Tsai Yi-Chun, Hsiao Pei-Ni, Kuo Mei-Chuan, Wang Shu-Li, Chen Tzu-Hui, Kung Lan-Fang, Hsiao Shih-Ming, Lin Ming-Yen, Hwang Shang-Jyh, Chen Hung-Chun, Chiu Yi-Wen
Department of Nephrology, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung 807, Taiwan.
School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 807, Taiwan.
J Pers Med. 2021 Aug 27;11(9):845. doi: 10.3390/jpm11090845.
Mobile health (mHealth) management is an emerging strategy of care for patients with chronic diseases. However, the effect of mHealth management on clinical outcomes of patients with chronic kidney disease (CKD) has not been well-studied. The aim of this study was to investigate the additional influence of mHealth on disease knowledge and self-care behavior in CKD patients who had received traditional education. We designed and developed a new healthcare mobile application, called iCKD, which has several major features, including home-based physiological signal monitoring, disease health education, nutrition analysis, medication reminder, and alarms and a warning system. Trained nurses interviewed patients with CKD using structured questionnaires of disease knowledge and self-care behavior. After propensity score matching, we analyzed 107 patients who used iCKD and traditional education, and 107 who received traditional education. The patients who used iCKD had higher disease knowledge scores than those who received traditional education. In multivariate analysis, iCKD was significantly and positively associated with disease knowledge scores. Patients with high education levels could have greater disease knowledge through using mHealth. There was no significant difference in total scores of self-care behavior between the two groups. In conclusion, mHealth can significantly increase disease knowledge in patients with CKD.
移动健康（mHealth）管理是一种针对慢性病患者的新兴护理策略。然而，mHealth管理对慢性肾脏病（CKD）患者临床结局的影响尚未得到充分研究。本研究的目的是调查mHealth对接受过传统教育的CKD患者疾病知识和自我护理行为的额外影响。我们设计并开发了一款名为iCKD的新型医疗移动应用程序，它具有几个主要功能，包括居家生理信号监测、疾病健康教育、营养分析、用药提醒以及警报和预警系统。经过培训的护士使用疾病知识和自我护理行为的结构化问卷对CKD患者进行访谈。在倾向得分匹配后，我们分析了107名使用iCKD和接受传统教育的患者，以及107名接受传统教育的患者。使用iCKD的患者的疾病知识得分高于接受传统教育的患者。在多变量分析中，iCKD与疾病知识得分显著正相关。高学历患者通过使用移动健康可以获得更多的疾病知识。两组自我护理行为的总分没有显著差异。总之，移动健康可以显著提高CKD患者的疾病知识。
