[Development and piloting of nurse-led mHealth care for heart failure patients: A feasibility study].

IF 0.8 4区医学 Q4 NURSING Pflege Pub Date : 2024-10-29 DOI:10.1024/1012-5302/a001019

Laura Rothmann, Madeleine Ritter-Herschbach, Julia Müller, Lena Rosenbusch, Stavroula Lili-Kokkori, Jörn Tongers, Daniel Sedding, Patrick Jahn

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Abstract

Development and piloting of nurse-led mHealth care for heart failure patients: A feasibility study Abstract: Background: Chronic heart failure (cHI) is the most common reason for hospitalization. Telemonitoring (TM) and Heart Failure Nurses (HFN) can detect decompensations and prevent hospitalizations. Aim: The aim was to develop and examine the feasibility of a digitally supported care-guided care model for cHI patients and to evaluate it in terms of adherence, technology usability, satisfaction, self-care and health literacy, disease knowledge, quality of life and health status. Methods: The study was conducted in a user-centered manner using mixed. The 6-month pilot was carried out in the patients' domestics using qualitative (e.g. focus groups) and quantitative methods (validated questionnaires). Results: A total of n = 30 cHI patients (age: M 66, SD 14 years; ♀ n = 10 [31%], ♂ n = 22 [69%]) completed the clinical testing. The intervention consisted of: Training, the TM application, nursing/medical advice and support and a digital library. Adherence to TM was over 80% (relative adherence: M 87, SD 16%; absolute adherence: M 82, SD 19%). Health literacy, disease knowledge and quality of life increased. The state of health improved and those affected felt more confident in dealing with the disease. No changes were recorded for self-care skills. Conclusions: Hybrid care is very well received and demonstrates the potential to promote self-care for those affected.

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[以护士为主导的心力衰竭患者移动医疗护理的开发和试点：可行性研究]。

以护士为主导的心力衰竭患者移动医疗护理的开发与试点：可行性研究摘要：背景：慢性心力衰竭（cHI）是最常见的住院原因。远程监护（TM）和心力衰竭护士（HFN）可检测失代偿情况并预防住院。目的：旨在开发和研究针对心力衰竭患者的数字支持护理指导模式的可行性，并从依从性、技术可用性、满意度、自我护理和健康知识、疾病知识、生活质量和健康状况等方面对其进行评估。研究方法研究以用户为中心，采用混合方式。使用定性方法（如焦点小组）和定量方法（有效问卷）在患者家中进行了为期 6 个月的试点。试验结果共有 n = 30 名 cHI 患者（年龄：男 66 岁，女 14 岁；♀ n = 10 [31%]，♂ n = 22 [69%]）完成了临床测试。干预措施包括培训、TM 应用程序、护理/医疗建议和支持以及数字图书馆。TM的坚持率超过80%（相对坚持率：M 87，SD 16%；绝对坚持率：M 82，SD 19%）。健康素养、疾病知识和生活质量都有所提高。健康状况有所改善，受影响者在应对疾病时更有信心。在自我护理技能方面没有记录到任何变化。结论混合护理深受欢迎，显示出促进患者自我护理的潜力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pflege NURSING-

CiteScore

1.40

自引率

20.00%

发文量

审稿时长

>12 weeks

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