Sin Cheolkyung, Lee Dong Yeop, Kim Hyeyeong, Im Hyeon-Su, Koh Su-Jin, Kang Dong Yoon
Department of Hematology and Oncology, Ulsan University Hospital, Ulsan, Republic of Korea.
Department of Preventive Medicine, Ulsan University Hospital, Ulsan, Republic of Korea.
Digit Health. 2024 Jul 23;10:20552076241253090. doi: 10.1177/20552076241253090. eCollection 2024 Jan-Dec.
This study aimed to analyze the effect of Smart Cancer Care program on the quality of life and ease of chemotherapy continuation in cancer patients and the effect of additional tele-management on frequency of use and satisfaction with the Smart Cancer Care program.
'Smart Cancer Care' is a mobile program that allows cancer patients undergoing chemotherapy to report symptoms of adverse events and receive remote management. In this study, patients were randomly assigned to three groups: Group A, who received only classical face-to-face management; Group B, who used the Smart Cancer Care program as addition; and Group C, who used the Smart Cancer Care program and received telephone management. After 12 weeks of follow-up, the effectiveness of using the Smart Cancer Care program was analyzed by examining the quality of life, ease of maintaining chemotherapy, and unplanned hospital visits in each group. The frequency of use and satisfaction with the Smart Cancer Care program were also analyzed.
Cancer patients who used the Smart Cancer Care program had 1.93-fold (1.15-3.25) higher overall quality of life than those who did not. This became 2.33-fold (1.34-4.04) higher when phone care was added. Patients with tele-management were significantly more likely to use the Smart Cancer Care program (odds ratio (OR) = 25.80; 95% confidence interval (CI), 11.28-58.97).
A mobile self-reported management program has a positive effect on the quality of life of cancer patients undergoing chemotherapy. Tele-management is conducive to active and effective use of this program.
本研究旨在分析智能癌症护理项目对癌症患者生活质量及化疗持续便利性的影响，以及额外的远程管理对智能癌症护理项目使用频率和满意度的影响。
“智能癌症护理”是一个移动项目，允许接受化疗的癌症患者报告不良事件症状并接受远程管理。在本研究中，患者被随机分为三组：A组仅接受传统面对面管理；B组在传统管理基础上使用智能癌症护理项目；C组使用智能癌症护理项目并接受电话管理。随访12周后，通过检查每组患者的生活质量、化疗维持便利性及非计划住院就诊情况，分析使用智能癌症护理项目的效果。同时，也对智能癌症护理项目的使用频率和满意度进行了分析。
使用智能癌症护理项目的癌症患者总体生活质量比未使用者高1.93倍（1.15 - 3.25）。若增加电话护理，这一倍数则变为2.33倍（1.34 - 4.04）。接受远程管理的患者使用智能癌症护理项目的可能性显著更高（优势比（OR）= 25.80；95%置信区间（CI），11.28 - 58.97）。
移动自我报告管理项目对接受化疗的癌症患者生活质量有积极影响。远程管理有助于该项目的积极有效使用。
