在心肌梗塞后使用远程治疗的患者的坚持模式:混合方法
Sara M Hondmann1,2, Laura Schrauwen1, Thomas Reijnders2
1Health, Medical and Neuropsychology Unit, Institute of Psychology, Leiden University, Wassenaarseweg 52, Leiden, 2333 AK, The Netherlands, 31 71 527 27 27.
JMIR cardio
|August 26, 2025
概括
在心血管保健中开发远程患者管理 (RPM) 的患者角色可以提高患者的坚持. 从使用数据和采访中得出的四个不同人物突出了影响智能手机健康监测设备 (SHMD) 的因素.
科学领域:
- 心血管医学
- 数字健康
- 卫生信息学
背景情况:
- 使用智能手机支持的健康监测设备 (SHMD) 的远程患者管理 (RPM) 对心血管保健至关重要.
- 患者对RPM的坚持是高度可变的,影响治疗的有效性.
- 人物可以帮助调整干预措施以提高患者参与度和结果.
研究的目的:
- 为心肌梗塞 (MI) 患者开发数据驱动型人格.
- 了解在心血管保健中使用SHMD的坚持模式和经验.
- 提供个性化的电子健康干预措施,
主要方法:
- 混合方法设计结合了定量SHMD使用数据 (N=261) 和定性半结构面试 (N=16).
- 在一年内分析血压,体重和步数数据.
- 使用模式的集群分析和患者采访的专题分析.
主要成果:
- 患者的性格有四种:刚刚开始,暂时坚持,忠诚地坚持,疏忽地放弃.
- 较高的粘附模式与更好的血压控制相关.
- 患者采访提供了对每个人的坚持影响因素的见解.
结论:
- 四个人物捕捉了心脏病患者远程治疗的多样性.
- 坚持使用模式与改善血压和步数等健康结果有关.
- 这些数据驱动的人物可以指导开发更有效,个性化的电子卫生干预措施,
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