技术增强型慢性心脏疾病患者的实践：家庭实施与评估。
Technology-enhanced practice for patients with chronic cardiac disease: home implementation and evaluation.
机构信息
University of Wisconsin Madison School of Nursing, Madison, Wisconsin 53792, USA.
出版信息
Heart Lung. 2010 Nov-Dec;39(6 Suppl):S34-46. doi: 10.1016/j.hrtlng.2010.09.003.
OBJECTIVE
This 3-year field experiment engaged 60 nurses and 282 patients in the design and evaluation of an innovative home-care nursing model, referred to as technology-enhanced practice (TEP).
METHODS
Nurses using TEP augmented the usual care with a web-based resource (HeartCareII) that provided patients with self-management information, self-monitoring tools, and messaging services.
RESULTS
Patients exposed to TEP demonstrated better quality of life and self-management of chronic heart disease during the first 4 weeks, and were no more likely than patients in usual care to make unplanned visits to a clinician or hospital. Both groups demonstrated the same long-term symptom management and achievements in health status.
CONCLUSION
This project provides new evidence that the purposeful creation of patient-tailored web resources within a hospital portal is possible; that nurses have difficulty with modifying their practice routines, even with a highly-tailored web resource; and that the benefits of this intervention are more discernable in the early postdischarge stages of care.
目的
这项为期 3 年的现场试验让 60 名护士和 282 名患者参与了创新的家庭护理模式的设计和评估，该模式称为技术增强实践（TEP）。
方法
使用 TEP 的护士通过一个基于网络的资源（HeartCareII）增强了常规护理，该资源为患者提供了自我管理信息、自我监测工具和消息服务。
结果
接受 TEP 的患者在最初的 4 周内表现出更好的生活质量和慢性心脏病的自我管理，与常规护理的患者相比，他们不太可能计划去看医生或住院。两组在长期症状管理和健康状况方面都取得了相同的成就。
结论
该项目提供了新的证据，证明在医院门户内有针对性地创建针对患者的定制网络资源是可能的；护士即使使用高度定制的网络资源，也很难改变他们的实践常规；这种干预的好处在护理的出院后早期阶段更为明显。
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