基于云平台患者报告结局的居家癌痛患者管理方案构建与应用

注册号:

Registration number:

ChiCTR2500104272 

最近更新日期:

Date of Last Refreshed on:

2025-06-13 11:18:26 

注册时间:

Date of Registration:

2025-06-13 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

基于云平台患者报告结局的居家癌痛患者管理方案构建与应用

Public title:

Construction and Application of a Home-Based Cancer Pain Patient Management Program Based on Patient-Reported Outcomes (PROs) via a Cloud Platform

注册题目简写:

English Acronym:

研究课题的正式科学名称:

基于云平台患者报告结局的居家癌痛患者管理方案构建与应用

Scientific title:

Construction and Application of a Home-Based Cancer Pain Patient Management Program Based on Patient-Reported Outcomes (PROs) via a Cloud Platform

研究课题代号(代码):

Study subject ID:

在二级注册机构或其它机构的注册号:

The registration number of the Partner Registry or other register:

申请注册联系人:

叶晨曦 

研究负责人:

叶晨曦 

Applicant:

Ye Chenxi 

Study leader:

Ye Chenxi 

申请注册联系人电话:

Applicant telephone:

+86 138 5803 5056

研究负责人电话:

Study leader's
telephone:

+86 138 5803 5056

申请注册联系人传真 :

Applicant Fax:

研究负责人传真:

Study leader's fax:

申请注册联系人电子邮件:

Applicant E-mail:

yechenxi@zju.edu.cn

研究负责人电子邮件:

Study leader's E-mail:

yechenxi@zju.edu.cn

申请单位网址(自愿提供):

Applicant website(voluntary supply):

研究负责人网址(自愿提供):

Study leader's website(voluntary supply):

申请注册联系人通讯地址:

浙江省义乌市商城大道N1号

研究负责人通讯地址:

浙江省义乌市商城大道N1号

Applicant address:

No.1 Shangcheng Avenue, Yiwu, Zhejiang Province, China

Study leader's address:

No.1 Shangcheng Avenue, Yiwu, Zhejiang Province, China

申请注册联系人邮政编码:

Applicant postcode:

研究负责人邮政编码:

Study leader's postcode:

申请人所在单位:

浙江大学医学院附属第四医院

Applicant's institution:

The Fourth Affiliated Hospital, Zhejiang University School of Medicine

研究负责人所在单位:

浙江大学医学院附属第四医院

Affiliation of the Leader:

The Fourth Affiliated Hospital, Zhejiang University School of Medicine

是否获伦理委员会批准:

Approved by ethic committee:

Yes

伦理委员会批件文号:

Approved No. of ethic committee:

K2025042

伦理委员会批件附件:

Approved file of Ethical Committee:

查看附件View

批准本研究的伦理委员会名称:

浙江大学医学院附属第四医院人体研究伦理委员会

Name of the ethic committee:

Human Research Ethics Committee of the Fourth Affiliated Hospital, Zhejiang University School of Medicine

伦理委员会批准日期:

Date of approved by ethic committee:

2025-03-14 00:00:00

伦理委员会联系人:

张少华

Contact Name of the ethic committee:

Zhang Shaohua

伦理委员会联系地址:

浙江省义乌市商城大道N1号

Contact Address of the ethic committee:

No.1 Shangcheng Avenue, Yiwu, Zhejiang Province, China

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 152 6869 6901

伦理委员会联系人邮箱:

Contact email of the ethic committee:

研究实施负责(组长)单位:

浙江大学医学院附属第四医院

Primary sponsor:

The Fourth Affiliated Hospital, Zhejiang University School of Medicine

研究实施负责(组长)单位地址:

浙江省义乌市商城大道N1号

Primary sponsor's address:

No.1 Shangcheng Avenue, Yiwu, Zhejiang Province, China

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

浙江

市(区县):

义乌

Country:

China

Province:

Zhejiang

City:

Yiwu

单位(医院):

浙江大学医学院附属第四医院

具体地址:

浙江省义乌市商城大道N1号

Institution
hospital:

The Fourth Affiliated Hospital, Zhejiang University School of Medicine

Address:

No.1 Shangcheng Avenue, Yiwu, Zhejiang Province, China

经费或物资来源:

自筹

Source(s) of funding:

Self-raised

研究疾病:

癌性疼痛  

Target disease:

Cancer pain

研究疾病代码:

Target disease code:

研究类型:

干预性研究

Study type:

Interventional study

研究所处阶段:

I期临床试验 

Study phase:

1

研究设计:

随机平行对照 

Study design:

Parallel 

研究目的:

1.构建一个基于患者报告结局的居家癌痛患者管理方案。 2.验证基于云平台的居家癌痛患者管理方案实际临床效果,并予以完善,为改善居家癌痛患者管理提供科学实践工具。  

Objectives of Study:

1. Develop a home-based cancer pain patient management program based on patient-reported outcomes (PROs). 2. Validate the program's clinical effectiveness based on a cloud platform, and refine it to provide a scientific and practical tool for improving the management of home-based cancer pain patients.

