在维护血液透析中使用基于智能手机的应用程序进行液体摄入管理:试点研究
Michael V Rocco1, Marion Rigaud2, Carole Ertel3
1Wake Forest University School of Medicine, Section on Nephrology, Winston-Salem, NC.
Kidney medicine
|September 4, 2023
概括
一个智能手机应用程序可以安全地帮助血液透析患者监测液体摄入量. 超过一半的激励患者使用该应用程序减少了透析间体重增加 (IDWG),证明了其在管理液体平衡方面的潜力.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 数字健康数字健康
- 患者自我管理
背景情况:
- 增加的透析间体重增加 (IDWG) 与血液透析患者的发病率和死亡率增加有关.
- 有效的流体管理对于接受维护血液透析的患者至关重要.
研究的目的:
- 评估智能手机应用程序 (FiApp) 的安全性和有用性,用于血液透析患者自我监测每日液体摄入量.
- 评估应用导向液体摄入监测对IDWG的影响.
主要方法:
- 一项为期4周的研究,涉及维持血液透析的患者,基线IDWG<4%.
- 参与者使用FiApp记录液体摄入量,并将其与个性化的目标进行比较.
- 进行了患者采访,以收集有关可用性和建议的反.
主要成果:
- 与基线相比,在使用FiApp时,61%的参与者显示IDWG下降.
- 该应用程序在≥80%的研究日被72%的参与者使用.
- 在研究期间,只有一个患者的IDWG增加>20%.
结论:
- 基于智能手机的应用程序可以安全地被血液透析患者用于跟踪和控制液体摄入量.
- 有动机的患者可以通过这个数字监测工具来实现减少IDWG.
- 患者反将为FiApp的未来改进提供信息,以提高可用性和有效性.
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