血压远程监测的促进因素和障碍:一种混合方法研究
Chinwe E Eze1, Michael P Dorsch1, Antoinette B Coe1
1College of Pharmacy, University of Michigan, Ann Arbor, MI, USA.
Digital health
|August 2, 2023
概括
当服务满足他们的需求时,患者可以使用远程监测血压 (BP). 电子健康素养 (e-HL) 影响了与BP远程监测的参与,但尽管患者的动机和技能存在障碍.
科学领域:
- 医疗信息学 医疗信息学
- 患者参与 患者参与
- 高血压管理 高血压管理
背景情况:
- 远程监测血压 (BP) 显示了改善BP控制的潜力.
- 患者采用远程血压监测受到个人,技术和卫生系统障碍的阻碍.
- 有效使用BP远程监控需要电子健康素养 (e-HL),包括利用数字健康服务的知识和技能.
研究的目的:
- 在高血压患者中识别高血压远程监测的促进者和障碍.
- 通过电子健康素养框架 (e-HLF) 的透视来评估这些因素.
主要方法:
- 一个前性的混合方法研究与一个融合的设计.
- 招募21名高血压患者.
- 来自在线/电话采访的定性数据和来自在线调查的定量数据,使用联合显示进行分析.
主要成果:
- 五个总体主题 (知识,动机,技能,系统,行为) 和28个子主题被确定为促进者或障碍.
- 在电子HL状态和参与数字服务 (e-HLF域3) 之间观察到一致性.
- 在其他e-HL域中发现了不一致性,这表明了复杂的相互作用.
结论:
- 当服务被认为是有用的,并与个人需求保持一致时,患者对BP远程监控的参与度会提高.
- 解决特定的e-HL领域和定制服务可以提高远程监控的采用和有效性.
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