Yamada Taku, Kikuchi Taketomo, Nagasu Sachiko, Hashimoto Kayoko, Furukawa Eri, Matsumoto Hirokazu, Tsutsumi Kazuki, Tanaka Toshimitsu, Kugishima Miho, Kawaguchi Takumi, Fujita Fumihiko, Higuchi Kyouko, Miwa Keisuke
Department of Pharmacy, Kurume University Hospital, Kurume, Fukuoka, Japan.
Multidisciplinary Treatment Cancer Center, Kurume University Hospital, Kurume, Fukuoka, Japan.
Patient Prefer Adherence. 2024 Jul 8;18:1443-1449. doi: 10.2147/PPA.S463291. eCollection 2024.
Elastomeric infusion pumps are widely used in colorectal cancer chemotherapy. However, no studies to date have investigated patient preferences regarding different infusion pump types.
Twenty patients with unresectable colorectal cancer undergoing chemotherapy were initially treated with a portable hard-shelled continuous infusion pump, followed by a soft-shelled continuous infusion pump. The respondents used a numerical rating scale (0-10) to rate their comfort when using each pump, their ease of carrying it, the pump size and shape, its weight, their ease of reading its memory, and their overall satisfaction with it. They were then asked to determine which pump they would ultimately prefer.
In terms of comfort, significantly higher user satisfaction was reported for the soft-shelled pump during the daytime and when going out (P < 0.001, P < 0.001, respectively). For pump portability, size, shape, and weight, the soft-shelled type also outperformed the hard-shelled one (P < 0.001, P=0.0011, P < 0.001, respectively). However, the hard-shelled pump scored significantly better in terms of ease of viewing memory (P < 0.001). Overall satisfaction was significantly higher for the soft-shelled pump than the hard-shelled type (P=0.0095). Finally, 13 patients (65%) indicated that they would prefer a soft-shelled pump for their next treatment, while only one patient (5%) preferred a hard-shelled alternative. A preference for soft-shelled pump was observed, particularly in female patients and those with a body mass index of < 22 kg/m.
The selection of portable elastomeric infusion pumps should consider the preferences of patients with colorectal cancer, as these devices have the potential to enhance their quality of life.
弹性输液泵在结直肠癌化疗中广泛应用。然而，迄今为止尚无研究调查患者对不同类型输液泵的偏好。
20例接受化疗的不可切除结直肠癌患者最初使用便携式硬壳持续输液泵进行治疗，随后使用软壳持续输液泵。受访者使用数字评分量表（0 - 10）对使用每种泵时的舒适度、携带的便捷性、泵的尺寸和形状、重量、读取其内存的难易程度以及对它的总体满意度进行评分。然后要求他们确定最终更喜欢哪种泵。
在舒适度方面，据报告软壳泵在白天和外出时的用户满意度显著更高（分别为P < 0.001，P < 0.001）。在泵的便携性、尺寸、形状和重量方面，软壳类型也优于硬壳类型（分别为P < 0.001，P = 0.0011，P < 0.001）。然而，硬壳泵在查看内存的便捷性方面得分显著更高（P < 0.001）。软壳泵的总体满意度显著高于硬壳类型（P = 0.0095）。最后，13例患者（65%）表示下次治疗他们更喜欢软壳泵，而只有1例患者（5%）更喜欢硬壳泵。观察到对软壳泵的偏好，尤其是在女性患者和体重指数<22 kg/m²的患者中。
便携式弹性输液泵的选择应考虑结直肠癌患者的偏好，因为这些设备有可能提高他们的生活质量。
