通过手机互动的互动网络支持系统对高血压患者基于偏好的患者参与的影响 - 一个初级保健中的随机对照试验
Hanna Vestala1, Marcus Bendtsen1, Patrik Midlöv2
1Department of Health, Medicine and Caring Sciences, Linköping University, Linkoping, Sweden.
Scandinavian journal of primary health care
|January 12, 2024
概括
一个用于高血压护理的手机支持系统显示,患者参与率暂时增加. 然而,这些对基于偏好的患者参与的影响并没有长期持续.
科学领域:
- 数字健康干预措施 数字健康干预措施
- 患者参与到初级保健中.
- 高血压管理 高血压管理
背景情况:
- 有效的患者参与对于管理诸如高血压等慢性疾病至关重要.
- 初级保健机构需要创新的工具来支持患者的自我管理.
- 移动健康 (mHealth) 提供了增强患者支持和参与的潜力.
研究的目的:
- 评估通过手机提供的互动网络支持系统对基于偏好的患者参与高血压护理的影响.
- 为了比较mHealth系统与初级医疗保健机构的标准护理的影响.
主要方法:
- 这是一项随机对照试验,涉及瑞典31个初级医疗保健中心的949名高血压患者.
- 干预组除了接受标准护理外,还接受了为期8周的手机支持.
- 在基线,8周和12个月使用患者偏好参与 (4P) 工具评估患者参与.
主要成果:
- 最初,在8周的干预组中,观察到患者偏好和"自己管理治疗"的经验之间的更高匹配.
- 这种对基于偏好参与的积极影响在12个月的随访后得到了逆转.
- 在12个月后,没有发现基于偏好的患者参与的持续益处.
结论:
- 交互式移动支持系统对基于偏好的患者参与产生了暂时的影响.
- 需要进一步的研究,以了解如何有效地促进以人为中心的患者参与初级保健.
- 为慢性疾病管理制定可持续的数字健康战略仍然是优先事项.
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