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Patient Compliance in Home-Based Self-Care Telehealth Projects.基于家庭的自我护理远程医疗项目中的患者依从性。
J Telemed Telecare. 2015 Dec;21(8):439-42. doi: 10.1177/1357633X15612382.
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Evaluation of a Telehealth Service for COPD and HF patients: Clinical outcome and patients' perceptions.慢性阻塞性肺疾病(COPD)和心力衰竭(HF)患者远程医疗服务的评估:临床结果与患者认知
J Telemed Telecare. 2015 Jul;21(5):292-7. doi: 10.1177/1357633X15574807. Epub 2015 Mar 11.
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A meta-synthesis of behavioral outcomes from telemedicine clinical trials for type 2 diabetes and the Clinical User-Experience Evaluation (CUE).2型糖尿病远程医疗临床试验行为结果与临床用户体验评估(CUE)的元综合分析。
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eHealth Technology Competencies for Health Professionals Working in Home Care to Support Older Adults to Age in Place: Outcomes of a Two-Day Collaborative Workshop.居家护理中支持老年人就地养老的健康专业人员的电子健康技术能力:为期两天的协作研讨会成果
Med 2 0. 2013 Sep 5;2(2):e10. doi: 10.2196/med20.2711. eCollection 2013 Jul-Dec.
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Examining the use of telehealth in community nursing: identifying the factors affecting frontline staff acceptance and telehealth adoption.审视远程医疗在社区护理中的应用:识别影响一线工作人员接受度及远程医疗采用情况的因素。
J Adv Nurs. 2015 Feb;71(2):326-37. doi: 10.1111/jan.12480. Epub 2014 Jul 29.
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Effect of home telemonitoring on glycemic and blood pressure control in primary care clinic patients with diabetes.家庭远程监测对基层医疗诊所糖尿病患者血糖和血压控制的影响。
Telemed J E Health. 2014 Mar;20(3):199-205. doi: 10.1089/tmj.2013.0151. Epub 2014 Jan 3.
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Implementing home blood glucose and blood pressure telemonitoring in primary care practices for patients with diabetes: lessons learned.在基层医疗实践中为糖尿病患者实施家庭血糖和血压远程监测:经验教训
Telemed J E Health. 2014 Mar;20(3):253-60. doi: 10.1089/tmj.2013.0188. Epub 2013 Dec 18.
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Factors affecting frequency of patient use of Internet-based telemedicine to manage cardiovascular disease risk.影响患者使用基于互联网的远程医疗管理心血管疾病风险的频率的因素。
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Effects of self-management health information technology on glycaemic control for patients with diabetes: a meta-analysis of randomized controlled trials.自我管理健康信息技术对糖尿病患者血糖控制的影响:随机对照试验的荟萃分析
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Factors influencing the adoption of home telecare by elderly or chronically ill people: a national survey.影响老年人或慢性病患者采用家庭远程医疗的因素:一项全国性调查。
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“更新健康项目”中患者与医护人员对在线自我管理式健康指导的体验

Patients' and Healthcare Personnel's Experiences of Health Coaching with Online Self-Management in the Renewing Health Project.

作者信息

Lindberg Inger, Lindberg Birgitta, Söderberg Siv

机构信息

Division of Nursing, Department of Health Science, Luleå University of Technology, 971 87 Luleå, Sweden.

Department of Nursing Sciences, Mid Sweden University, 83125 Östersund, Sweden.

出版信息

Int J Telemed Appl. 2017;2017:9306192. doi: 10.1155/2017/9306192. Epub 2017 Dec 31.

DOI:10.1155/2017/9306192
PMID:29463979
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5804397/
Abstract

BACKGROUND

Telehealth applications have shown positive effects for people with chronic conditions and their awareness of health.

OBJECTIVE

To describe patients' and healthcare personnel's experiences of using health coaching with online self-management in primary health care.

METHOD

A pragmatic randomised controlled trial was conducted. Patients in the intervention group measured and reported medical parameters such as blood pressure, blood glucose, prothrombin complex (PK) values, and 2-channel ECG. Data were collected through a questionnaire, individual interviews with patients, and focus group discussions with healthcare personnel. The questionnaire was analysed using statistics; texts from interviews and focus groups were analysed using content analysis.

FINDINGS

Patients were satisfied and believed that the intervention had enhanced their care and increased accessibility without causing concerns about privacy. Although being positive, patients commented the lack of support and feedback from healthcare personnel. Healthcare personnel regarded the intervention valuable for the patients' abilities to perform self-management healthcare tasks but preferred that patients did so without them supporting the patients.

CONCLUSION

Patients expressed satisfaction and acceptance regarding the use of the application. It seems that healthcare personnel are convinced about the benefits for patients and the potential for the intervention but are not convinced about its benefits for healthcare organisations.

摘要

背景

远程医疗应用已对慢性病患者及其健康意识产生了积极影响。

目的

描述患者和医护人员在初级卫生保健中使用在线自我管理进行健康指导的体验。

方法

开展了一项实用随机对照试验。干预组患者测量并报告血压、血糖、凝血酶原复合物(PK)值和双通道心电图等医学参数。通过问卷调查、对患者的个体访谈以及与医护人员的焦点小组讨论收集数据。问卷采用统计学方法进行分析;访谈和焦点小组的文本采用内容分析法进行分析。

结果

患者感到满意,并认为该干预增强了他们的护理,提高了可及性,且未引发对隐私的担忧。尽管持积极态度,但患者提到缺乏医护人员的支持和反馈。医护人员认为该干预对患者进行自我管理医疗任务的能力有价值,但更希望患者在没有他们支持的情况下进行自我管理。

结论

患者对该应用的使用表示满意和接受。医护人员似乎确信该干预对患者有益且有潜力,但不确信其对医疗机构有益。