Effect of computer support on younger women with breast cancer
Effect of computer support on younger women with breast cancer
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DOI：
10.1046/j.1525-1497.2001.016007435.x
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发表时间：
2001-07-01
影响因子：
5.7
通讯作者：
Salner, A
中科院分区：
文献类型：
--
作者：
Gustafson, DH;Hawkins, R;Salner, A
目的：评估的影响，以计算机为基础的患者支持系统的生活质量在年轻女性乳腺癌，特别强调协助underserved.Design：随机对照试验，1995年和1998年之间进行。环境：五个地点：两个教学医院（麦迪逊，威斯康星州和芝加哥，伊利诺伊州），两个非教学医院（芝加哥，伊利诺伊州），和一个癌症资源中心（印第安纳波利斯，印第安纳州）。对象：60岁以下的新诊断乳腺癌患者（N = 246）。干预：实验组接受综合健康促进支持系统（CHESS），一个提供信息、决策和情感支持的家庭计算机系统。测试前和两个测试后的调查（在两个月和五个月的后续行动）测量方面的参与护理，社会/信息支持，生活质量。在两个月的随访中，CHESS组在寻求信息方面明显更有能力。更舒适地参与护理，对医生更有信心。在五个月的随访中，CHESS组的社会支持明显更好，信息能力也更强。此外，实验分配互动与医疗服务不足（种族，教育和缺乏保险）的几个指标，使国际象棋的好处是更大的弱势群体比three-group.CONCLUSIONS：基于计算机的病人支持系统，如国际象棋可能有利于患者提供信息和社会支持，并增加他们参与医疗保健。对于目前得不到充分服务的人口来说，这些好处可能是最大的。
OBJECTIVE: Assess impact of a computer-based patient support system on quality of life in younger women with breast cancer, with particular emphasis on assisting the underserved.DESIGN: Randomized controlled trial conducted between 1995 and 1998. SETTING: Five sites: two teaching hospitals (Madison, Wis, and Chicago, Ill), two nonteaching hospitals (Chicago, Ill), and a cancer resource center (Indianapolis, Ind). The latter three sites treat many underserved patients.PARTICIPANTS: Newly diagnosed breast cancer patients (N = 246) under age 60.INTERVENTIONS: Experimental group received Comprehensive Health Enhancement Support System (CHESS), a home-based computer system providing information, decision-making, and emotional support.MEASUREMENTS AND MAIN RESULTS: Pretest and two posttest surveys (at two- and five-month follow-up) measured aspects of participation in care, social/information support, and quality of life. At two-month follow-up, the CHESS group was significantly more competent at seeking information. more comfortable participating In care, and had greater confidence in doctor(s). At five-month follow-up, the CHESS group had significantly better social support and also greater information competence. In addition, experimental assignment interacted with several Indicators of medical under-service (race, education, and lack of insurance), such that CHESS benefits were greater for the disadvantaged than the advantaged group.CONCLUSIONS: Computer-based patient support systems such as CHESS may benefit patients by providing information and social support, and increasing their participation in health care. These benefits may be largest for currently underserved populations.