AppCare-HF随机临床试验：一项针对慢性心力衰竭患者的新型自我护理支持移动应用程序的可行性研究。

The AppCare-HF randomized clinical trial: a feasibility study of a novel self-care support mobile app for individuals with chronic heart failure.

作者信息

Yokota Takashi, Fukushima Arata, Tsuchihashi-Makaya Miyuki, Abe Takahiro, Takada Shingo, Furihata Takaaki, Ishimori Naoki, Fujino Takeo, Kinugawa Shintaro, Ohta Masayuki, Kakinoki Shigeo, Yokota Isao, Endoh Akira, Yoshino Masanori, Tsutsui Hiroyuki

机构信息

Department of Cardiovascular Medicine, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Kita-15 Nishi-7, Kita-Ku, Sapporo 060-8638, Japan.

Institute of Health Science Innovation for Medical Care, Hokkaido University Hospital, Kita-14 Nishi-5, Kita-Ku, Sapporo 060-8648, Japan.

出版信息

Eur Heart J Digit Health. 2023 May 10;4(4):325-336. doi: 10.1093/ehjdh/ztad032. eCollection 2023 Aug.

DOI:10.1093/ehjdh/ztad032

PMID:37538146

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10393880/

Abstract

AIMS

We evaluated a self-care intervention with a novel mobile application (app) in chronic heart failure (HF) patients. To facilitate patient-centred care in HF management, we developed a self-care support mobile app to boost HF patients' optimal self-care.

METHODS AND RESULTS

We conducted a multicentre, randomized, controlled study evaluating the feasibility of the self-care support mobile app designed for use by HF patients. The app consists of a self-monitoring assistant, education, and automated alerts of possible worsening HF. The intervention group received a tablet personal computer (PC) with the self-care support app installed, and the control group received a HF diary. All patients performed self-monitoring at home for 2 months. Their self-care behaviours were evaluated by the European Heart Failure Self-Care Behaviour Scale. We enrolled 24 outpatients with chronic HF (ages 31-78 years; 6 women, 18 men) who had a history of HF hospitalization. During the 2 month study period, the intervention group ( = 13) showed excellent adherence to the self-monitoring of each vital sign, with a median [interquartile range (IQR)] ratio of self-monitoring adherence for blood pressure, body weight, and body temperature at 100% (92-100%) and for oxygen saturation at 100% (91-100%). At 2 months, the intervention group's self-care behaviour score was significantly improved compared with the control group ( = 11) [median (IQR): 16 (16-22) vs. 28 (20-36), = 0.02], but the HF Knowledge Scale, the General Self-Efficacy Scale, and the Short Form-8 Health Survey scores did not differ between the groups.

CONCLUSION

The novel mobile app for HF is feasible.

摘要

目的

我们评估了一款新型移动应用程序（应用）对慢性心力衰竭（HF）患者的自我护理干预措施。为了在HF管理中促进以患者为中心的护理，我们开发了一款自我护理支持移动应用程序，以促进HF患者的最佳自我护理。

方法和结果

我们进行了一项多中心、随机对照研究，评估为HF患者设计的自我护理支持移动应用程序的可行性。该应用程序包括一个自我监测助手、教育内容以及HF可能恶化的自动警报。干预组收到一台安装了自我护理支持应用程序的平板电脑个人计算机（PC），对照组收到一本HF日记。所有患者在家中进行了2个月的自我监测。他们的自我护理行为通过欧洲心力衰竭自我护理行为量表进行评估。我们招募了24名有HF住院史的慢性HF门诊患者（年龄31 - 78岁；6名女性，18名男性）。在2个月的研究期间，干预组（n = 13）对各项生命体征的自我监测依从性极佳，血压、体重和体温的自我监测依从性中位数[四分位间距（IQR）]比率为100%（92 - 100%），血氧饱和度为100%（91 - 100%）。在2个月时，干预组的自我护理行为得分与对照组（n = 11）相比有显著改善[中位数（IQR）：16（16 - 22）对28（20 - 36），P = 0.02]，但两组之间的HF知识量表、一般自我效能量表和简短健康调查问卷-8得分没有差异。