Development and Evaluation of the On-demand Per-operative Medical Information System Required by Patients and Their Families

我们通过访谈调查来确定胃癌、大肠癌、乳腺癌或肺癌患者在接受手术前医疗护理时需要哪些医疗信息，如何提供这些信息，以及提供这些信息存在的问题。我们还进行了问卷调查，了解胃癌、大肠癌、乳腺癌、肺癌患者在接受手术前医疗护理时，获得了哪些医疗信息，需要哪些医疗信息的因素，以及相关因素。此外，我们还进行了访谈调查，了解参与胃癌、大肠癌、乳腺癌、肺癌患者手术前医疗护理的护士提供了哪些医疗信息，以及在提供此类信息方面存在的问题。此外，我们还进行问卷调查，以确定在为胃癌、大肠癌、乳腺癌或肺癌患者提供手术前医疗护理时，护士参与的因素及相关因素。调查结果表明，术前医疗信息系统应包括通过小册子和个人电话咨询系统提供信息，患者可以通过该系统询问任何问题并获得易于理解的答案。他们还建议，小册子应包括关于癌症和手术的信息、关于术前和术后活动的信息、关于医院和医生的信息、关于术后需要的自我护理的信息、关于出院后遇到的问题和应对措施的信息、关于化疗的知识、工作的注意事项以及其他必要的信息。我们编制了胃癌、大肠癌、乳腺癌、肺癌患者术中医疗信息手册，与门诊部合作向患者提供手册，并让患者对手册内容进行评价。结合患者评价及护士、医生意见，修改术中医疗信息。在此基础上，我们与医疗机构合作，为肺癌手术患者制定了术前指导方案。我们还根据修改后的手术前医疗信息，制作了胃癌、大肠癌、乳腺癌、肺癌患者的网页，并将其发布在大阪府立大学护理研究生院医学学习支持中心的网站上。少

We conducted an interview survey to determine what kind of medical information was required by patients with gastric cancer, large bowel cancer, breast cancer, or lung cancer who were going to receive per-operative medical care, how such information should be provided, and problems with provision of such information. We also conducted a questionnaire survey to find out what kind of medical information patients with gastric cancer, large bowel cancer, breast cancer, or lung cancer who were going to receive per-operative medical care obtained, factors of medical information they required, and related factors.Furthermore, we conducted an interview survey to see what kind of medical information the nurses involved in per-operative medical care provided for patients with gastric cancer, large bowel cancer, breast cancer, or lung cancer, as well as problems with provision of such information. In addition, we conducted a questionnaire survey to identify the factors of medical information that … More nurses involved in per-operative medical care provided for patients with stomach cancer, large bowel cancer, breast cancer, or lung cancer, as well as related factors.The results of the surveys suggested that the per-operative medical information system should include provision of information through brochures and an individual telephone counseling system, through which patients could ask anything and get an easy-to-understand answer. They also suggested that the brochure should include information on cancer and surgery, information on pre- and post-operative activities, information on hospitals and doctors, information on self-care required postoperatively, information on problems experienced after discharge and measures against them, knowledge of chemotherapy, precautions for doing work, and other necessary information.We prepared a brochure on per-operative medical information for patients with gastric cancer, large bowel cancer, breast cancer, or lung cancer, provided the patients with the brochure with the cooperation of the Outpatient Department, and have them evaluate the content of the brochure. Incorporating patients' evaluation and opinions of nurses and doctors, we modified the per-operative medical information. On the basis of this information, we prepared a preoperative orientation program for per-operative patients with lung cancer with the cooperation of medical institutions.We also prepared a web page for patients with gastric cancer, large bowel cancer, breast cancer, or lung cancer based on the modified per-operative medical information, and posted it on the web site of Osaka Prefecture University Graduate School of Nursing Medical Learning Support Center. Less