以患者为中心的移动健康干预,改善慢性心力衰竭患者的自我护理:第一期随机对照试验
Spyros Kitsiou1, Ben S Gerber2, Susan W Buchholz3
1University of Illinois Chicago, Chicago, IL, United States.
Journal of medical Internet research
|January 15, 2025
概括
移动医疗干预iCardia4HF在改善心力衰竭 (HF) 自理方面表现有希望,在试点研究中证明了可行性,可接受性和安全性. 需要进一步的研究来证实其在治疗HF患者中的有效性.
科学领域:
- 心脏病学 心脏病学
- 数字健康数字健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 心力衰竭 (HF) 是美国再入院的主要原因,通常与患者自我护理不足有关.
- 商业移动健康 (mHealth) 技术为增强高频自我护理提供了潜在的解决方案,但它们的有效性需要进一步研究.
研究的目的:
- 评估以患者为中心的iCardia4HF移动健康干预的可行性,可接受性,安全性和初步疗效.
- iCardia4HF集成了三个消费者mHealth应用程序/设备与定制的短信信息,以改善HF自我护理.
主要方法:
- 一个第一阶段随机对照试验,涉及患有C阶段HF (NYHAI-III类,年龄≥40) 的患者.
- 参与者被随机分配到iCardia4HF加常规护理或仅常规护理8周.
- 结果包括可行性 (招聘,保留),初级疗效 (通过SCHFI获得HF自我护理得分),以及次要结果 (行为,健康状况,坚持).
主要成果:
- 观察到高参与者保留率 (>80%) 和坚持每日自我监测.
- 与对照组相比,iCardia4HF组在HF自我护理子级分数中显示出有利的趋势.
- 在自我效能 (d=0.68),药物坚持和自我监测行为方面,注意到了显著的改善.
结论:
- 发现iCardia4HF干预是可行的,可以接受的,对于患有高血压的患者来说是安全的.
- 建议进行一项更大,更长期的试验,以确定iCardia4HF在改善HF自我护理方面的有效性.
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