患者激活通过多组件个性化mHealth干预改善心血管疾病风险较高的老年患者:试点随机对照试验
Dion Candelaria1, Marysol Cacciata2, Reimund Serafica3
1Faculty of Medicine and Health, Susan Wakil School of Nursing and Midwifery, The University of Sydney, D18, Western Avenue, Sydney, NSW 2006, Australia.
European journal of cardiovascular nursing
|January 5, 2025
概括
个性化短信显著改善了心血管疾病风险较高的老年患者的患者激活. 社会支持是这一移动医疗干预成功的关键.
科学领域:
- 老年学是指老年学的学科.
- 心血管疾病研究研究
- 数字健康干预措施 数字健康干预措施
背景情况:
- 面临心血管疾病 (CVD) 风险的老年人往往需要自我照顾的支持.
- 移动健康 (mHealth) 干预措施在改善健康行为方面表现有前途.
- 患者的激活对于有效的慢性疾病自我管理至关重要.
研究的目的:
- 评估多组分的mHealth干预对心血管疾病风险较高的老年患者患者激活的影响.
- 在这个人口群体中确定患者激活的预测因素.
主要方法:
- 一项试点随机对照试验比较了对照组 (获取FIT) 和干预组 (获取FIT+).
- 干预组接受了标准的护理以及个性化的短信.
- 用患者激活度 (PAM) 测量患者激活度,在3个月和6个月测量患者激活度.
主要成果:
- 获得FIT+组在3个月和6个月后PAM分数显著改善 (P <0.05).
- 对照组在PAM得分上没有显著改善.
- 社会支持是患者激活率更高的唯一显著预测因素 (P = 0.015).
结论:
- 通过mHealth进行个性化短信可以提高心血管疾病风险的老年人自我护理.
- 对于老年人群的移动健康干预措施的有效性来说,社会支持是关键因素.
相关概念视频
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A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
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Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
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Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
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Increased pulse rate
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Tachycardia is a condition marked by an abnormally fast or irregular heart rate, surpassing the typical resting rate. In adults, tachycardia is characterized by a pulse rate ranging from 100 to 180 beats per minute. The increased heart rate can result in inadequate blood flow to various body parts, ultimately diminishing the oxygen supply to organs and tissues.
Many factors can elevate the risk of developing tachycardia. These include advanced age, a family history of arrhythmias, and an...
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Exercise and Cardiac Output
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Blood pressure monitoring is a crucial clinical procedure in diagnosing and managing various cardiovascular conditions. Despite its significance, the accuracy of blood pressure measurements can be compromised by multiple factors, potentially leading to either falsely high or low readings. These inaccuracies are critical as they can significantly impact patient care. So, it is vital to understand these challenges deeply and adopt strategic approaches to minimize errors.
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Decreased pulse rate
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Bradycardia is a medical condition in which the heart rate is slower than normal. It occurs when the heart's natural pacemaker, the sinus node, generates slower electrical impulses than the standard rhythm. In adults, bradycardia is diagnosed when the pulse rate falls below 60 beats per minute, indicating a deviation from the normal heart rate range.
There are specific risk factors that can elevate the likelihood of developing bradycardia. Advanced age is a significant factor, with...
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Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
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