通过EMMA Salud移动App监测结直肠癌患者化疗期间的不良反应和生活质量

Pau Riera , Berta Martín-Cullell , Anna de Dios , Anna C. Virgili , Lucía Ramírez , David Páez
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引用次数: 0

摘要

背景和目的三分之一的结直肠癌(CRC)患者接受化疗后出现严重的不良反应。目的是监测这些患者的毒性,评估生活质量和EMMA Salud移动应用程序的有用性。患者和方法前瞻性单中心研究包括在2022年2月至2023年2月间开始氟嘧啶化疗的结直肠癌患者。通过移动应用程序,患者可以记录不良反应,与医疗保健专业人员互动,并回答生活质量(EORTC-CRC)和焦虑/抑郁(HADS)问卷。结果共纳入31例患者。关于应用程序的使用,10名患者(32.2%)记录了感兴趣的变量,11名(35.5%)记录了毒性,10名(32.2%)向医疗保健专业人员发送了直接信息。许多患者(48%)还使用病例管理护士的电话咨询。HADS和EORTC-CRC的缓解率在基线时为30%,在大约6个月时为10%。结论通过移动应用程序监测毒性可以改善坚持新技术的积极患者的沟通。然而,护士病例管理员的角色仍然是一种宝贵的资源。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Monitoring of adverse effects and quality of life during chemotherapy treatment through the EMMA Salud mobile App in patients with colorectal cancer

Background and aim

One third of patients with colorectal cancer (CRC) undergoing chemotherapy develop serious adverse effects. The aim was to monitor toxicities, evaluate quality of life and the usefulness of the EMMA Salud mobile App in these patients.

Patients and methods

Prospective single-center study including patients with CRC who started fluoropyrimidine-based chemotherapy treatment between 02/2022 and 02/2023. Through the mobile application, patients could record adverse effects, interact with healthcare professionals and answer quality of life (EORTC-CRC) and anxiety/depression (HADS) questionnaires.

Results

A total of 31 patients were included. Regarding the use of the App, 10 patients (32.2%) recorded variables of interest, 11 (35.5%) recorded toxicities and 10 (32.2%) sent direct messages to healthcare professionals. Many patients (48%) also used the telephone consultation from the nurse case manager. The response rate to HADS and EORTC-CRC was 30% at baseline and 10% at approximately 6 months.

Conclusions

Monitoring toxicities through a mobile application can improve communication in motivated patients who adhere to new technologies. However, the role of the nurse case manager continues to be a valuable resource.
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