一个数字门诊服务与一个移动应用程序为定制护理和长期医疗服务需求的成年人的健康素养:多中心非随机对照试验
Heidi Holmen1,2, Are Martin Holm3,4, Ragnhild Sørum Falk5
1Intervention Centre, Division of Technology and Innovation, Oslo University Hospital, Oslo, Norway.
Journal of medical Internet research
|April 28, 2025
概括
六个月后,数字门诊护理在整体健康素养方面没有显著改善. 然而,在三个月后,在特定的健康素养领域和生活质量方面观察到早期改善.
科学领域:
- 数字健康数字健康
- 医疗保健服务研究 医疗服务研究
- 患者参与 患者参与
背景情况:
- 预计长期护理患者将积极参与门诊服务.
- 健康和数字健康素养通常是假定的,但并不总是存在的.
- 数字门诊服务对健康素养的影响尚不清楚.
研究的目的:
- 评估6个月的数字门诊护理干预对健康素养的影响.
- 评估与健康相关的生活质量 (HRQoL),数字/电子健康素养和医疗保健利用情况的变化.
- 为了比较数字门诊护理和常规护理之间的结果.
主要方法:
- 一个多中心非随机试验,涉及162名患者,涉及疼痛,肺部,神经学和癌症部门.
- 干预组接受了数字护理 (患者报告的结果,自我监测,聊天);对照组接受了通常的护理.
- 在基线,3个月和6个月收集的数据;主要结局是特定健康素养领域的变化.
主要成果:
- 6个月后,在初级健康素养结果中没有统计学意义上的差异.
- 在3个月后,在干预组中,在特定的健康素养领域以及身体和精神HRQoL均有所改善.
- 报告称,患者对数字门诊护理干预措施的满意度很高.
结论:
- 数字门诊护理在6个月后没有显著改善整体健康素养.
- 在某些健康素养方面和HRQoL的早期改善表明了潜在的好处.
- 数字干预表明有望提高门诊护理和患者体验.
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