如何以及为什么远程医疗干预可以改善心力衰竭患者脆弱群体的自我护理:范围审查和快速现实主义综合
Saleema Allana1, Colleen Norris2, Armish Hussain3
1Faculty of Health Sciences, School of Nursing, Western University, 1151 Richmond St, London, ON, Canada, 1 780-935-2820.
JMIR human factors
|February 23, 2026
概括
对心力衰竭 (HF) 的远程医疗干预需要对弱势患者进行简化. 让家人参与并提供量身定制的培训是改善自我护理和减少HF老年人再入院的关键.
科学领域:
- 老年学是一门学科.
- 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) 对加拿大的老年人产生重大影响,导致生活质量下降和频繁住院治疗.
- 远程医疗干预旨在通过改善自我护理和减少再接收来加强HF疾病管理.
- 弱势群体在获得和使用高频远程医疗服务方面面临着持续的差异.
研究的目的:
- 为弱势患者群体进行高频远程医疗干预的范围审查和快速现实合成.
- 以批判现实主义和交叉性理论为指导,探索影响HF远程医疗对边缘化群体有效性的机制和背景.
主要方法:
- 采用快速现实主义的综合方法来分析现有文献.
- 综合研究的重点是确定有助于或阻碍HF远程医疗干预对弱势患者的成功的因素.
主要成果:
- 弱势患者受益于简化远程医疗干预和培训,以提高对使用远程监控服务的信心.
- 让家庭成员参与远程医疗干预的交付对于成功的结果至关重要.
- 干预措施应该简单,个性化,并包含面对面的组成部分和患者和医疗保健专业人员的培训.
结论:
- 未来对弱势群体的研究应该在整个研究过程中整合批判现实主义和交叉性原则.
- 医疗保健从业人员被敦促在临床实践中采用交叉性和健康公平原则来管理HF.
- 有效的高频远程医疗战略需要个性化,家庭参与,适当的培训和远程监控数据的整合.
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