Application of mobile phone technology for managing chemotherapy-associated side-effects
Application of mobile phone technology for managing chemotherapy-associated side-effects
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DOI：
10.1093/annonc/mdm354
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发表时间：
2007-11-01
影响因子：
50.5
通讯作者：
Tarassenko, L.
中科院分区：
文献类型：
--
作者：
Weaver, A.;Young, A. M.;Tarassenko, L.
背景资料：新型的移动的电话技术连接到一个服务器，将患者的症状传达给医疗保健专业人员，该技术已被改造用于登记化疗的副作用，并提供毒性管理的建议。我们报告了一项可行性研究，以探讨通过移动的phone.Methods：6例结肠癌患者接受辅助化疗，症状数据输入到用户友好的屏幕上的移动的电话，每天两次家庭监测患者的症状的效用。这种对恶心、呕吐、粘膜炎、腹泻和手足综合征的“真实的"自我评估和温度测量通过安全连接发送到远程计算机。如果出现中度或重度症状（分别生成琥珀色和红色警报），计算机会立即通过寻呼机向护士发出警报。然后，护士联系患者，以加强在他们的手机上发送给患者的自动建议，并使用临床算法评估patient.Results：患者在化疗的前两个周期使用移动的手机。服务器软件成功分析了数据，并生成警报，在适当的时间提醒研究护士注意患者的症状。共有91个警报，54个红色警报和37个黄色警报; 54%（29/54）的红色警报是数据延迟和传输问题，这些问题已迅速得到解决。其余红色警报由研究护士适当管理。病人和工作人员都感到有信心，在这种方法症状management.Conclusions：这项研究表明，监测病人的症状的技术工作得很好。患者感到安全的知识，他们的症状正在密切监测，他们正在有效地参与自己的护理管理。
Background: Novel mobile phone technology linked to a server that communicates patients' symptoms to healthcare professionals has been adapted to register the side- effects of chemotherapy and provide advice on management of toxicity. We report a feasibility study to examine the utility of home monitoring of patients' symptoms via a mobile phone.Methods: Six colon cancer patients receiving adjuvant chemotherapy, entered symptom data onto user friendly screens on a mobile phone twice daily. This 'real time' self assessment of nausea, vomiting, mucositis, diarrhoea and hand-foot syndrome and measurement of temperature was sent via a secured connection to a remote computer. In the event of moderate or severe symptoms (generating amber and red alerts respectively), the nurse was immediately alerted by the computer, via a pager. The nurse then contacted the patient to reinforce the automatic advice sent to the patient on their phone and to assess the patient using clinical algorithms.Results: The patient used the mobile phones during the first two cycles of chemotherapy. The data were successfully analysed by the server software and alerts were generated alerting the study nurses to patients' symptoms at the appropriate time. There were 91 alerts-54 red and 37 amber; 54% (29/54) of the red alerts were data delay and transmission problems which were swiftly rectified. The remaining red alerts were managed appropriately by the study nurses. Both patients and staff felt confident in this approach to symptom management.Conclusions: This study demonstrates that the technology for monitoring patients' symptoms worked well. The patients felt secure in the knowledge that their symptoms were being closely monitored and that they were participating effectively in their own care management.