Lindberg Inger, Lindberg Birgitta, Söderberg Siv
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.
Int J Telemed Appl. 2017;2017:9306192. doi: 10.1155/2017/9306192. Epub 2017 Dec 31.
Telehealth applications have shown positive effects for people with chronic conditions and their awareness of health.
To describe patients' and healthcare personnel's experiences of using health coaching with online self-management in primary health care.
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.
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.
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.
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。
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。
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。
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。
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。