患有慢性心力衰竭的患者-护理人员二合体中使用mHealth的经验:定性研究
Xiaorong Jin1, Yimei Zhang1, Min Zhou1
1Department of Nursing, The First Affiliated Hospital of Kunming Medical University, Kunming City, China.
Journal of medical Internet research
|October 31, 2024
概括
慢性心力衰竭患者和护理人员使用移动健康 (mHealth) 产生了不同的经验,强调其作为传统护理的补充和用户友好,安全设计的需求. 为了更好的健康结果,鼓励仔细采用.
科学领域:
- 数字健康数字健康
- 心脏病学 心脏病学
- 患者护理 患者护理
背景情况:
- 慢性心力衰竭 (CHF) 管理严重依赖于自我管理.
- 移动健康 (mHealth) 为CHF自我管理提供了新的途径,非正式护理人员发挥着至关重要的作用.
- 现有的关于CHF的mHealth研究主要集中在患者的观点上,忽视了二元体验.
研究的目的:
- 从二分化的角度探索慢性心力衰竭患者及其非正式照顾者的mHealth使用经验.
主要方法:
- 一项描述性的现象学研究,采用二次采访与CHF患者及其非正式护理人员.
- 面对面,半结构面试进行并使用专题分析进行分析.
- 使用NVivo 12软件进行数据管理和分析.
主要成果:
- 出现了四个主要主题:mHealth作为人类互动与创伤,mHealth作为线下护理的补充而不是替代,关于mHealth采用的协议/分歧,以及改善mHealth的建议.
- 参与者报告了积极和消极的经验,强调了mHealth作为参考的实用性以及偶尔需要线下护理的必要性.
- 两党对谁应该主要使用mHealth表达了不同的意见,当患者被指定为唯一的采用者时,出现了冲突.
结论:
- 对于患者和护理人员来说,mHealth在CHF中的使用提供了不同的体验,强调了人为因素和网络安全的重要性.
- 移动健康应该补充,而不是取代传统的线下医疗保健服务.
- 未来的mHealth开发应该优先考虑易用性,特别是对于老年人,并鼓励在护理人员的支持下谨慎采用.
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