结合数字平台和社区卫生工作者干预心力衰竭患者的可行性和可接受性:单臂试点研究
Jocelyn Carter1, Natalia Swack2, Eric Isselbacher3
1Division of General Internal Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States.
JMIR cardio
|September 12, 2023
概括
这项研究发现,将数字平台与社区卫生工作者 (CHW) 对心力衰竭 (HF) 患者的支持相结合是可行的和可以接受的. 患者在远程监测和CHW护理方面表现良好,表现出愿意再次使用该干预措施.
科学领域:
- 生物医学工程 生物医学工程
- 数字健康数字健康
- 公共卫生 公共卫生
背景情况:
- 心力衰竭 (HF) 是导致住院的主要原因,受临床和社会因素的影响.
- 对于高频监测的数字平台显示出希望,但面临着患者的障碍,如技术不熟悉和未满足的社会需求.
- 将数字工具与社区卫生工作者 (CHW) 的社会护理整合起来,可以解决这些障碍.
研究的目的:
- 确定对HF患者进行新型干预的可行性和可接受性.
- 该干预将数字远程监控平台与CHW社会需求支持相结合.
主要方法:
- 一项试点研究招募了14名成年HF患者,这些患者最近入院.
- 这项为期30天的干预包括一个带有症状问卷,教育视频,生物识别传感器和数字健康设备的移动应用程序.
- 患者得到了医疗保健工作人员的支持,他们通过电话监控数字数据并解决社会需求.
主要成果:
- 参与者表现出高参与度:传感器磨损 (82.2%),每天使用血压监测器 (1.2倍) 和体重秤 (1.1倍),并经常完成症状问卷 (≥71%).
- 大多数参与者 (78.6%) 至少有三次CHW互动,并表示愿意再次使用该干预措施.
- 尽管平台存在小问题,但患者发现远程监控有帮助和激励.
结论:
- 结合数字平台和CHW对HF患者的干预是可行的和可以接受的.
- 高度的患者参与度和积极的反表明了这种综合方法的潜力.
- 需要进一步进行临床试验,以确定该干预措施在改善HF结果方面的有效性.
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