An online Symptom Care and Management System to monitor and support patients receiving chemotherapy: A pilot study

Authors

  • Moon-Fai Chan PhD CStat,

    Associate Professor, Associate Professor, Corresponding author
    1. National University Health System, Singapore
    • Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore
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  • Emily Ang RN CCNC ONC CertEdu BN MN DNurs,

    Deputy Director, Head, Adjunct Associate Professor, Director
    1. Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore
    2. Nursing Department, National University Hospital, Singapore
    3. Oncology Nursing, National University Cancer Institute Singapore (NCIS), National University Health System, Singapore
    4. Centre for Evidence-Based Nursing, A Collaborating Centre of the Joanna Briggs Institute Member, NCIS Nursing Evidence Utilisation Group, Singapore
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  • Minh Cam Duong BSc,

    Research Assistant
    1. Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore
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  • Ying Leng Chow RN ONC BHSc(Nursing) PGDipHE

    Senior Nurse Clinician
    1. National University Cancer Institute Singapore (NCIS), National University Health System, NCIS Nursing Evidence Utilisation Group, Singapore
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  • Funding: The study was funded by the MOE Tier 1 research grant (R-545-000-010–112).
  • Competing interests: None declared.

Correspondence: Moon-Fai Chan, Alice Lee Centre for Nursing Studies, National University of Singapore, Level 2, MD11, CRC, 10 Medical Drive, 117597 Singapore. Email: nurcmf@nus.edu.sg

Abstract

This pilot study aimed to explore the benefits of an online Symptom Care and Management System (SCMS) in the home monitoring and symptom management of patients receiving chemotherapy. A single-group experimental design was employed, and four patients aged 39–59 years undergoing their first chemotherapy treatment were recruited from one cancer centre in Singapore from November 2010 to February 2011. A mixed method was used to collect patient's data. All patients used the SCMS to record and send daily symptom reports to the cancer centre and receive symptom management advice from the nurse via teleconferencing. Patients' perceptions on the use of the system were evaluated. All participants believed that the system improved the management of their symptom and felt reassured they were being monitored at home. The results presented in this pilot study suggest that the SCMS has the potential to enhance the remote monitoring, feasible and acceptable way for a specific group of cancer patients to manage their symptom at home.

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