实施临床决策支持工具以改善身体活动
Nursing research
|January 11, 2024
概括
这项试点研究表明,将体力活动生命体征 (PAVS) 和电子健康记录 (EHR) 提示纳入心脏病学实践是可行的. 虽然吸收需要改进,但它提供了一条促进患者体育活动的途径.
科学领域:
- 预防性心脏病学 预防性心脏病学
- 数字健康干预措施 数字健康干预措施
- 健康 行为 改变 改变
背景情况:
- 许多美国成年人不符合身体活动指南.
- 经常在日常医疗保健中不评估或讨论体育活动.
- 身体活动生命体征 (PAVS) 评估活动并识别那些不符合指导方针的人.
研究的目的:
- 评估将PAVS和最佳实践建议纳入EHR的可行性和临床实用性.
- 提醒提供者注意身体活动较低的患者,并及时提供咨询.
- 在EHR系统中评估远程监测患者的身体活动.
主要方法:
- 综合EHR组件:患者门户PAVS,提供者最佳实践咨询和远程患者监控 (Fitbit).
- 在门诊预防性心脏病实践中进行试点测试一年.
- 从患者和提供者那里收集了定性反.
主要成果:
- 患者完成PAVS的月度从35%到48%不等.
- 提供者对最佳实践咨询的认可差异很大 (每月2%-22%).
- 58%的患者成功地同步Fitbit设备进行远程监控.
结论:
- 这项试点项目证明了将促进体育活动的干预措施纳入EHR的可行性.
- 所有干预组件的采用需要改进,以便更广泛地实施.
- 质量反对于改进未来战略至关重要.
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