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mHealth in palliative care for cancer patients care givers

机译：癌症患者和护理人员的姑息治疗中的mHealth

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Patients and caregivers in palliative care experience multidimensional pain. In current practice, information about a cancer patient progress is known when they visit a clinic or make a distress call when their conditions worsen. This strategy is not efficient for systematic monitoring of symptoms, which is key in improving palliative care. Mobile phones have helped to transform healthcare through diagnosis, health education and symptoms management of chronic illnesses. In this study, a mobile phone assessment tool was implemented at an outpatient palliative care clinic for cancer patients in Aga Khan University Hospital, Nairobi. The usefulness of the mobile phone application was examined. In the initial interview with a cohort of 19 patients and caregivers, 15 were eligible for the study. Patients and caregivers used the application to report their symptoms and needs at an interval of one week. Participatory action design was used whereas data collection was achieved through non-structured interviews. Findings from the study were organized into three themes: enhanced communication, improved assessment of total cancer pain and advocacy tool. This study illustrates that utilization of mobile phone applications can enhance palliative care by improving monitoring of symptoms and strengthening patient-provider communication.
机译：姑息治疗中的患者和护理人员会遭受多维性疼痛。在当前的实践中，当癌症患者病情恶化时，他们去诊所就诊或拨打求救电话时就知道了有关癌症患者进展的信息。该策略对于症状的系统监测效率不高，这是改善姑息治疗的关键。移动电话已通过诊断，健康教育和慢性病症状管理帮助改变了医疗保健。在这项研究中，在内罗毕阿迦汗大学医院的癌症患者门诊姑息治疗诊所使用了手机评估工具。检查了手机应用程序的有用性。在最初对19名患者和护理人员进行的访谈中，有15名患者符合研究条件。患者和护理人员使用该应用程序每隔一周报告一次症状和需求。使用参与式行动设计，而数据收集则通过非结构化访谈实现。研究结果分为三个主题：加强沟通，改善对总癌症疼痛的评估和宣传工具。这项研究表明，利用手机应用程序可以通过改善症状监测和加强患者与提供者之间的沟通来改善姑息治疗。

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