一个基于网络的患者授权与药物坚持计划的患者与类风湿性关节炎:可行性随机对照试验
Siriwan Lim1, Ponrathi Athilingam2, Manjari Lahiri3,4
1Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
JMIR formative research
|November 6, 2023
概括
一个基于网络的程序,患者赋权药物坚持计划 (PE2MAP),有效地改善了类风湿性关节炎患者的药物坚持和自我管理. 这项干预证明是可行的和可以接受的,在他们的治疗过程中赋予个人权力.
科学领域:
- 数字健康数字健康
- 慢性疾病管理 慢性疾病管理
- 患者赋权是患者赋权的一种方式.
背景情况:
- 类风湿性关节炎 (RA) 管理需要药物坚持和患者参与共享决策.
- 基于技术的干预措施可以增强患者的知识和慢性疾病的自我管理技能.
- 开发了一个基于网络的干预措施,以使RA患者能够坚持疾病修饰性抗风湿药物 (DMARDs).
研究的目的:
- 详细介绍干预映射过程,设计一个基于网络的工具,支持患者赋权和RA的药物坚持.
- 评估这种基于网络的干预在RA患者中的可行性和可接受性.
主要方法:
- 患者赋权药物坚持计划 (PE2MAP) 是使用基于齐默尔曼心理赋权框架的6步干预映射过程开发的.
- PE2MAP是通过 Udemy 提供的为期 4 周的基于网络的课程,辅以 RA 手册.
- 一项随机对照可行性试验,包括30名接受DMARD治疗的RA患者,评估了该干预措施的可接受性和可行性.
主要成果:
- 高完成率 (87%) 和参与内容 (57%完成100%) 表明PE2MAP的可行性.
- 参与者发现管理副作用,健康状况,发作和联合监测的信息非常有用 (96%).
- 干预改善了药物坚持 (88%),副作用管理 (92%) 和与医疗团队沟通的信心 (92%).
结论:
- 基于网络的PE2MAP干预措施是可以接受的,可行的和有效的,用于授权RA患者管理DMARDs.
- 建议进行进一步的随机对照试验,以确认该干预措施在治疗RA方面的有效性.
关键词:
坚持性 坚持性关节炎是一种关节炎.慢性 慢性 慢性 慢性设计 设计 设计 设计发展发展发展发展发展.毒品 毒品 毒品 是一种药物.可行性研究可行性研究.基于互联网的互联网基于互联网.干预干预干预干预干预干预绘制地图,绘制地图.药物治疗 药物治疗患者赋权是患者赋权的一种方式.处方 处方是一种处方.复发性风湿症 复发性风湿症类风湿性关节炎 类风湿性关节炎基于网络的网络基础.这是一个基于网络的工具.更多相关视频
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