Effectiveness of daily activity record-based self-monitoring intervention for patients with chronic heart failure: A study protocol.
Effectiveness of daily activity record-based self-monitoring intervention for patients with chronic heart failure: A study protocol.
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DOI：
10.1016/j.conctc.2022.101017
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发表时间：
2022-12
影响因子：
1.5
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中科院分区：
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预防心力衰竭（HF）患者的复发性再入院需要支持适当的自我护理行为，以防止HF加重，并进行自我监测，以使患者能够在加重期间早期感知身体变化。这些支援可让病人及早求诊。本研究开发了一种自我监测干预，旨在根据患者的日常活动记录，增加对HF引起的患者独特身体感觉的感知。正在对68例出院后早期的HF患者进行平行双臂随机对照试验。两组的参与者从出院时开始佩戴腕表活动跟踪器。自我监控干预组的参与者得到支持，以反映他们的实际日常活动和相关的身体感觉，他们经历的基础上，他们的日常活动记录。主要结果是参与者的自我护理行为的“寻求帮助”维度，在干预后一个月随访时使用欧洲心力衰竭自我护理行为量表进行测量。这项研究是第一个使用活动跟踪器作为HF患者症状感知工具的试验。急性加重期间延迟咨询的问题可以通过帮助患者改善他们对与特定日常活动相关的独特身体感觉的感知来解决，基于他们的日常活动记录。如果效果是明确的，它可能会导致建设新的护理干预措施，连续疾病管理，旨在防止再住院。这是第一次使用活动跟踪器进行HF症状感知的试验。干预的重点是身体感觉知觉沿着日常活动。试验将测试干预对早期咨询行为和再入院的影响。
The prevention of recurrent readmission among heart failure (HF) patients requires support for appropriate self-care behaviors to prevent exacerbation of HF and self-monitoring to allow for patients’ early perception of physical changes during exacerbations. Such support may enable patients to seek early consultation. This study developed a self-monitoring intervention that aimed at increasing the perception of patient-unique physical sensations caused by HF, based on daily activity records of patients. A parallel two-arm randomized controlled trial is being conducted with 68 HF patients early after their discharge. Participants in both groups wear a wristwatch activity tracker from time-of-discharge. Participants in the self-monitoring intervention group receive support to reflect on their actual daily activities and the associated physical sensations they experienced, based on their daily activity records. The primary outcome is participants’ “Asking for Help” dimension of self-care behavior, measured using the European Heart Failure Self-Care Behavior Scale at one month follow-up after intervention. This study is the first trial to use an activity tracker as a tool for symptom perception among HF patients. The problem of delayed consultations during exacerbations may be resolved by assisting patients in improving their perception of their unique physical sensations associated with specific daily activities, based on their daily activity records. If the effect is clarified, it could lead to the construction of new nursing interventions for continuous disease management that aim towards re-hospitalization prevention. This is the first trial using an activity tracker for symptom perception in HF. Intervention focuses on physical sensations perception along with daily activities. Trial will test intervention's effect on early consultation behavior and readmission.