCP的决策支持是否恰当和准确来衡量准确性;使用用户交互满意度调查问卷来衡量可接受性。

主要研究变量

DSCP的使用情况、准确性和可接受性。

结果

参与者每人平均使用DSCP 1.49次(标准差=1.16)。88%的参与者认为DSCP恰当且准确。该计算机程序四个主要领域的总体满意度平均得分在7.46 - 9.69之间。

结论

DSCP可为癌症疼痛管理提供准确且可接受的基于计算机的循证实践指南。

对护理的启示

研究结果表明,研究人员应在癌症疼痛体验的多个方面和维度开发决策支持系统,并且手持设备将提高DSCP的可用性。

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