Abstract：
OBJECTIVE: Breast cancer (BC) patients who are undergoing outpatient chemotherapy encounter difficulties in symptom self-management at home. We have developed a mobile app with the support of self-regulation activities and nurse-led social service to empower self-management of BC patients during outpatient chemotherapy. The study aimed to explore the perceptions of breast cancer patients and nurses in utilizing an app with the functions of proactive nursing support and empowerment.
METHODS: This is a qualitative study including group interviews with nurses and patients with breast cancer receiving outpatient chemotherapy. A total of eleven patients and five nurses were enrolled from August 2022 to October 2022. Thematic analysis was adopted to analyze the interview transcripts. Main themes and related sub-themes were drawn from the transcripts.
RESULTS: Barriers (the lack of a contractual spirit) and facilitators (social support and native high-adherence) to app usage were identified. Following the six-week program, patients underwent various transformations such as improved health awareness and a tendency to pay more attention to psychological symptoms. This program also led to various changes in the nurses, including a transformation from taking the reactive emergency calls to a proactive approach of incorporating a self-regulation process and social support.
CONCLUSIONS: The findings from the group interviews stressed the importance of integrating technology and nursing social support in facilitating patient symptom self-management.
METHODS: This is a qualitative study including group interviews with nurses and patients with breast cancer receiving outpatient chemotherapy. A total of eleven patients and five nurses were enrolled from August 2022 to October 2022. Thematic analysis was adopted to analyze the interview transcripts. Main themes and related sub-themes were drawn from the transcripts.
RESULTS: Barriers (the lack of a contractual spirit) and facilitators (social support and native high-adherence) to app usage were identified. Following the six-week program, patients underwent various transformations such as improved health awareness and a tendency to pay more attention to psychological symptoms. This program also led to various changes in the nurses, including a transformation from taking the reactive emergency calls to a proactive approach of incorporating a self-regulation process and social support.
CONCLUSIONS: The findings from the group interviews stressed the importance of integrating technology and nursing social support in facilitating patient symptom self-management.
摘要：
目的：正在接受门诊化疗的乳腺癌（BC）患者在家中的症状自我管理会遇到困难。我们开发了一款移动应用程序，支持自我调节活动和护士主导的社会服务，以增强门诊化疗期间BC患者的自我管理能力。该研究旨在探索乳腺癌患者和护士在利用具有主动护理支持和授权功能的应用程序时的看法。
方法：这是一项定性研究，包括对护士和接受门诊化疗的乳腺癌患者的小组访谈。从2022年8月至2022年10月，共招募了11名患者和5名护士。采用主题分析法对访谈笔录进行分析。主要主题和相关的次主题是从成绩单中提取的。
结果：确定了应用程序使用的障碍（缺乏契约精神）和促进者（社会支持和本地高依从性）。在为期六周的计划之后，患者经历了各种转变，例如健康意识的提高和更多关注心理症状的倾向。这个项目也导致了护士的各种变化，包括从采取反应性紧急呼叫到纳入自我调节过程和社会支持的积极方法的转变。
结论：小组访谈的结果强调了整合技术和护理社会支持在促进患者症状自我管理中的重要性。
方法：这是一项定性研究，包括对护士和接受门诊化疗的乳腺癌患者的小组访谈。从2022年8月至2022年10月，共招募了11名患者和5名护士。采用主题分析法对访谈笔录进行分析。主要主题和相关的次主题是从成绩单中提取的。
结果：确定了应用程序使用的障碍（缺乏契约精神）和促进者（社会支持和本地高依从性）。在为期六周的计划之后，患者经历了各种转变，例如健康意识的提高和更多关注心理症状的倾向。这个项目也导致了护士的各种变化，包括从采取反应性紧急呼叫到纳入自我调节过程和社会支持的积极方法的转变。
结论：小组访谈的结果强调了整合技术和护理社会支持在促进患者症状自我管理中的重要性。
