了解心力衰竭患者对 CardioMEMS 肺动脉压监测系统的依从性：一项定性研究。
Understanding adherence to the CardioMEMS pulmonary artery pressure monitoring system for heart failure: A qualitative study.
机构信息
Department of Pediatrics, University of California Davis, 4610 X Street, Sacramento, CA, 95817, United States.
Department of Emergency Medicine, University of California Davis, 2315 Stockton Blvd, Sacramento, CA 95817, United States.
出版信息
Heart Lung. 2020 May-Jun;49(3):251-258. doi: 10.1016/j.hrtlng.2020.01.011. Epub 2020 Feb 20.
BACKGROUND
The CardioMEMS HF system is a remote monitoring device that allows patients to transmit pulmonary artery pressure readings to providers, who are alerted when pressures increase above the patient's normal threshold.
OBJECTIVES
The purpose of this study was to gain a better understanding of patient adherence to the CardioMEMS system and to compare patients' self-reported use of the system with actual adherence.
METHODS
We conducted semi-structured interviews with patients who had a CardioMEMS device. Transcripts were analyzed using a combination of structural and process coding.
RESULTS
Patients engaged with the CardioMEMS system in a reciprocal manner, continually learning from the feedback provided by the system. Self-concept influenced the way that patients adhere.
CONCLUSIONS
Patients experience many benefits of the CardioMEMS system; however, it is not clear that these perceived or real benefits affect how a person adheres. Rather, our findings suggest that a person's self-concept may be a better predictor of adherence to telemonitoring systems.
背景
CardioMEMS HF 系统是一种远程监测设备，可使患者将肺动脉压力读数传输给医护人员，当压力超过患者的正常阈值时，医护人员会收到警报。
目的
本研究旨在更好地了解患者对 CardioMEMS 系统的依从性，并将患者对系统的自我报告使用情况与实际依从性进行比较。
方法
我们对使用 CardioMEMS 设备的患者进行了半结构化访谈。使用结构和过程编码相结合的方法对转录本进行了分析。
结果
患者以相互的方式与 CardioMEMS 系统互动，不断从系统提供的反馈中学习。自我概念影响了患者的依从方式。
结论
患者体验到了 CardioMEMS 系统的许多好处；然而，尚不清楚这些感知或实际的好处是否会影响一个人的依从性。相反，我们的研究结果表明，一个人的自我概念可能是预测对远程监测系统依从性的更好指标。
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