在南卡罗来纳州农村和医疗不足的环境中进行COPD诊断和管理的远程螺旋测量,教育和行动:观察性可行性研究的协议
Sarah N Miller1, Susan McCabe1, Emily Morgan1
1College of Nursing, Medical University of South Carolina, Charleston, South Carolina, USA.
Journal of evaluation in clinical practice
|February 13, 2025
概括
移动健康 (mHealth) 使用远程螺旋计可以改善农村慢性阻塞性肺病 (COPD) 患者获得护理的机会. 本研究评估了这种技术的可行性和可接受性,以便在服务不足的地区更好地管理COPD.
科学领域:
- 数字健康与远程医疗
- 呼吸系统医学 呼吸系统医学
- 健康差异 在健康上的差异
背景情况:
- 农村和医疗服务不足的地区 (MUA) 对慢性阻塞性肺部疾病 (COPD) 患者的专业肺部护理构成重大障碍.
- 对肺病学家,精神测量和肺部康复治疗的限制加剧了这些人群中的健康差异.
- 远程螺旋测量提供了一个潜在的解决方案,以减轻接入障碍,提高COPD管理.
研究的目的:
- 为了评估移动健康 (mHealth) 干预措施的可接受性和可行性,在南卡罗来纳州农村地区的COPD患者使用蓝牙启用远程螺旋计.
- 探索远程监测和远程医疗教育对COPD症状,呼吸障碍和整体疾病管理的好处.
- 为扩大获取和改善共享决策在诊断和管理服务不足的COPD患者的策略提供信息.
主要方法:
- 这是一项两阶段前性观察性研究,涉及医疗保健提供者和120名成年COPD患者.
- 阶段1:与医疗保健提供者聚焦小组,以确定远程螺旋测量实施的障碍和促进者.
- 第二阶段:招募COPD患者,培训mHealth和远程螺旋计的使用,在基线,1,3和6个月收集数据,并进行退出调查. 患者采访将探讨他们的偏好和障碍.
主要成果:
- 通过使用研究结束问卷和重复测量来估计二次结果措施的变异性来评估可行性.
- 通过半结构化的关键信息人采访,将探索可接受性和患者偏好.
- 该研究旨在提供关于远程监测对症状报告和疾病管理的潜在好处的数据.
结论:
- 采用蓝牙启用远程螺旋计的mHealth干预措施显示了增加医疗保健准入和改善服务不足的COPD人群的结果的希望.
- 这项研究将为移动健康和远程监测策略的可接受性和可行性提供关键的见解.
- 结果将支持开发基于证据的方法来管理COPD在资源有限的环境中.
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