高血压远程患者监测计划中的患者经验:一种定性研究
Fion Chu1, Allison Stark2,3, Andrew Telzak4,5
1Albert Einstein College of Medicine, Bronx, USA.
American journal of hypertension
|July 1, 2024
概括
对于高血压 (HTN) 的远程患者监测 (RPM) 是可以接受和适当的. 解决工作冲突和远程医疗通信方法等障碍,可以改善患者参与RPM-HTN计划.
科学领域:
- 实施科学 实施科学
- 数字健康数字健康
- 心血管健康 心血管健康
背景情况:
- 建议在高血压 (HTN) 管理中使用远程患者监测 (RPM) 与室外血压 (BP) 测量,远程医疗和以团队为基础的护理.
- 本研究侧重于参与者在普遍存在健康差异的初级保健环境中对HTN的RPM (RPM-HTN) 的经验.
研究的目的:
- 评估参与者对RPM-HTN的经验.
- 确定在初级保健群体中实施RPM-HTN的障碍和促进者.
- 了解影响RPM-HTN采用,可接受性,适当性和可行性的因素.
主要方法:
- 使用与14名参与者进行半结构面试进行的定性实施研究.
- 根据高和低参与度 (每月BP读数) 招募了参与者.
- 用描述性统计和快速定性分析来确定实施因素.
主要成果:
- 医生的建议和对BP管理支持的愿望促进了参与.
- 工作冲突和遗忘是参与活动的障碍.
- 参与者重视护士/药剂师的电话,团队关系,改善HTN的理解,以及远程监控的便利性.
结论:
- RPM-HTN被认为是可以接受和适当的,强调其基于团队和远程护理的方法.
- 可行的策略可以克服RPM-HTN实施的可行性障碍.
- RPM政策应解决BP测量量和远程医疗通信等障碍,以提高参与度.
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