一个前后,混合方法研究试点测试一个游戏化的心脏衰竭自我护理教育干预的试点测试
Alexandra Lukey1, Martha Mackay2,3, Khalad Hasan4
1School of Population and Public Health, University of British Columbia, Vancouver, Canada.
Games for health journal
|August 15, 2023
概括
一个游戏化的基于网络的程序改善了心力衰竭 (HF) 患者的知识和自我护理行为. 这个教育工具显示了通过交互式学习和实践增强患者结果的潜力.
科学领域:
- 心脏病学 心脏病学
- 数字健康数字健康
- 患者教育 患者教育
背景情况:
- 有效的自我护理对于改善心力衰竭患者的结果至关重要.
- 患者教育对于发展复杂的自我护理决策技能至关重要,包括症状感知和管理.
- 当前的教育方法可能无法完全让患者掌握基本的自我护理行为.
研究的目的:
- 评估心脏自我护理患者教育 (HeartSCaPE) 的可行性,可接受性和潜在有效性.
- HeartSCaPE是一个基于网络的游戏化解决方案,利用叙事和虚拟奖励为心力衰竭患者教育.
- 评估HeartSCaPE对心力衰竭知识和自我护理行为的影响.
主要方法:
- 混合方法研究,采用前后测试设计,并嵌入了定性阶段.
- 参与者完成了心力衰竭自我护理指数和荷兰心力衰竭知识量表.
- 系统可用性量表和谷歌分析被用来跟踪可用性和参与度.
主要成果:
- 19名患者完成了这项研究,表现出心力衰竭知识的增加和自我报告的自我护理行为 (维护,管理,信心) 的改善.
- 尽管基线得分高,但心力衰竭知识在干预后增加.
- HeartSCaPE被评为高度可用,参与者重视自我照顾决策的实践,尽管对虚拟奖励的意见各不相同.
结论:
- 结合叙事和奖励技术的游戏化,基于网络的解决方案显示了增强心力衰竭患者知识和自我护理的希望.
- 需要进一步的研究来验证临床益处,并解决技术素养方面的差异.
- 心脏SCaPE干预证明了作为心力衰竭管理的创新工具的潜力.
相关概念视频
01:27Heart Failure I: Introduction
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01:30Heart Failure V: Medical Management
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01:26Exercise Stress Test
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Introduction
Exercise stress testing, commonly known as a treadmill test, is a noninvasive procedure used to evaluate cardiovascular function and diagnose heart conditions.
Definition
An exercise stress test measures the heart's response to exertion using a treadmill or stationary bicycle. Chest electrodes record the heart's electrical activity through an ECG, and blood pressure is monitored regularly.
Purposes
Exercise stress testing, commonly known as a treadmill test, is a noninvasive procedure used to evaluate cardiovascular function and diagnose heart conditions.
Definition
An exercise stress test measures the heart's response to exertion using a treadmill or stationary bicycle. Chest electrodes record the heart's electrical activity through an ECG, and blood pressure is monitored regularly.
Purposes
272
01:22Heart Failure VI: Adjunct Therapies
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Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
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