虚拟家庭健康心力衰竭计划的评估:混合方法研究研究
Nilufeur McKay1, Rosemary Saunders1, Helene Metcalfe1
1School of Nursing and Midwifery, Edith Cowan University, 270 Joondalup Drive, Joondalup, 6027, Australia, 61 863046116.
JMIR cardio
|July 23, 2025
概括
虚拟家庭健康心力衰竭计划显著改善患者的生活质量,减少心理痛苦. 这些远程监控服务提高了患者的能力,舒适性和平静性,证明了心力衰竭管理的有希望的方法.
科学领域:
- 心血管医学 心血管医学
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
背景情况:
- 心力衰竭 (HF) 是一种普遍的疾病,对患者和医疗保健负担很大.
- 目前的治疗方法在持续的,个性化的支持性护理中留下了空白.
- 虚拟医疗保健服务为慢性疾病管理提供了一个有希望的解决方案.
研究的目的:
- 在虚拟家庭健康心力衰竭计划 (VHHHFP) 中评估临床和行为结果.
- 在VHHHFP中探索患者和医疗保健从业人员 (HCP) 的经验.
- 评估远程监控对心力衰竭管理的影响.
主要方法:
- 一项混合方法研究,涉及患者 (N=49) 和医疗人员 (n=6).
- 通过KCCQ-12,PHQ-4,PAM-13和PREMs收集的定量数据.
- 从患者 (n=9) 和医疗保健专家采访的定性数据进行了主题分析.
主要成果:
- 在KCCQ-12得分 (生活质量,身体限制,症状频率,社会限制) 中显著改善 (P<.001).
- 减少了心理上的痛苦和焦虑 (P<.02).
- 30天内住院率低 (10.2%);患者采访显示提高了能力,舒适和平静.
结论:
- 远程患者监测与跨学科支持相结合,改善了心力衰竭患者的临床结果.
- 在提高患者的能力,舒适和平静方面,VHHHFP表现出成功.
- 这项研究支持技术支持的慢性疾病管理的发展.
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