Department of Social Work, School of Health Sciences, Hellenic Mediterranean University, Gianni Kornarou, Estavromenos 1, 71410 Heraklion, Greece.
Laboratory of Interdisciplinary Approaches for the Enhancement of Quality of Life (QoLab), 71410 Heraklion, Greece.
Medicina (Kaunas). 2023 Aug 19;59(8):1493. doi: 10.3390/medicina59081493.
: Older patients' needs are rarely examined beforehand, and thus, although technology-based tools can enhance self-management, acceptability rates are still low. This study aimed to examine and compare self-reported needs, priorities, and preferences of older patients with heart failure (HF), diabetes mellitus type II (DM2), and chronic obstructive pulmonary disease (COPD) toward technology use to enhance self-management. : A convenience sample of 473 participants over 60 s (60.5% females), diagnosed with HF (= 156), DM2 = 164), or COPD = 153) was recruited. They were administered a questionnaire about the usefulness of technology in general and in specific areas of disease management. : Most participants (84.7%) admitted that technology is needed for better disease management. This was equally recognized across the three groups both for the overall and specific areas of disease management (in order of priority: "Information", "Communication with Physicians and Caregivers", and "Quality of Life and Wellbeing"). Sociodemographic differences were found. Cell phones and PCs were the devices of preference. The four common features prioritized by all three groups were related to 'information about disease management' (i.e., monitoring symptoms, reminders for medication intake, management and prevention of complications), whereas the fifth one was related to 'communication with physicians and caregivers (i.e., in case of abnormal or critical signs). The top disease-specific feature was also monitoring systems (of respiratory rate or blood sugar or blood pressure, and oxygen), whereas other disease-specific features followed (i.e., maintaining normal weight for HF patients, adjusting insulin dose for DM2 patients, and training on breathing exercises for COPD patients). : Older individuals in these three groups seem receptive to technology in disease management. mHealth tools, incorporating both common and disease-specific features and addressing different chronic patients, and also being personalized at the same time, could be cost-saving and useful adjuncts in routine clinical care to improve self-management.
: 很少有针对老年患者需求的预先检查，因此，尽管基于技术的工具可以增强自我管理，但接受率仍然很低。本研究旨在检查和比较患有心力衰竭 (HF)、2 型糖尿病 (DM2) 和慢性阻塞性肺疾病 (COPD) 的老年患者对增强自我管理的技术使用的自我报告需求、优先事项和偏好。: 招募了一个方便的 473 名 60 岁以上的参与者样本（60.5%为女性），他们被诊断为 HF（= 156）、DM2（= 164）或 COPD（= 153）。他们接受了一份关于技术在一般和疾病管理特定领域的有用性的问卷。: 大多数参与者（84.7%）承认技术对于更好地管理疾病是必要的。这一点在三组中都得到了同等的认可，无论是在总体疾病管理还是特定疾病管理领域（按优先级顺序排列：“信息”、“与医生和护理人员的沟通”以及“生活质量和幸福感”）。发现了社会人口统计学差异。手机和个人电脑是首选设备。所有三组都优先考虑的四个共同特征与“关于疾病管理的信息”有关（即监测症状、药物摄入提醒、管理和预防并发症），而第五个特征与“与医生和护理人员的沟通”有关（即出现异常或危急迹象时）。三个组都优先考虑的疾病特定特征也是监测系统（呼吸频率或血糖或血压和氧气），而其他疾病特定特征则紧随其后（即 HF 患者保持正常体重、DM2 患者调整胰岛素剂量和 COPD 患者进行呼吸练习训练）。: 这三个组中的老年个体似乎对疾病管理中的技术持接受态度。将通用和疾病特定特征纳入其中并针对不同的慢性患者，同时又能实现个性化的移动健康工具，可能是节省成本且有用的常规临床护理辅助手段，可用于改善自我管理。
