一个应用程序平台为间歇性肺部疾病的门诊患者提供协作性息护理干预:试点随机试验
Jessie Gu1, Peijin Wang2, Shein-Chung Chow2
1Department of Medicine, Division of Pulmonary and Critical Care Medicine, Duke University Medical Center, Durham, NC, USA.
The American journal of hospice & palliative care
|August 19, 2024
概括
一个移动应用程序显示了在间歇性肺病 (ILD) 中门诊息护理的可行性. 虽然症状得分没有变化,但更多使用该应用程序的患者更新了预先指令和代码状态.
科学领域:
- 肺部病理学 肺部病理学
- 抚慰性护理是一种缓解性护理.
- 数字健康数字健康
背景情况:
- 间歇性肺病 (ILD) 的门诊患者往往有严重的症状,但获得息治疗的机会有限.
- 提前护理规划和息护理讨论对于管理严重疾病至关重要.
- 移动健康应用程序有可能改善患者参与护理.
研究的目的:
- 评估移动应用程序 (PCplanner) 的可行性和临床影响,以提供息护理原则给ILD的门诊患者.
- 评估应用程序对患者报告的需求和预先计划护理行为的影响.
主要方法:
- 一项试点随机对照试验与成年ILD门诊患者进行.
- 参与者被随机分配,接受标准护理或通过PCplanner移动应用程序增强护理.
- 结果包括可行性指标 (随机化,保留),生命终端查工具 (NEST) 评分的需求变化,以及事先护理规划讨论/转诊的频率.
主要成果:
- 随机化 (82.1%) 和保留 (84.8%) 的可行性基准得到了满足.
- 在干预组和对照组 (P = 0.481) 之间,在初级结局 (从基线到3个月的NEST得分的变化) 中没有发现显著差异.
- 与对照组相比,干预组的患者更有可能更新预先指示和代码状态.
结论:
- PCplanner移动应用程序可用于门诊ILD环境.
- 虽然没有显著影响自我报告的症状负担,但该应用程序促进了事先的护理规划文件.
- 移动卫生干预措施有望提高慢性肺部疾病的息护理参与度.
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