护士辅助远程患者监测对长期疾病患者的自我管理支持-一项定性多方法研究

IF 3.8 3区 医学 Q1 NURSING Journal of Advanced Nursing Pub Date : 2025-01-10 DOI:10.1111/jan.16736
Hege Wathne, Marianne Storm, Ingvild Margreta Morken, Anne Marie Lunde Husebø
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引用次数: 0

摘要

目的探讨患者和护士在参与远程患者监测干预后的数字化自我管理支持体验。设计探索性质的多方法研究。方法研究于2022年1月至2023年2月在挪威两所大学医院进行。通过对17例心力衰竭患者、10例结直肠癌手术患者和8名护士的半结构化访谈获得数据。数据收集还包括从数字平台获得的2024年1月至2月期间患者和护士之间的聊天信息摘录。数据分析采用溯因专题分析。结果分析揭示了三个主题:(1)通过RPM技术提高疾病意识;(2)在自我管理挑战中建立相互协作;(3)促进健康行为改变的持续参与。这些主题反映了患者和护士在接受和提供数字化自我管理支持方面的经验。分析还确定了一个统一的关键主题:“通过远程护理相遇架起技术和自我管理支持的桥梁”,将这三个主题牢固地联系在一起。结论远程监护改变了患者的自我管理习惯和护士的工作流程,对患者和护士都有好处。此外,将技术能力理论应用于护理中的远程患者监测干预可能有助于确保医患关系不会随着技术的进步而减弱。对专业和患者护理的影响远程患者监测干预有可能成为现代医疗保健中的一种有价值的工具,使患者和护士之间能够有效地沟通和协作,同时也确保以患者为中心的护理。然而,远程患者监测干预的未来发展应包括护理支持。影响本研究从患者和护士的角度探讨了远程患者监测和数字化自我管理支持。研究结果可能会对远程护理、患者满意度和改善长期疾病患者数字化随访护理的策略产生影响。报告方法作者通过SRQR报告方法遵循EQUATOR指南。病人或公众捐款:没有病人或公众捐款。
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Nurse‐Assisted Remote Patient Monitoring for Self‐Management Support to Patients With Long‐Term Illness—A Qualitative Multimethod Study
AimTo explore patients and nurses' experiences of digital self‐management support following participation in a remote patient monitoring intervention.DesignAn exploratory qualitative multimethod study.MethodsThe study was conducted at two Norwegian university hospitals between January 2022 and February 2023. Data were obtained through semistructured interviews of 17 patients with heart failure, 10 patients surgically treated for colorectal cancer and eight nurses. The data collection also included excerpts from chat messages between patients and nurses obtained from the digital platform during January and February 2024. Data were analysed using abductive thematic analysis.ResultsThe analysis revealed three themes: (1) raising illness awareness through RPM technology, (2) establishing a mutual collaboration in self‐management challenges and (3) fostering a continued engagement in health behaviour change. The themes captured patients and nurses' experiences of receiving and providing digital self‐management support. The analysis also identified a unifying key theme: ‘bridging technology and self‐management support through remote caring encounters’, which firmly connected the three themes.ConclusionRemote patient monitoring appeared to benefit both patients and nurses by altering patients' self‐management routines and the nurses' workflows. Furthermore, applying the theory of technological competency as caring in nursing to remote patient monitoring interventions may help ensure that the patient–nurse relationship is not weakened as technology advances.Implications for the Profession and Patient CareRemote patient monitoring interventions have the potential to become a valuable tool in modern healthcare, enabling effective communication and collaboration between patients and nurses while also ensuring patient‐centred care. However, future development of remote patient monitoring interventions should include nursing support.ImpactThis study addresses remote patient monitoring and digital self‐management support from the perspectives of both patients and nurses. The findings may have an impact on remote nursing, patient satisfaction and strategies to improve digital follow‐up care for patients with long‐term illnesses.Reporting MethodThe authors adhered to the EQUATOR guidelines through the SRQR reporting method.Patient or Public ContributionNo patient or public contribution.
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来源期刊
CiteScore
6.40
自引率
7.90%
发文量
369
审稿时长
3 months
期刊介绍: The Journal of Advanced Nursing (JAN) contributes to the advancement of evidence-based nursing, midwifery and healthcare by disseminating high quality research and scholarship of contemporary relevance and with potential to advance knowledge for practice, education, management or policy. All JAN papers are required to have a sound scientific, evidential, theoretical or philosophical base and to be critical, questioning and scholarly in approach. As an international journal, JAN promotes diversity of research and scholarship in terms of culture, paradigm and healthcare context. For JAN’s worldwide readership, authors are expected to make clear the wider international relevance of their work and to demonstrate sensitivity to cultural considerations and differences.
期刊最新文献
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