Chlan L, Snyder M, Finkelstein S, Hertz M, Edin C, Wielinski C, Dutta A
University of Iowa, College of Nursing, Iowa City, USA.
Appl Nurs Res. 1998 Feb;11(1):36-40. doi: 10.1016/s0897-1897(98)80061-x.
Adherence with any long-term treatment or research protocol is a challenge; this has been found to be the case with lung transplant recipients participating in an electronic home spirometry research program. Because the purpose of the current study is to develop a system for detecting early infection and rejection in lung transplant recipients, regular transmission of data by subjects to the research data center is imperative to the success of the study. Various adherence-promoting strategies have been developed by the research team to increase subject adherence with the program. An increased adherence rate has been reported after implementation of these various strategies, yet work remains to promote continually regular participation in the program by all subjects. It remains a challenge for the research team to devise creative and effective strategies for increasing adherence to regular spirometer use to provide data to develop a computerized system for detecting early infection and rejection of transplanted lung tissue.
坚持任何长期治疗或研究方案都是一项挑战；参与电子家庭肺活量测定研究项目的肺移植受者就是如此。由于本研究的目的是开发一种用于检测肺移植受者早期感染和排斥反应的系统，因此受试者定期向研究数据中心传输数据对于研究的成功至关重要。研究团队已经制定了各种促进依从性的策略，以提高受试者对该项目的依从性。在实施这些各种策略后，报告的依从率有所提高，但仍需努力促使所有受试者持续定期参与该项目。对于研究团队来说，设计出创新且有效的策略以提高对定期使用肺活量计的依从性，从而提供数据来开发一个用于检测移植肺组织早期感染和排斥反应的计算机化系统，仍然是一项挑战。
