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设计一项由护士主导的电子健康心脏康复计划:来自参与者体验和定性反馈的见解

Designing a Nurse-Led eHealth Cardiac Rehabilitation Program: Insights From Participant Experiences and Qualitative Feedback.

作者信息

Su Jing Jing, Paguio Jenniffer Torralba, Wang Weidi, Batalik Ladislav

机构信息

School of Nursing, Tung Wah College, Hong Kong, China.

College of Nursing, The University of the Philippines, Manilla, Philippines.

出版信息

Public Health Nurs. 2025 Jan-Feb;42(1):144-153. doi: 10.1111/phn.13437. Epub 2024 Oct 6.

Abstract

BACKGROUND

This study examines the perspectives of individuals with coronary heart disease (CHD) on a nurse-led eHealth cardiac rehabilitation (NeCR) program, which included a website, tele-monitoring device, and social media chatroom.

METHODS

Using a descriptive qualitative approach, semi-structured interviews were conducted with 18 participants to capture their feedback and experiences with the NeCR program.

RESULTS

Participants found the NeCR program valuable in addressing gaps in cardiac rehabilitation services in China, empowering them to make behavioral changes and enhancing their social motivation. However, they also highlighted the need for a more user-friendly website, better symptom management during exercise, and stronger privacy protections in the peer networking chatroom. The study concludes that the NeCR program is feasible in providing accessible rehabilitative services at home post-discharge. Recommendations include improving the self-monitoring platform for ease of use, incorporating immediate symptom management guidance during exercise, and ensuring a secure environment for online peer support.

CONCLUSIONS

These findings offer crucial insights for developing patient-centered eHealth cardiac rehabilitation services, emphasizing the importance of user-friendly design, effective symptom management features, and privacy protection in promoting participant engagement with e-platforms.

TRIAL REGISTRATION

ChiCTR1800020411 (http://www.chictr.org.cn/showprojen.aspx?proj=33906).

摘要

背景

本研究调查了冠心病(CHD)患者对一项由护士主导的电子健康心脏康复(NeCR)项目的看法,该项目包括一个网站、远程监测设备和社交媒体聊天室。

方法

采用描述性定性研究方法,对18名参与者进行了半结构化访谈,以获取他们对NeCR项目的反馈和体验。

结果

参与者发现NeCR项目对于弥补中国心脏康复服务的缺口很有价值,使他们有能力做出行为改变并增强社会动机。然而,他们也强调需要一个更用户友好的网站、运动期间更好的症状管理以及对等网络聊天室中更强的隐私保护。该研究得出结论,NeCR项目在出院后在家中提供可及的康复服务方面是可行的。建议包括改进自我监测平台以提高易用性、在运动期间纳入即时症状管理指导以及确保在线同伴支持的安全环境。

结论

这些发现为开发以患者为中心的电子健康心脏康复服务提供了关键见解,强调了用户友好设计、有效的症状管理功能以及隐私保护在促进参与者参与电子平台方面的重要性。

试验注册

ChiCTR1800020411(http://www.chictr.org.cn/showprojen.aspx?proj=33906)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd77/11700951/00370ad14eb0/PHN-42-144-g001.jpg

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