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关于使用平板电脑对新诊断肺癌患者进行自我报告症状评估的可行性研究。

A feasibility study on using tablet personal computers for self-reported symptom assessment in newly diagnosed lung cancer patients.

作者信息

Tang Fiona W K, Chan Carmen W H, Choy Yin-Ping, Loong Herbert H F, Chow Ka Ming, So Winnie K W

机构信息

The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong Special Administrative Region, Shatin, New Territories, Hong Kong.

Department of Oncology, Princess Margaret Hospital, Hospital Authority. Hong Kong Special Administrative Region, Kowloon, Hong Kong.

出版信息

Int J Nurs Pract. 2018 Aug;24(4):e12658. doi: 10.1111/ijn.12658. Epub 2018 Apr 11.

DOI:10.1111/ijn.12658
PMID:29642280
Abstract

AIM

The study aimed to assess the feasibility and acceptability of an innovative tablet-assisted self-reported symptom assessment among newly diagnosed lung cancer patients.

BACKGROUND

Routine symptom assessment for lung cancer patients in a fast-paced clinical environment is demanding. Mobile health technology offers a potential platform for symptom assessment and paves the way for tailored self-care intervention.

DESIGN

A feasibility study using a mixed method design.

METHOD

A convenience sample of 10 newly diagnosed lung cancer patients used tablet personal computers to self-report common symptoms: dyspnoea, fatigue, pain, and anxiety. A nurse reviewed the assessment results and provided tailored educational interventions. Acceptability was evaluated by the Electronic Self-Report Assessment-Cancer. Semi-structured interviews were conducted to explore the patients' perceptions of this symptom assessment method. Data were collected from January to March 2016.

RESULTS

An Electronic Self-Report Assessment-Cancer mean score of 23.5 (SD 2.7) showed moderate acceptance of the assessment method. Participants found this approach user-friendly and helpful in identifying their symptoms and they gained awareness and better understanding of them.

CONCLUSION

Tablet-assisted symptom assessment is a feasible method that can be further tested in busy clinical settings to assess symptom burden and identify individual needs for tailoring symptom management plans.

摘要

目的

本研究旨在评估一种创新的平板电脑辅助自我报告症状评估方法在新诊断肺癌患者中的可行性和可接受性。

背景

在快节奏的临床环境中,对肺癌患者进行常规症状评估要求较高。移动健康技术为症状评估提供了一个潜在平台,并为个性化自我护理干预铺平了道路。

设计

采用混合方法设计的可行性研究。

方法

选取10名新诊断肺癌患者作为便利样本,使用平板电脑自行报告常见症状:呼吸困难、疲劳、疼痛和焦虑。护士审查评估结果并提供个性化教育干预。通过电子自我报告评估-癌症量表评估可接受性。进行半结构化访谈以探讨患者对这种症状评估方法的看法。数据收集于2016年1月至3月。

结果

电子自我报告评估-癌症量表的平均得分为23.5(标准差2.7),表明对该评估方法的接受程度中等。参与者认为这种方法用户友好,有助于识别他们的症状,并且他们对症状有了认识和更好的理解。

结论

平板电脑辅助症状评估是一种可行的方法,可在繁忙的临床环境中进一步测试,以评估症状负担并确定个性化症状管理计划的个体需求。

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