将一款智能手机高频专用应用程序集成到心脏植入式电子设备心力衰竭患者的远程监测中：患者的使用权限、接受度和使用依从性

Integration of a Smartphone HF-Dedicated App in the Remote Monitoring of Heart Failure Patients with Cardiac Implantable Electronic Devices: Patient Access, Acceptance, and Adherence to Use.

作者信息

Ziacchi Matteo, Molon Giulio, Giudici Vittorio, Botto Giovanni Luca, Viscusi Miguel, Brasca Francesco, Santoro Amato, Curcio Antonio, Manzo Michele, Mauro Erminio, Biffi Mauro, Costa Alessandro, Dell'Aquila Andrea, Casale Maria Carla, Boriani Giuseppe

机构信息

Istituto di Cardiologia, IRCCS Azienda Ospedaliero Universitaria di Bologna, Via Massarenti 9, 40138 Bologna, Italy.

IRCCS Sacro Cuore Don Calabria, 37024 Negrar, Italy.

出版信息

J Clin Med. 2023 Aug 25;12(17):5528. doi: 10.3390/jcm12175528.

DOI:10.3390/jcm12175528

PMID:37685593

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10488122/

Abstract

UNLABELLED

(200 w) Introduction. Remote monitoring (RM) of cardiac implantable electronic device (CIED) diagnostics helps to identify patients potentially at risk of worsening heart failure (HF). Additionally, knowledge of patient HF-related symptoms is crucial for decision making. Patient smartphone applications may represent an ideal option to remotely collect this information.

PURPOSE

To assess real-world HF patient access, acceptance, and adherence to use of an HF-dedicated smartphone application (HF app).

METHODS

In this study, 10 Italian hospitals administered a survey on smartphone/app use to HF patients with CIED. The subgroup who accepted it downloaded the HF app. Mean 1-year adherence of the HF app use was evaluated.

RESULTS

A total of 495 patients (67 ± 13 years, 79% males, 26% NYHA III-IV) completed the survey, of which 84% had access to smartphones and 85% were willing to use the HF app. In total, 311/495 (63%) downloaded the HF app. Patients who downloaded the HF app were younger and had higher school qualification. Patients who were ≥60 years old had higher mean 1-year adherence (54.1%) than their younger counterparts (42.7%; < 0.001). Hospitals with RM-dedicated staff had higher mean 1-year patient adherence (64.0% vs. 33.5%; < 0.001). Adherence to HF app decreased from 63.3% (weeks_1-13) to 42.2% (weeks_40-52, < 0.001).

CONCLUSIONS

High access and acceptance of smartphones/apps by HF patients with CIED allow HF app use for RM of patient signs/symptoms. Younger patients with higher school qualifications are more likely to accept HF app; however, older patients have higher long-term adherence.

摘要

未标注

（200字）引言。对心脏植入式电子设备（CIED）诊断结果进行远程监测（RM）有助于识别心力衰竭（HF）病情可能恶化的潜在风险患者。此外，了解患者与HF相关的症状对于决策至关重要。患者智能手机应用程序可能是远程收集此类信息的理想选择。

目的

评估心力衰竭患者对一款HF专用智能手机应用程序（HF应用）的实际使用情况、接受程度和依从性。

方法

在本研究中，10家意大利医院对植入CIED的HF患者进行了关于智能手机/应用使用情况的调查。接受调查的亚组下载了HF应用。评估了HF应用使用的平均1年依从性。

结果

共有495名患者（67±13岁，79%为男性，26%为纽约心脏协会III-IV级）完成了调查，其中84%可以使用智能手机，85%愿意使用HF应用。总共有311/495（63%）下载了HF应用。下载HF应用的患者更年轻且学历更高。60岁及以上患者的平均1年依从性（54.1%）高于年轻患者（42.7%；P<0.001）。配备RM专职人员的医院患者的平均1年依从性更高（64.0%对33.5%；P<0.001）。HF应用的依从性从第1 - 13周的63.3%降至第40 - 52周的42.2%（P<0.001）。