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使用基于网络的应用程序促进心脏康复后的患者自我管理:一项试点研究。

Promoting patient self-management following cardiac rehabilitation using a web-based application: A pilot study.

作者信息

Stamm-Balderjahn Sabine, Bernert Sebastian, Rossek Susanne

机构信息

Institute of Medical Sociology and Rehabilitation Science, Charité - Universitätsmedizin Berlin, Berlin, Germany.

出版信息

Digit Health. 2023 Nov 8;9:20552076231211546. doi: 10.1177/20552076231211546. eCollection 2023 Jan-Dec.

DOI:10.1177/20552076231211546
PMID:37954686
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10637162/
Abstract

BACKGROUND

The use of health-related mobile apps has become an important component of healthcare. Patients can use a range of tools to strengthen their health literacy and promote disease management. The aim of the project was to develop a web-based application for use on smartphones, tablets and computers for patients with cardiovascular diseases (cardio-app).

METHODS

A semi-standardized written survey was conducted among rehabilitation patients with cardiovascular diseases ( = 158). The usability of the cardio-app was assessed using the System Usability Scale (SUS). The usage behaviour was conducted with a self-developed questionnaire.

RESULTS

The study enrolled 158 eligible rehabilitation patients. The SUS of the cardio-app determined was 74.4 (SD ± 17.4). For 86%, the menu navigation was self-explanatory and logical. The visual presentation appealed to 92% of respondents. The content of the texts used in the app was understandable for 95%, and 93% found the technical terms used in the glossary well explained. For 57%, the app was helpful in planning their physical activities. 83% of the rehabilitation patients would recommend the app to others. The main criticisms of the app were the lack of synchronization options with other apps. Of those who did not use the app, the following reasons for non-use were most frequently cited: too much effort (43%), lack of time (29%) and pandemic-related reasons (29%).

CONCLUSIONS

The cardio-app revealed high agreement values. Whether the use of the app is associated with improved clinical state and outcome would have to be verified in further studies.

摘要

背景

使用与健康相关的移动应用程序已成为医疗保健的重要组成部分。患者可以使用一系列工具来增强其健康素养并促进疾病管理。该项目的目的是开发一款基于网络的应用程序,供心血管疾病患者在智能手机、平板电脑和计算机上使用(心血管应用程序)。

方法

对患有心血管疾病的康复患者(n = 158)进行了半标准化书面调查。使用系统可用性量表(SUS)评估心血管应用程序的可用性。使用自行开发的问卷来研究使用行为。

结果

该研究纳入了158名符合条件的康复患者。所确定的心血管应用程序的SUS为74.4(标准差±17.4)。对于86%的人来说,菜单导航一目了然且合乎逻辑。视觉呈现吸引了92%的受访者。应用程序中使用的文本内容95%的人能够理解,93%的人认为词汇表中使用的技术术语解释得很好。对于57%的人来说,该应用程序有助于规划他们的体育活动。83%的康复患者会向他人推荐该应用程序。对该应用程序的主要批评是缺乏与其他应用程序的同步选项。在那些未使用该应用程序的人中,最常提到的不使用原因如下:太费力(43%)、缺乏时间(29%)和与大流行相关的原因(29%)。

结论

心血管应用程序显示出较高的一致性值。该应用程序的使用是否与改善临床状态和结果相关,还有待进一步研究验证。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d7a/10637162/d554f232c5b7/10.1177_20552076231211546-fig7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d7a/10637162/e126c99b8e0b/10.1177_20552076231211546-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d7a/10637162/b8dcac0e9667/10.1177_20552076231211546-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d7a/10637162/02eb837fc7bf/10.1177_20552076231211546-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d7a/10637162/a8ffb07dc9cb/10.1177_20552076231211546-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d7a/10637162/9e4d29e222de/10.1177_20552076231211546-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d7a/10637162/d3a421b9cce7/10.1177_20552076231211546-fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d7a/10637162/d554f232c5b7/10.1177_20552076231211546-fig7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d7a/10637162/e126c99b8e0b/10.1177_20552076231211546-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d7a/10637162/b8dcac0e9667/10.1177_20552076231211546-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d7a/10637162/02eb837fc7bf/10.1177_20552076231211546-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d7a/10637162/a8ffb07dc9cb/10.1177_20552076231211546-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d7a/10637162/9e4d29e222de/10.1177_20552076231211546-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d7a/10637162/d3a421b9cce7/10.1177_20552076231211546-fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d7a/10637162/d554f232c5b7/10.1177_20552076231211546-fig7.jpg

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