Evaluation of a hand-held, computer-based intervention to promote early self-care behaviors after lung transplant.
Evaluation of a hand-held, computer-based intervention to promote early self-care behaviors after lung transplant.
复制标题
DOI：
10.1111/j.1399-0012.2009.00992.x
复制
发表时间：
2009-08
影响因子：
2.1
通讯作者：
McCurry KR
中科院分区：
文献类型：
--
作者：
DeVito Dabbs A;Dew MA;Myers B;Begey A;Hawkins R;Ren D;Dunbar-Jacob J;Oconnell E;McCurry KR
肺移植受者应进行自我护理行为，以最大限度地提高移植相关的健康结果。尽管在执行这些自我护理行为的高不遵守率，以及这种不遵守的可怕的临床后果，但缺乏干预措施。Pocket Personal Assistant for Tracking Health（Pocket PATH）是一种手持式设备，用于记录患者的健康数据，查看数据趋势，并向移植团队报告病情变化。进行了一项初步试验，以比较肺移植后出院后前两个月内随机接受Pocket PATH（n = 15）与标准治疗（n = 15）的受者的自我护理能力、自我护理行为和健康相关生活质量（HRQOL）。各组的基线特征相当。与标准护理对照组相比，Pocket PATH组患者的自我护理能力评分显著更高，自我护理行为发生率显著更高，HRQOL显著更好。在肺移植受者中，袖珍PATH在促进早期自我护理能力、自我护理行为和HRQOL方面比标准护理更有效。需要一个大规模的随机对照试验来测试Pocket PATH对长期自我护理行为的影响。
Lung transplant recipients are expected to perform self-care behaviors to maximize transplant-related health outcomes. Despite high non-adherence rates in performing these self-care behaviors, and the dire clinical consequences of such non-adherence, interventions are lacking. Pocket Personal Assistant for Tracking Health (Pocket PATH) is a hand-held device developed for patients to record health data, review data trends, and report condition changes to the transplant team. A pilot trial was conducted to compare self-care agency, self-care behaviors, and health-related quality of life (HRQOL) between recipients randomized to use Pocket PATH (n = 15) vs. standard care (n = 15) for the first two months following hospital discharge after lung transplantation. Baseline characteristics were equivalent across groups. Patients in the Pocket PATH group showed significantly higher ratings of self-care agency, performed self-care behaviors at significantly higher rates, and reported significantly better HRQOL than standard care controls. Pocket PATH is more efficacious than standard care in promoting early self-care agency, self-care behaviors, and HRQOL in lung recipients. A large-scale randomized controlled trial is needed to test the impact of Pocket PATH on long-term self-care behaviors.
登录
查看更多内容
影响因子：
158.5
作者：
BUTKUS, DE;MEYDRECH, EF;RAJU, SS
通讯作者：
RAJU, SS
影响因子：
2.8
作者：
Dabbs, AD;Hoffman, LA;Dauber, JH
通讯作者：
Dauber, JH
影响因子：
5.5
作者：
Gustafson, DH;Robinson, TN;Brennan, PF
通讯作者：
Brennan, PF
影响因子：
5.9
作者：
Becker, M H;Maiman, L A
通讯作者：
Maiman, L A
影响因子：
3
作者：
BERGNER, M;BOBBITT, RA;GILSON, BS
通讯作者：
GILSON, BS