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[基于移动应用程序的远程监测平台在改善慢性心力衰竭患者自我护理中的应用]

[The use of platform for remote monitoring on the base of mobile app for improving self-care in patients with chronic heart failure].

作者信息

Grebennikova A A, Stoliarov A Y, Lopatin Y M

机构信息

Federal State Budgetary Educational Institution of Higher Education "Volgograd State Medical University" of the Ministry of Health of the Russian Federation.

Volgograd State University.

出版信息

Kardiologiia. 2017 Apr;57(S4):11-18. doi: 10.18087/cardio.2413.

Abstract

AIM

To determine a possibility for improving the capability of patients with chronic heart failure (CHF) for self-care and self-control using a remote monitoring platform on a basis of mobile application.

MATERIALS AND METHODS

The study included 142 patients with CHF of different etiology. During the stay in hospital, patients attended structured classes on different aspects of self-control and self-care in CHF. The group of active management consisted of 47 patients who subsequently used a version of mobile application. The control group consisted of 95 patients with CHF. The remote monitoring platform was based on a translated to Russian version of the European Heart Failure Self-Care Behavior Scale (EHFScBS_9), which included 9 items addressing different issues of selfcontrol. Responses were presented as a scale ranging from "completely agree" (1) to "completely disagree (5). The total score was calculated by adding scores for each item. The lower the score the better was the capability of CHF patients for self-care. The followup duration was 6 months.

RESULTS

On admission, the mean EHFScBS_9 score decreased to 15±2.3 in the mobile application group whereas in the control group, the mean score was 23.95±3.02, which indicated a significantly better capability for self-care in the mobile application group (p.

摘要

目的

基于移动应用程序确定使用远程监测平台提高慢性心力衰竭(CHF)患者自我护理和自我控制能力的可能性。

材料与方法

该研究纳入了142例不同病因的CHF患者。住院期间,患者参加了关于CHF自我控制和自我护理不同方面的结构化课程。积极管理组由47例随后使用移动应用程序版本的患者组成。对照组由95例CHF患者组成。远程监测平台基于翻译成俄语版的欧洲心力衰竭自我护理行为量表(EHFScBS_9),该量表包括9个涉及自我控制不同问题的项目。回答以从“完全同意”(1)到“完全不同意”(5)的量表形式呈现。总分通过将每个项目的得分相加来计算。得分越低,CHF患者的自我护理能力越好。随访时间为6个月。

结果

入院时,移动应用程序组的平均EHFScBS_9评分为15±2.3,而对照组的平均评分为23.95±3.02,这表明移动应用程序组的自我护理能力明显更好(p.

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