一个m-health工具对心力衰竭患者自我护理的长期影响:一项前后干预研究,采用混合方法分析
Maria Liljeroos1,2, Marina Arkkukangas2,3,4, Anna Strömberg1,5
1Department of Health, Medicine and Caring Sciences, Linköping University, Campus US, Building 511, SE-58183, Linköping, Sweden.
European journal of cardiovascular nursing
|January 2, 2024
概括
一个m-health工具在3个月后改善了心力衰竭患者的自我护理行为. 然而,这些福利并没有持续整整一年,这表明需要持续支持.
科学领域:
- 心脏病学 心脏病学
- 数字健康数字健康
- 患者自我护理管理
背景情况:
- 心力衰竭 (HF) 管理需要有效的患者自我护理策略.
- 移动健康工具为增强自我护理行为提供了潜在的途径.
研究的目的:
- 评估m-health工具对3个月和12个月心力衰竭患者自我护理行为的影响.
- 探索患者对m-health工具的体验和看法.
主要方法:
- 一个预后干预研究与混合方法分析.
- 71名心力衰竭患者使用m-health工具 (带权重表和互动教育的平板电脑) 一年.
- 用欧洲心力衰竭自我护理行为 (EHFScB-9) 尺度在基线,3个月和12个月测量自我护理.
主要成果:
- 3个月后,自我护理得分显著改善 (P < 0.05),但在12个月后恢复到基线水平 (P = 0.68).
- 超过90%的患者在3个月和12个月后都对该工具进行了积极评价.
- 虽然大多数人觉得安全性增加了,但随着时间的推移,越来越多的人认为该工具是不必要的 (P < 0.001).
结论:
- 该m-health工具在改善心力衰竭自我护理行为方面表现出短期有效性.
- 持续改进需要额外的,定期更新的自我护理支持策略.
- 患者的看法表明,需要在最初的工具实施之外提供不断变化的支持.
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