前列腺癌放射治疗过程中交互式应用程序治疗症状的依从性和患者感知:卡塔尔世界杯8强波胆分析记录和访谈数据的描述性研究%A Langius-Eklöf,Ann %A Christiansen,Mats %A Lindström,Veronica %A Blomberg,Karin %A Hälleberg Nyman,Maria %A Wengström,Yvonne %A Sundberg,Kay %+卡罗林斯卡医学院神经生物学、护理科学与社会学系护理科,C3,阿尔弗雷德·诺贝尔奖研究中心23,哈丁格,141 83,瑞典,46 722535878,ann.langius-eklof@ki.se %K移动应用程序%K mHealth %K前列腺癌%K症状评估%D 2017 %7 31.10.2017 %9背景:接受前列腺癌放疗的患者经历与癌症本身及其治疗相关的症状,并且很明显,前列腺癌患者与其疾病相关的支持性护理需求未得到满足。在过去的十年中,移动健康领域的研究数量有所增加,应用程序作为疾病管理工具的使用也有所增加。主要的挑战是开发一种移动技术,以充分发挥其实时交互的潜力。旨在实时识别和管理症状的互动应用Interaktor包括(1)患者对症状发生、频率和痛苦程度的评估功能;(2)与监控Web接口的连接;(3)通过短信向卫生保健提供者发送警报的风险评估模型;(4)持续获得循证自我护理建议,并链接到相关网站获取更多信息;(5)供患者和医疗保健提供者查看症状报告历史的图表。 Objective: The aim of the study was to investigate user behavior, adherence to reporting, and the patients’ experiences of using Interaktor during radiotherapy for localized advanced prostate cancer. Methods: The patients were instructed to report daily during the time of treatment and then for an additional 3 weeks. Logged data from patients’ use of the app were analyzed with descriptive statistics. Interview data about experiences of using the app were analyzed with content analysis. Results: A total of 66 patients participated in the study. Logged data showed that adherence to daily reporting of symptoms was high (87%). The patients used all the symptoms included in the app. Of the reports, 15.6% generated alerts to the health care providers. Overall, the patients found that it was easy and not particularly time-consuming to send a daily report, and many described it as becoming a routine. Reporting symptoms facilitated reflection on their symptoms and gave them a sense of security. Few technological problems were reported. Conclusions: The use of Interaktor increased patients’ sense of security and their reflections on their own well-being and thereby served as a supportive tool for the self-management of symptoms during treatment of prostate cancer. Some further development of the app’s content might be beneficial for future use. %M 29089290 %R 10.2196/cancer.7599 %U http://cancer.www.mybigtv.com/2017/2/e18/ %U https://doi.org/10.2196/cancer.7599 %U http://www.ncbi.nlm.nih.gov/pubmed/29089290
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