Cancer medicine
Development and Feasibility Evaluation of a Nurse-Led ePRO System for Home-Based Post-Chemotherapy Symptom Management in Patients With Cancer
By Kuan CC, Guo JC, Shen SH and 4 others.
Abstract
Background
Electronic patient-reported outcome (ePRO) systems support symptom monitoring after chemotherapy; however, their integration into structured nurse-led oncology workflows remains limited. In this study, we aimed to develop and evaluate the short-term feasibility and usability of a nurse-led ePRO system for home-based postchemotherapy symptom monitoring and structured nursing triage for cancer patients.
Methods
This single-arm feasibility study was conducted at a cancer center in Taiwan between April and September 2024 among adult patients requiring home-based symptom monitoring after hospital-based chemotherapy care. The nurse-led digital system was designed to support weekly self-reporting of 12 chemotherapy-related symptoms using the Chemotherapy Toxicity Self-Assessment Questionnaire. The system incorporated rule-based triage categorization using green, orange, and red risk levels and predefined nurse response protocols. Feasibility outcomes included report adherence, triage alert management, and system performance. Usability was evaluated using the System Usability Scale.