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患者在前列腺癌手术后使用电子健康工具进行自我管理支持的体验:通过 FITT 框架解释的演绎访谈研究。

Patients' experiences of using an e-Health tool for self-management support after prostate cancer surgery: a deductive interview study explained through the FITT framework.

机构信息

eHealth Institute, Linnaeus University, Kalmar, Sweden.

Health and Caring Sciences, Linnaeus University, Kalmar, Sweden.

出版信息

BMJ Open. 2020 Jun 29;10(6):e035024. doi: 10.1136/bmjopen-2019-035024.

Abstract

OBJECTIVE

To evaluate patients' experiences of using a web-based application, especially its usability as support for self-care activities after prostate cancer surgery.

DESIGN

A deductive content analysis was used, stemming from the Fit between Individuals, Task and Technology (FITT) framework.

SETTING

One surgical department in south of Sweden between October 2015 and April 2016 and between September 2017 and July 2018.

PARTICIPANTS

Fifteen men who had undergone radical prostatectomy for prostate cancer.

RESULTS

By organising data in accordance with the FITT model, three main categories with ten subcategories were identified. Patients gave feedback on functions that suited them and their needs, as well as potential adjustments and improvements. Patients experienced that ePATH gave them easy access to reliable information regarding their rehabilitation. Directed information about ePATH at enrolment was seen as important. ePATH was perceived to have a logical structure that was easy to follow. However, when the structure was unclear, patients became less motivated to use a function.

CONCLUSIONS

Patients experienced ePATH as satisfactorily user-friendly and useful as a complementary self-management support after prostate cancer surgery, especially when the information and tasks were tailored to their preferences and the system design features supported individual autonomy.

摘要

目的

评估患者使用基于网络的应用程序的体验,尤其是该应用程序作为前列腺癌手术后自我护理活动支持的可用性。

设计

使用源自个体、任务和技术适配性(FITT)框架的演绎内容分析法。

设置

2015 年 10 月至 2016 年 4 月和 2017 年 9 月至 2018 年 7 月期间,瑞典南部的一个外科部门。

参与者

15 名接受根治性前列腺切除术治疗前列腺癌的男性。

结果

通过按照 FITT 模型组织数据,确定了三个主要类别和十个子类别。患者对适合他们及其需求的功能以及潜在的调整和改进提供了反馈。患者体验到 ePATH 使他们能够轻松访问有关康复的可靠信息。在入组时针对 ePATH 提供定向信息被认为很重要。ePATH 被认为具有易于遵循的逻辑结构。然而,当结构不清晰时,患者使用功能的积极性会降低。

结论

患者体验到 ePATH 作为前列腺癌手术后自我管理支持的补充是令人满意的、用户友好的和有用的,尤其是当信息和任务符合他们的偏好,并且系统设计功能支持个体自主性时。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc5d/7328745/120562ff7d9c/bmjopen-2019-035024f01.jpg

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