Oettinger Vera, Zimmermann Julia, von Zur Mühlen Constantin, Kaier Klaus, Faber Thomas, Paulus Timo, Heidt Timo, Westermann Dirk, Zehender Manfred
Department of Cardiology and Angiology, University Heart Center, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Hugstetter Str. 55, 79106, Freiburg, Germany.
Institute of Medical Biometry and Statistics, Faculty of Medicine and Medical Center - University of Freiburg, Freiburg, Germany.
Clin Res Cardiol. 2024 Sep 16. doi: 10.1007/s00392-024-02542-y.
A variety of health-related mobile applications (apps) and wearables often encompass a narrow application area. Our study therefore aims to provide the basis for the development of an app that comprehensively assists patients to deal with their disease in the best possible way and that improves the course of the disease in the long term.
We conducted a multicenter analysis of patients using a questionnaire study at two German clinics and surveyed 100 patients with cardiovascular disease. For the analysis of the interviews, particularly Likert scales were used.
24.0% were female, median age was 62.5 years. Leading causes for hospitalization were coronary artery disease (40.0%) and heart failure (22.0%). The most frequent pre-existing conditions were arterial hypertension (55.0%), atrial fibrillation or atrial flutter (31.0%), and again coronary artery disease (31.0%). Typical disease associated feelings were fear for life (43.0%) and uncertainty (43.0%). When considering future management of the disease, 75.0% felt motivated, 70.0% felt confident, and 68.0% felt hopeful. Of the patients surveyed, 60.0% indicated a willingness to use the app and another 24.0% were potentially willing to do so. Furthermore, significantly more patients < 63 years stated a willingness or potential willingness to use the app (p = 0.029). For those considering an app usage in general, the most favoured features were a document management (81.8%) and a medication management (65.9%). While only 36.4% indicated that the app could at least partially alleviate their worries, 94.3% expected a reduction in organizational effort. With respect to age groups, there was no significant difference (organizational effort: p = 0.239; worries: p = 0.275).
Particularly younger patients < 63 years with cardiovascular disease show a substantial willingness to use an app as a special health support, particularly in terms of document and medication management. They especially hope for a reduction in organizational effort.
各种与健康相关的移动应用程序（应用）和可穿戴设备通常涵盖的应用领域较窄。因此，我们的研究旨在为开发一款应用程序提供依据，该应用程序能全面协助患者以最佳方式应对疾病，并从长远改善疾病进程。
我们在两家德国诊所通过问卷调查对患者进行了多中心分析，调查了100例心血管疾病患者。在访谈分析中，特别使用了李克特量表。
24.0%为女性，中位年龄为62.5岁。住院的主要原因是冠状动脉疾病（40.0%）和心力衰竭（22.0%）。最常见的既往病症是动脉高血压（55.0%）、心房颤动或心房扑动（31.0%），以及冠状动脉疾病（31.0%）。与疾病相关的典型感受是对生命的恐惧（43.0%）和不确定性（43.0%）。在考虑疾病的未来管理时，75.0%的人感到有动力，70.0%的人感到有信心，68.0%的人感到有希望。在接受调查的患者中，60.0%表示愿意使用该应用，另有24.0%可能愿意使用。此外，年龄小于63岁的患者中，表示愿意或可能愿意使用该应用的人数显著更多（p = 0.029）。对于一般考虑使用应用的患者来说，最受欢迎的功能是文档管理（81.8%）和药物管理（65.9%）。虽然只有36.4%的人表示该应用至少可以部分减轻他们的担忧，但94.3%的人期望减少组织工作。在年龄组方面，没有显著差异（组织工作：p = 0.239；担忧：p = 0.275）。
特别是年龄小于63岁的心血管疾病患者表现出强烈的意愿，将应用作为一种特殊的健康支持手段，尤其是在文档和药物管理方面。他们特别希望减少组织工作。
