Department of Public Health Sciences, Penn State College of Medicine, USA.
College of Nursing, University of South Florida, USA.
Health Informatics J. 2019 Jun;25(2):292-303. doi: 10.1177/1460458217704247. Epub 2017 May 14.
The Penn State Heart Assistant, a web-based, tablet computer-accessed, secure application was developed to conduct a proof of concept test, targeting patient self-care activities of heart failure patients including daily medication adherence, weight monitoring, and aerobic activity. Patients (n = 12) used the tablet computer-accessed program for 30 days-recording their information and viewing a short educational video. Linear random coefficient models assessed the relationship between weight and time and exercise and time. Good medication adherence (66% reporting taking 75% of prescribed medications) was reported. Group compliance over 30 days for weight and exercise was 84 percent. No persistent weight gain over 30 days, and some indication of weight loss (slope of weight vs time was negative (-0.17; p value = 0.002)), as well as increased exercise (slope of exercise vs time was positive (0.08; p value = 0.04)) was observed. This study suggests that mobile technology is feasible, acceptable, and has potential for cost-effective opportunities to manage heart failure patients safely at home.
宾夕法尼亚州立大学心脏助手是一种基于网络的、可通过平板电脑访问的安全应用程序，旨在进行概念验证测试，针对心力衰竭患者的自我护理活动，包括每日用药依从性、体重监测和有氧运动。患者（n=12）使用平板电脑访问该程序 30 天，记录他们的信息并观看简短的教育视频。线性随机系数模型评估了体重与时间以及运动与时间之间的关系。报告显示，患者的药物依从性良好（66%的患者报告服用了 75%的规定药物）。30 天内体重和运动的组依从率为 84%。在 30 天内没有持续的体重增加，并且有一些体重减轻的迹象（体重与时间的斜率为负（-0.17；p 值=0.002）），以及运动增加（运动与时间的斜率为正（0.08；p 值=0.04））。这项研究表明，移动技术是可行的、可接受的，并且具有潜在的成本效益机会，可以安全地在家中管理心力衰竭患者。
