专科护理中睡眠呼吸暂停患者的数字护理途径:混合方法研究
Jari Haverinen1,2, Terttu Harju3, Hanna Mikkonen4
1Finnish Coordinating Center for Health Technology Assessment, Oulu University Hospital, Oulu, Finland.
JMIR human factors
|February 22, 2024
概括
睡眠呼吸暂停 (SA-DCP) 的数字护理途径没有完全达到目标. 较低的数字素养和年龄较大是SA-DCP使用的关键障碍,表明需要量身定制的未来数字健康解决方案.
科学领域:
- 呼吸系统医学中的数字健康干预.
- 患者在慢性疾病管理中的坚持和参与.
背景情况:
- 睡眠呼吸暂停在芬兰是一个重要的公共卫生问题.
- 持续正气道压力 (CPAP) 治疗是中度至重度睡眠呼吸暂停的主要治疗方法.
- 在奥卢大学医院为CPAP患者实施了睡眠呼吸暂停数字护理途径 (SA-DCP).
研究的目的:
- 评估医疗保健专业人员 (HCP) 对SA-DCP的看法.
- 评估SA-DCP是否达到其目标:指导会话缩短,患者呼叫减少,CPAP坚持改善.
- 了解患者对SA-DCP有用性的看法.
主要方法:
- 采访了6名医疗保健工作人员.
- 对91名SA-DCP用户和非用户进行调查.
- 从170名患者收集CPAP设备远程监控数据.
- 对2019-2021年注册电话数据的分析.
- 446名患者对SA-DCP的反.
主要成果:
- 卫生工作人员报告说,工作量没有显著改善,但注意到沟通灵活性.
- 使用SA-DCP的患者对治疗前信息的参与度更高 (74%对49%).
- 无论是使用者还是非使用者,CPAP的坚持率都很高;患者的呼叫没有减少.
- 与非用户相比,SA-DCP用户报告了更好的数字素养 (4.2与3.2).
结论:
- 在SA-DCP并没有实现所有预期的目标.
- 尽管使用SA-DCP,但一些患者更喜欢与医疗保健人员进行电话沟通.
- 较低的数字素养和年龄较大是SA-DCP不使用的重要因素.
- 未来的数字护理途径应该考虑数字素养较低的用户群和老年人.
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