基于自我管理的乳腺癌患者康复服务研究

发布时间：2018-11-27 18:53

【摘要】：在我国许多乳腺癌患者的女性中仍存在传统的治疗观念,她们对于康复期的自我管理缺乏有效的认知或积极进行应对的策略。医疗领域,康复期的自我管理概念早已被医生及医疗机构重视。但是中国女性五年内的内分泌治疗期间,仍然存在高复发的问题。基于以上的问题,本文通过产品服务系统设计的视角,探索乳腺癌患者在康复期的自我管理的操作内容及整个自我管理的服务系统模型,为患者构建更优秀的自我管理服务体验。并通过信息技术的运用,对移动信息终端进行设计,构建医患间高效的沟通模式并提供患者自我管理的信息工具,从功能性、情感化的维度进行设计干预,最终为了提高患者生存生活品质。笔者通过乳腺癌患者康复期自我管理相关桌面文献的研读,了解康复期自我管理主要围绕心理问题、治疗问题和社会问题展开。首先文章通过商业折纸法和用户体验审核法,邀请患者共同参与界定了,信息及服务缺失较为严重的康复期作为研究重点的服务旅程。再者,本文通过对患者的深入访谈及目标任务分析,发现自我管理存在信息供求不对等、服务脱节、患者决策能力低、随访缺失、缺乏监测等一系列问题。通过矩阵法进行康复期自我管理服务中的需求筛选,筛选患者的核心需求及需要设计思维介入的需求。最终通过以上多种调研方法的运用,了解乳腺癌患者在康复期疼痛管理、情绪管理为核心的管理需求。患者在旅程中的接触点设计需要是有趣而友好的。通过设计全新的体验蓝图,找到核心的服务重点,设计患者使用的信息终端进行设计策略的验证,以确定在患者自我管理过程中信息设计传递的流畅、操作的无壁垒、界面元素的情感化。本文输出的设计策略时,主要考虑到乳腺癌患者人群的特殊性及对设计需求的特殊性。情感上,满足以中老年女性为主的患者用户的深度情感化需求,增加患者的安全感与信任感。功能上,以构建闭环的服务框架为主要目的,通过信息手段的干预减少患者与医生的等待时间；设计有效而有趣的激励机制,提高自我管理的积极性；提取记录数据的信息,减少患者读图成本；设计记录查找同步等功能完整的自我管理信息系统。本文希望通过设计的综合性介入,提高医患的体验,更深层次的推动康复医疗的完善。
[Abstract]:In China, many women with breast cancer still have traditional treatment concepts, and they lack effective cognition or active coping strategies for self-management during rehabilitation. In the medical field, the concept of self-management during rehabilitation has long been valued by doctors and medical institutions. However, Chinese women's endocrine therapy within five years, there is still a high recurrence of problems. Based on the above problems, through the perspective of product service system design, this paper explores the operation content of self-management of breast cancer patients during rehabilitation period and the whole self-management service system model. Build a better self-management service experience for patients. And through the use of information technology, mobile information terminal design, to build an efficient mode of communication between doctors and patients and provide patient self-management information tools, from the functional, emotional dimensions of design intervention. Finally, in order to improve the quality of life of patients. Through the study of the relevant desktop literature on self-management of breast cancer patients during rehabilitation period, we can understand that self-management during rehabilitation mainly revolves around psychological problems, treatment problems and social problems. First, through the commercial origami method and user experience audit method, patients are invited to participate in the definition of the more serious lack of information and services as the focus of the rehabilitation of the service journey. Furthermore, through the in-depth interview and target task analysis of patients, it is found that there are a series of problems in self-management, such as unequal supply and demand of information, disconnect of service, low decision-making ability of patients, lack of follow-up, lack of monitoring and so on. The core needs of patients and the needs of design thinking intervention were screened by matrix method in self-management services during rehabilitation period. Finally, through the use of the above research methods, we understand the management needs of breast cancer patients in the recovery period of pain management, emotional management as the core. Patient contact design needs to be interesting and friendly during the journey. By designing a new experience blueprint, finding out the core service focus, designing the information terminal used by patients to verify the design strategy, to determine the smooth transmission of information design and operation without barriers in the process of patient self-management. The emotion of interface elements. The design strategy of this paper mainly considers the particularity of breast cancer patient population and the particularity of design demand. Emotionally, it can satisfy the deep emotional needs of the patients, and increase the sense of security and trust of the patients. In function, the main purpose is to construct a closed loop service framework, to reduce the waiting time of patients and doctors through the intervention of information means, to design an effective and interesting incentive mechanism, and to improve the enthusiasm of self-management. Extract the information of the recorded data, reduce the cost of the patient to read the map, and design a self-management information system with complete functions such as record lookup synchronization and so on. This paper hopes to improve the experience of doctors and patients through the design of comprehensive intervention, and further promote the improvement of rehabilitation medicine.
【学位授予单位】：江南大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R473.73

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