The effectiveness of computer-based monitoring system for patients with breast cancer receiving adjuvant hormonal therapy
10.3761/j.issn.0254-1769.2017.03.001
- VernacularTitle:乳腺癌患者内分泌治疗服药监控平台的设计及应用
- Author:
Chunqing WANG
;
Yan HU
;
Mibin WU
;
Jiajia QIU
;
Yehui ZHU
;
Zhenqi LU
;
Jialing HUANG
- Keywords:
Breast Neoplasms;
Hospital Information Systems;
Patient Compliance;
Quality of Life
- From:
Chinese Journal of Nursing
2017;52(3):261-266
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effect of nurse-led follow-up on medication adherence and quality of life for breast cancer patients receiving adjuvant hormonal therapy.Methods A randomized controlled trial was conducted with 157 patients in the intervention group and 154 in the control group.A self-design web-database medication monitoring platform was designed for managing patients such as texting,reminding and mailing.Participants were randomized to follow-up care as usual(yearly outpatient clinic visits) or nurse-led telephone follow-up(monthly consultation with structured intervention).Telephone follow-up was performed by four trained breast care nurses (BCN) and consisted of a semi-structured interview including managing the side-effects of endocrine therapy,compliance with hormonal therapy and an open discussion of these issues.Patients' medication adherence and quality of life were evaluated by Morisky Medication Adherence Questionnaire(MAQ) and FACT-B at baseline and 3,6 18 and 24 months,respectively.Results The Nurse-led telephone follow-up did not significantly improve the quality of life(P＞0.05).MAQ score in the intervention group was significantly greater than that in the control group(P＜0.05) at 3,6,18 and 24 months.Conclusion Nurse-led follow-up using computer-based monitoring system can improve patients' medication adherence,but there is no obvious increase in quality of life.
