早期检测较低的长期电子日记记录的坚持:一个检查点,以准季节性过敏性鼻炎的早期教育干预?
S Dramburg1, C J Hernandez Toro1,2, U Grittner2
1Department of Pediatric Respiratory Care, Immunology and Intensive Care Medicine, Charit-Universitätsmedizin Berlin, Berlin, Germany.
概括
使用电子日记的数字症状监测显示,花粉过敏患者的坚持率很高. 早期识别低坚持可以改善长期的患者参与混合护理设置.
科学领域:
- 过敏和免疫学的过敏和免疫学.
- 数字健康数字健康
- 患者报告的结果.
背景情况:
- 通过电子日记进行数字症状监测有助于慢性疾病管理,特别是在诸如花粉过敏等疾病中,有触发引起的恶化.
- 患者消耗仍然是持续使用电子日记在无监督环境中的重大挑战.
研究的目的:
- 评估在混合护理模型中对花粉过敏患者遵守电子日记报告的情况.
- 确定具有不同文化背景的患者之间早期坚持的决定因素和预测因素.
主要方法:
- 一项观察性多中心研究 (@IT.2020) 涉及7个南欧/地中海国家的815名季节性过敏性鼻炎患者 (成人和儿童).
- 数据收集包括通过问卷,皮肤刺伤测试,血清特异性IgE和每日电子日记 (AllergyMonitor,TPS) 记录症状的基线特征.
主要成果:
- 在106天的时间内,平均坚持完成率为75.2%,儿童 (≥10岁) 在没有父母支持的情况下显示73.8%的坚持.
- 确定了两个坚持集群:稳定的"高"和可变的"低". 坚持与疾病严重程度的联系很弱,但不是人口统计学或数字素养.
- 早期坚持 (前3周) 强烈预测了长期坚持,87.6%的最初低坚持的患者仍然如此.
结论:
- 在混合护理环境中,在对花粉过敏的患者中观察到高坚持使用电子日记,独立于年龄和文化背景.
- 早期检测较低粘附度的患者是可行的,可以指导及时干预,以加强持续参与.
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