{"title":"移动应用程序对改善腹膜透析成年患者自我管理的影响：随机对照试验。","authors":"Yoon Jung Chae, Hee Sun Kim","doi":"10.1111/jjns.12555","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Aim</h3>\n \n <p>This study aimed to develop a mobile application for improving self-management and to evaluate its effects in adult patients on peritoneal dialysis (PD).</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>This randomized controlled trial was registered with the Korean Clinical Research Information Service Registry (KCT0007267) and conducted at a tertiary hospital. A self-management mobile application (SMA) was developed based on social cognitive theory and the ADDIE (analysis, design, development, implementation, and evaluation) model. The SMA includes information about disease management; self-recording of data on diet, exercise, medication, and health behavior; and healthcare providers' support and feedback. Participants aged 19–65 years were randomly allocated to the intervention group (<i>n</i> = 27) using the SMA for 10 weeks, and the control group (<i>n</i> = 26) receiving usual care. PD-related knowledge and self-efficacy, PD-related health behavior, biomarkers, and health-related quality of life (HRQoL) were surveyed pretest/posttest and analyzed using SPSS 23.0.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Compared to the controls, the intervention group showed significant improvement in PD-related knowledge and health behavior, albumin, and hemoglobin. HRQoL domains of symptoms/problems of kidney disease and disease impact on daily activity were improved in the intervention group.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>The SMA is an effective intervention for enhancing health behaviors as well as improving the HRQoL of patients with PD. Without any limitations on time or location, patients with PD can easily use the SMA to monitor their health conditions, efficiently manage their disease, and perform PD-related behaviors. Nurses can implement high-quality tailored healthcare by using patients’ lifelog data from the SMA.</p>\n </section>\n </div>","PeriodicalId":50265,"journal":{"name":"Japan Journal of Nursing Science","volume":null,"pages":null},"PeriodicalIF":1.7000,"publicationDate":"2023-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Effects of a mobile application on improving self-management of adult patients receiving peritoneal dialysis: A randomized controlled trial\",\"authors\":\"Yoon Jung Chae, Hee Sun Kim\",\"doi\":\"10.1111/jjns.12555\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Aim</h3>\\n \\n <p>This study aimed to develop a mobile application for improving self-management and to evaluate its effects in adult patients on peritoneal dialysis (PD).</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>This randomized controlled trial was registered with the Korean Clinical Research Information Service Registry (KCT0007267) and conducted at a tertiary hospital. 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引用次数: 0
摘要
目的：本研究旨在开发一款用于改善自我管理的移动应用程序，并评估其对腹膜透析（PD）成年患者的影响：这项随机对照试验已在韩国临床研究信息服务注册中心注册（KCT0007267），并在一家三级医院进行。根据社会认知理论和 ADDIE（分析、设计、开发、实施和评估）模型开发了一款自我管理移动应用程序（SMA）。SMA 包括有关疾病管理的信息；饮食、运动、用药和健康行为数据的自我记录；以及医疗服务提供者的支持和反馈。19-65 岁的参与者被随机分配到干预组（n = 27），使用 SMA 10 周，对照组（n = 26）接受常规护理。采用SPSS23.0对干预组进行前测/后测，并对干预组与帕金森病相关的知识和自我效能、与帕金森病相关的健康行为、生物标志物以及与健康相关的生活质量（HRQoL）进行分析：与对照组相比，干预组在帕金森病相关知识和健康行为、白蛋白和血红蛋白方面有显著改善。干预组在肾病症状/问题和疾病对日常活动的影响等 HRQoL 领域均有所改善：结论：SMA 是一种有效的干预措施，可增强帕金森病患者的健康行为并改善其 HRQoL。没有时间或地点的限制，帕金森病患者可以轻松使用 SMA 监测自己的健康状况，有效管理自己的疾病，并实施与帕金森病相关的行为。护士可以利用 SMA 中的患者生命记录数据，实施高质量的定制医疗保健。
Effects of a mobile application on improving self-management of adult patients receiving peritoneal dialysis: A randomized controlled trial
Aim
This study aimed to develop a mobile application for improving self-management and to evaluate its effects in adult patients on peritoneal dialysis (PD).
Methods
This randomized controlled trial was registered with the Korean Clinical Research Information Service Registry (KCT0007267) and conducted at a tertiary hospital. A self-management mobile application (SMA) was developed based on social cognitive theory and the ADDIE (analysis, design, development, implementation, and evaluation) model. The SMA includes information about disease management; self-recording of data on diet, exercise, medication, and health behavior; and healthcare providers' support and feedback. Participants aged 19–65 years were randomly allocated to the intervention group (n = 27) using the SMA for 10 weeks, and the control group (n = 26) receiving usual care. PD-related knowledge and self-efficacy, PD-related health behavior, biomarkers, and health-related quality of life (HRQoL) were surveyed pretest/posttest and analyzed using SPSS 23.0.
Results
Compared to the controls, the intervention group showed significant improvement in PD-related knowledge and health behavior, albumin, and hemoglobin. HRQoL domains of symptoms/problems of kidney disease and disease impact on daily activity were improved in the intervention group.
Conclusion
The SMA is an effective intervention for enhancing health behaviors as well as improving the HRQoL of patients with PD. Without any limitations on time or location, patients with PD can easily use the SMA to monitor their health conditions, efficiently manage their disease, and perform PD-related behaviors. Nurses can implement high-quality tailored healthcare by using patients’ lifelog data from the SMA.
期刊介绍：
The Japan Journal of Nursing Science is the official English language journal of the Japan Academy of Nursing Science. The purpose of the Journal is to provide a mechanism to share knowledge related to improving health care and promoting the development of nursing. The Journal seeks original manuscripts reporting scholarly work on the art and science of nursing. Original articles may be empirical and qualitative studies, review articles, methodological articles, brief reports, case studies and letters to the Editor. Please see Instructions for Authors for detailed authorship qualification requirement.
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