電話檢傷行動支援系統原型之研究：以門診化療患者為例

The Study of the Mobile Telephone Triage Decision Support Prototype System-- An Example of OPD Chemotherapy Patients

化學治療患者因其留院治療時間短、門診醫護人員的繁忙及患者接收資訊程度的限制，因此在離院前所接受的教育成效是有限的。但是，患者的教育仍是可經由電話方式於事後再加以補強的。為提供連續性及符合成本效益的護理，腫瘤護理人員可藉由電話及行動化電腦設備來協助處理患者的問題。若患者能在出現症狀或副作用的早期即電話諮詢護理人員，那麼將可防止威脅生命的問題發生。因此本研究希望針對接受門診化學治療之癌症患者回家後產生之副作用，進行護理支持之系統標準化，來發展一套護理人員對門診化學治療患者副作用之評估、護理及給予諮詢建議的決策支援系統。本決策支援系統可在讀取患者的主述資料後，為患者進行副作用級數評估及護理措施建議。

In general, the outcome of an on-site education delivered to the patient who has just completed the course of OPD Chemotherapy is not promising. It may be due to the reason that the stay of patient is short, or that the clinical staffs' schedule are tight, or that the patient's comprehension ability is varied. However, the follow-up phone contacts always make the patient's education reinforced and more effective. The Mobile Decision Support System includes any computer facilities that can access the Internet, such as Notebook, Tablet PC, Personal Digital Assistant or Smart Phone, and can play the role to provide the sustained and cost-effective services of nursing while the oncology nurse supports the patient to deal with the health problems experienced. As a result, the life-threatening crisis may be avoided if the patient is able to consult the nursing staff by a call or e-mail at the early appearance of any symptom or adverse event. This study is therefore designed to develop and standardize the supporting system of nursing for the oncology patient who experiences an adverse event at home which was derived from the given OPD chemotherapy. It is a nurse-specific Decision Support System (DSS) of evaluating, suggesting, and managing to an adverse event derived from the given OPD chemotherapy. After capturing the integrated patient's chief complaints, the developed DSS is able to triage and grade the adverse events and to provide the problem-solving suggestion of nursing to the patient.