癌症患者对基于信息通信技术（ICT）的个性化健康管理计划的感知需求，及其与信息提供、健康相关生活质量（HRQOL）和决策冲突的关联。
Perceived needs for the information communication technology (ICT)-based personalized health management program, and its association with information provision, health-related quality of life (HRQOL), and decisional conflict in cancer patients.
作者信息
Sim Jin Ah, Chang Yoon Jung, Shin Aesun, Noh Dong-Young, Han Wonshik, Yang Han-Kwang, Kim Young Whan, Kim Young Tae, Jeong Seoung-Yong, Yoon Jung-Hwan, Kim Yoon Jun, Heo Daesuk, Kim Tae-You, Oh Do-Youn, Wu Hong-Gyun, Kim Hak Jae, Chie Eui Kyu, Kang Keon Wook, Kim Ju Han, Yun Young Ho
机构信息
Department of Biomedical Science, Seoul National University College of Medicine, Seoul, South Korea.
Research Institute and Hospital, National Cancer Center, Goyang-si, South Korea.
出版信息
Psychooncology. 2017 Nov;26(11):1810-1817. doi: 10.1002/pon.4367. Epub 2017 Feb 10.
OBJECTIVE
The use of information communication technology (ICT)-based tailored health management program can have significant health impacts for cancer patients. Information provision, health-related quality of life (HRQOL), and decision conflicts were analyzed for their relationship with need for an ICT-based personalized health management program in Korean cancer survivors.
METHODS
The health program needs of 625 cancer survivors from two Korean hospitals were analyzed in this cross-sectional study. Multivariate logistic regression was used to identify factors related to the need for an ICT-based tailored health management system. Association of the highest such need with medical information experience, HRQOL, and decision conflicts was determined. Furthermore, patient intentions and expectations for a web- or smartphone-based tailored health management program were investigated.
RESULTS
Cancer survivors indicated high personalized health management program needs. Patients reporting the highest need included those with higher income (adjusted odds ratio [aOR], 1.70; 95% [confidence interval] CI, 1.10-2.63), those who had received enough information regarding helping themselves (aOR, 1.71; 95% CI, 1.09-2.66), and those who wished to receive more information (aOR, 1.59; 95% CI, 0.97-2.61). Participants with cognitive functioning problems (aOR, 2.87; 95%CI, 1.34-6.17) or appetite loss (aOR, 1.77; 95% CI, 1.07-2.93) indicated need for a tailored health care program. Patients who perceived greater support from the decision-making process also showed the highest need for an ICT-based program (aOR, 0.49; 95% CI, 0.30-0.82).
CONCLUSIONS
We found that higher income, information provision experience, problematic HRQOL, and decisional conflicts are significantly associated with the need for an ICT-based tailored self-management program.
目的
基于信息通信技术（ICT）的定制化健康管理计划对癌症患者的健康可能产生重大影响。分析了信息提供、健康相关生活质量（HRQOL）和决策冲突与韩国癌症幸存者对基于ICT的个性化健康管理计划需求之间的关系。
方法
在这项横断面研究中，分析了来自韩国两家医院的625名癌症幸存者的健康计划需求。采用多变量逻辑回归来确定与基于ICT的定制化健康管理系统需求相关的因素。确定了最高此类需求与医疗信息体验、HRQOL和决策冲突之间的关联。此外，还调查了患者对基于网络或智能手机的定制化健康管理计划的意图和期望。
结果
癌症幸存者表示对个性化健康管理计划有很高的需求。报告需求最高的患者包括收入较高者（调整后的优势比[aOR]，1.70；95%[置信区间]CI，1.10 - 2.63）、那些获得了足够关于自助信息的患者（aOR，1.71；95%CI，1.09 - 2.66）以及那些希望获得更多信息的患者（aOR，1.59；95%CI，0.97 - 2.61）。有认知功能问题的参与者（aOR，2.87；95%CI，1.34 - 6.17）或食欲减退的参与者（aOR，1.77；95%CI，1.07 - 2.93）表示需要定制化的医疗保健计划。在决策过程中感受到更多支持的患者对基于ICT的计划也表现出最高需求（aOR，0.49；95%CI，0.30 - 0.82）。
结论
我们发现较高的收入、信息提供体验、有问题的HRQOL和决策冲突与对基于ICT的定制化自我管理计划的需求显著相关。
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