在移动健康干预期间,通过应用程序中的消息来吸引青少年心脏移植接受者
Michael O Killian1,2, Lisa Schelbe1, Mia Liza A Lustria2,3,4
1College of Social Work, Florida State University, Tallahassee, FL, USA.
概括
移动视频直接观察治疗通过促进沟通和参与,改善了青少年心脏移植患者的药物坚持. 这种移动健康干预措施支持患者与提供者之间的关系,这对于管理免疫抑制药物至关重要.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 移动健康干预措施 移动健康干预
- 移植护理 移植护理
背景情况:
- 青少年心脏移植接受者面临着免疫抑制药物坚持的挑战.
- 缺乏坚持性会增加器官排斥,住院和死亡的风险.
- 现有的干预措施往往无法吸引患者或支持患者-提供者沟通.
研究的目的:
- 探索青少年心脏移植接受者与护理人员之间的应用内沟通的性质和程度.
- 为了评估在异步移动视频直接观察治疗 (VDOT) 干预期间的通信.
主要方法:
- 在12周内交换的894条应用内消息的内容分析.
- 对10名青少年患者和护士之间的信息进行主题分析.
- 较高的测量器间可靠性 (81.5%100%) 确保了分析的严谨性.
主要成果:
- 应用内消息包括人际支持,医疗问题/信息以及功能/应用相关细节.
- 该研究量化了人际交往及其与药物坚持的联系.
- 沟通促进了关系建立和信息交换.
结论:
- 在VDOT干预中,双向通信功能对于青少年心脏移植患者来说是可行的和有益的.
- 这种沟通促进了患者的参与,并改善了药物坚持.
- 对患者参与和沟通的进一步研究可以帮助将这种干预整合到标准的儿科移植护理中.
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