Pangarakis Sarah J, Harrington Kathleen, Lindquist Ruth, Peden-McAlpine Cynthia, Finkelstein Stanley
School of Nursing, University of Minnesota, Minneapolis, Minnesota 55455, USA.
Heart Lung. 2008 Jul-Aug;37(4):299-307. doi: 10.1016/j.hrtlng.2007.07.001.
Lung transplant recipients use a telemedicine device known as the electronic home spirometer to gauge the function of their lungs when they are away from the hospital or clinic setting. Health care providers review transmitted spirometry tests and user's symptom responses to detect early signs of infection and or rejection. Current home spirometry users have questions, concerns, and preferences about spirometry that may influence their daily adherence. A spirometer with two-way electronic messaging has the capability to deliver feedback messages to potentially address these questions and concerns.
The purpose of this study was to identify the type of messaging content users prefer to receive and recognize as positively influencing their spirometry use.
The study design followed a qualitative approach investigating the experiences, perceptions, preferences, and realities of home spirometry. Three focus group sessions were used to generate opinions and interests about automatic messaging content.
The focus group approach revealed the nature of six categories and five subcategories for feedback messaging content. These include education (general, lifestyle, and infection), goals, timing, technique, monitoring, and reminders (time sensitive, positive). Messages were created according to length, feasibility, past experience, and neutrality for electronic implementation.
The narrative content served as the primary source of electronic feedback messages. Actual quotes were used when applicable. It is believed that pertinent automated electronic feedback messages will enhance home spirometry connection, raise confidence in spirometry use, and influence daily adherence to the spirometry protocol. The content also serves as a foundation for establishing a plan of care individualized to each home spirometry user.
肺移植受者使用一种名为电子家用肺活量计的远程医疗设备，在他们离开医院或诊所环境时测量肺部功能。医疗保健提供者会查看传输的肺活量测试结果和用户的症状反应，以检测感染和/或排斥反应的早期迹象。目前的家用肺活量计用户对肺活量计有疑问、担忧和偏好，这些可能会影响他们日常的依从性。具有双向电子信息功能的肺活量计有能力发送反馈信息，以潜在地解决这些问题和担忧。
本研究的目的是确定用户更喜欢接收并认为对其肺活量计使用有积极影响的信息内容类型。
本研究设计采用定性方法，调查家用肺活量计的使用体验、认知、偏好和实际情况。通过三次焦点小组会议来收集关于自动信息内容的意见和兴趣。
焦点小组方法揭示了反馈信息内容的六个类别和五个子类别的性质。这些包括教育（一般、生活方式和感染）、目标、时间安排、技术、监测和提醒（时间敏感、积极）。根据长度、可行性、过往经验和电子实施的中立性来创建信息。
叙述性内容是电子反馈信息的主要来源。适用时使用实际引语。据信，相关的自动电子反馈信息将加强家用肺活量计的联系，提高对肺活量计使用的信心，并影响对肺活量计方案的日常依从性。这些内容也为为每个家用肺活量计用户制定个性化护理计划奠定了基础。
