A Mobile Application for Patients With Heart Failure: Theory- and Evidence-Based Design and Testing
A Mobile Application for Patients With Heart Failure: Theory- and Evidence-Based Design and Testing
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DOI：
10.1097/cin.0000000000000465
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发表时间：
2018-11-01
影响因子：
1.3
通讯作者：
Foster, Marva
中科院分区：
文献类型：
--
作者：
Foster, Marva
自我护理对于成功管理心力衰竭至关重要。移动的医疗可以使心力衰竭患者进行有效的自我护理。本文描述了一种移动的应用干预的理论指导开发和beta测试，以支持社区居住的心力衰竭患者的自我护理和提高症状意识。10名参与者输入生理数据，回答有关症状的定性问题，并每天在HF App中审查心力衰竭教育。两个有效的工具，心力衰竭自我护理指数和心力衰竭躯体意识量表，在干预前后进行管理，并使用t检验比较结果。结果表明，从干预前到干预后，每个子量表的自我护理评分均发生了临床显著变化，信心子量表评分存在统计学显著差异（P = 0.037）。然而，干预前和干预后症状意识评分之间没有统计学显著差异。这些结果表明，整合包括症状监测、提醒、教育和跟踪生理数据趋势的能力的移动的应用程序对于帮助心力衰竭患者进行有效的自我护理最有用。
Self-care is vital for the successful management of heart failure. Mobile health can enable patients with heart failure to perform effective self-care. This article describes the theory-guided development and beta testing of a mobile application intervention to support self-care and increase symptom awareness in community-dwelling patients with heart failure. Ten participants entered physiologic data, answered qualitative questions about symptoms, and reviewed heart failure education within the HF App daily. Two validated instruments, the Self-care of Heart Failure Index and Heart Failure Somatic Awareness Scale, were administered both before and after the intervention, and results were compared using t tests. Results indicated that there were clinically significant changes from preintervention to postintervention in self-care scores in each subscale, with a statistically significant difference in the confidence subscale scores (P = .037). However, there were no statistically significant differences between preintervention and postintervention symptom awareness scores. These results indicate that incorporating mobile applications that comprise symptom monitoring, reminders, education, and the ability to track trends in physiologic data is most useful to assist individuals with heart failure to perform effective self-care.