药物成份或治疗方案详述:

 

Description for medicine or protocol of treatment in detail:

 

纳入标准:

Inclusion criteria

排除标准:

①有严重精神障碍者;②肿瘤晚期虚弱患者,无法全程参与配合完成。

Exclusion criteria:

1.Patients with severe mental disorders; 2.Patients with advanced cancer who are too frail to participate and cooperate fully throughout the program.

研究实施时间:

Study execute time:

From 2025-04-01 00:00:00 To 2025-12-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2025-07-01 00:00:00 To 2025-09-30 00:00:00

干预措施:

Interventions:

组别:

干预组

样本量:

43

Group:

Intervention group

Sample size:

干预措施:

通过平台向患者手机发送问卷,收集患者疼痛强度、疼痛干扰、身体功能、睡眠相关障碍、焦虑、抑郁、参与社会角色和活动的能力自我报告数据。设定各领域报告阈值,当报告内容超过设定阈值时,短信提醒癌痛管理团队及时进一步评估与处理,癌痛管理团队定期回顾报告结果,并给予电话随访。根据患者报告结果和需求,云随访系统定期推送疼痛知识、疼痛应对技巧、止痛药物使用方法、药物副作用应对等知识;发送服药提醒、随访提醒等,同时电话随访时指导患者积极使用非药物镇痛疗法,如分散注意力、正念疗法、音乐疗法等,以协同加强药物镇痛效果。

干预措施代码:

Intervention:

Questionnaires are sent to patients' mobile phones via the platform to collect self-reported data on pain intensity, pain interference, physical function, sleep-related disturbances, anxiety, depression, and the ability to participate in social roles and activities. Thresholds for reporting in each domain are set. When the reported content exceeds the set threshold, a text message alert is sent to the cancer pain management team to prompt them to conduct a timely further assessment and intervention. The cancer pain management team regularly reviews the reported results and provides follow-up calls to patients. Based on the patients' reported outcomes and needs, the cloud follow-up system regularly pushes knowledge on pain management, including pain knowledge, pain coping skills, methods of analgesic medication use, and management of drug side effects. It also sends medication and follow-up reminders. During phone follow-ups, patients are encouraged to actively use non-pharmacological analgesic therapies, such as distraction techniques, mindfulness therapy, and music therapy, to enhance the effectiveness of pharmacological pain relief in a complementary manner.

Intervention code:

组别:

对照组

样本量:

43

Group:

Control group

Sample size:

干预措施:

采用常规电话随访,即出院后1周、3周,经过统一培训的病区随访护士根据既定的随访单进行随访,电话内容包括疼痛强度、部位,用药情况及药物不良反应。

干预措施代码:

Intervention:

The conventional telephone follow-up method is adopted, which involves follow-up calls at 1 week and 3 weeks after discharge. Nurses in the ward, who have undergone unified training, conduct the follow-ups based on a predetermined follow-up form. The content of the phone calls includes pain intensity and location, medication use, and any adverse drug reactions.

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

浙江 

市(区县):

义乌 

Country:

China

Province:

Zhejiang

City:

Yiwu

单位(医院):

浙江大学医学院附属第四医院 

单位级别:

三甲 

Institution
hospital:

The Fourth Affiliated Hospital, Zhejiang University School of Medicine

Level of the institution:

Tertiary

测量指标:

Outcomes:

指标中文名:

患者报告结局

指标类型:

主要指标

Outcome:

Patient-reported outcomes (PROs)

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

服药依从性

指标类型:

次要指标

Outcome:

Medication compliance

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

患者满意度

指标类型:

次要指标

Outcome:

Patient satisfaction

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

组织:

Sample Name:

None

Tissue:

人体标本去向

使用后销毁  

说明

Fate of sample:

Destruction after use  

Note:

征募研究对象情况:

Recruiting status:

尚未开始

Not yet recruiting

年龄范围:

Participant age:

最小 Min age 18 years
最大 Max age 99 years

性别:

男女均可

Gender:

Both

随机方法(请说明由何人用什么方法产生随机序列):

随机数字表法

Randomization Procedure (please state who generates the random number sequence and by what method):

Random number table method

是否公开试验完成后的统计结果:

Calculated Results after the Study Completed public access:

不公开/Private

盲法:

Blinding:

None

是否共享原始数据:

IPD sharing

否No

共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址):

不共享

The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url):

Not share

数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC:

通过医院电子病历系统获取患者诊断、用药情况等信息,通过医院云随访系统进行评估与数据记录

Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture:

Obtain patient diagnosis and medication information through the hospital's electronic medical record system, and conduct assessments and data recording via the hospital's cloud follow-up system.

数据与安全监察委员会:

Data and Safety Monitoring Committee:

暂未确定/Not yet

注册人:

Name of Registration:

 2025-06-13 11:18:20