使用以人为中心的设计方法来开发一个数字工具包,以优化心力衰竭指南导向的医疗治疗
The Journal of cardiovascular nursing
|October 19, 2023
概括
为心力衰竭 (HF) 优化指南导向医学疗法 (GDMT) 是至关重要的. 以人为中心的设计确定了患者和临床医生的挑战,为改进GDMT使用提供了新的数字工具包.
科学领域:
- 心脏病学 心脏病学
- 数字健康数字健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 指南导向医学疗法 (GDMT) 对于改善心力衰竭 (HF) 结果至关重要.
- 在高压患者护理中,GDMT的低最佳利用仍然是一个重大挑战.
研究的目的:
- 为了确定障碍物和促进者优化GDMTs在住院后的心力衰竭患者.
- 为开发数字工具包提供信息,以提高GDMT的遵守和有效性.
主要方法:
- 与临床医生,心力衰竭患者和护理人员进行半结构化,虚拟的人为中心的设计会议.
- 从三个医院系统招募了参与者,包括减少喷射分数 (≤40%) 的患者.
- 利用定性分析来识别与GDMT挑战,动机和促进者的相关主题.
主要成果:
- 临床会议揭示了关于GDMT优化挑战的五个关键主题,包括患者购买障碍.
- 患者和护理人员的会议确定了六个挑战 (例如,药物管理),四个激励因素 (例如,独立性) 和三个促进因素 (例如,社会支持).
- 来自所有利益相关者团体的见解突出了干预的关键领域.
结论:
- 以人为中心的设计有效地确定了临床医生,患者和护理人员关于高频GDMT优化方面的关键见解.
- 这些发现将指导数字工具包的开发,其中包括患者应用程序和临床医生仪表板.
- 数字工具包将在即将举行的多中心临床试验中进行严格评估,以评估其对GDMT利用的影响.
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