了解产后黑人患者的症状自我监测需求:定性采访研究
Natalie Benda1, Sydney Woode2, Stephanie Niño de Rivera1
1School of Nursing, Columbia University, New York, NY, United States.
Journal of medical Internet research
|April 26, 2024
概括
黑人患者需要以患者为中心的移动健康 (mHealth) 工具来监测产后症状. 这些系统应该捕捉体质和心理症状,考虑个体因素,并为寻求护理提供明确,令人放心的指导.
科学领域:
- 围产期健康 围产期健康
- 数字健康数字健康
- 健康差异 在健康上的差异
背景情况:
- 在美国,与怀孕相关的死亡人数正在增加,黑人患者的死亡率更高.
- 现有的与怀孕有关的死亡的医院解决方案由于医疗保健系统中报告的偏见而不足.
- 迫切需要以患者为中心的干预措施,使分娩后的个人能够及时寻求严重症状的护理.
研究的目的:
- 确定移动健康 (mHealth) 患者报告结果和决策支持系统的设计要求.
- 帮助黑人患者确定何时寻求严重产后症状的医疗护理.
- 为其他少数派围产期人口提供潜在应用信息.
主要方法:
- 与36名参与者进行半结构面试,包括产科和心理健康专业人员,以及产后黑人患者.
- 调查了当前的症状监测实践,障碍,促进者和移动健康系统设计需求.
- 通过使用定向内容分析和多个编码器进行主题分析来分析采访成绩单,以确保可靠性.
主要成果:
- 参与者强调了捕捉体质和心理症状的重要性.
- 患者的症状处理和决策受自我认知,经验以及社会文化,金融,环境和卫生系统因素的影响.
- 推的mHealth系统设计包括用户控制,自由和精心措辞的决策支持信息,以传达紧急情况而无需焦虑.
结论:
- 未来的产后症状监测解决方案必须整合体质和心理症状.
- 移动健康干预应提供安全,多样化的互动,以适应个体需求.
- 这些工具可以为患者提供关键信息和资源导航,并间接解决一些社会和财务需求.
关键词:
黑色 黑色 黑色死亡死亡死亡死亡死亡死亡决策支持提供了决策支持.需要设计需要设计需要.民族是民族的 民族是民族的卫生公平性健康公平性需要信息需要需要信息.需要信息,需要信息.移动健康 移动健康 移动健康 移动健康母亲的母亲的母亲.孕产妇死亡率 孕产妇死亡率孕产妇生育 孕产妇生育 孕产妇生育心理健康 心理健康移动健康的移动健康手机电话 手机电话手机电话死亡率 死亡率产科 产科 产科 产科产科 产科 产科 产科患者报告的结果.患者报告的结果.产后的 产后的 产后在分娩后的产后.质量上的影响是有质量的.定性研究是指质量研究.妇女的健康妇女的健康更多相关视频
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