杂志文章I JMIR出版物用短信支持医疗保健系统中的护理人员:卡塔尔世界杯8强波胆分析开发和试点和全国推广评估%A马丁代尔-亚当斯，詹妮弗·林恩%A克拉克，卡罗琳·戴维斯%A马丁，杰西卡·罗克西%A亨德森，查尔斯·理查德%A尼科尔斯，琳达·奥利维亚%+退伍军人事务照顾者中心-照顾者支持项目，孟菲斯退伍军人医疗中心，退伍军人事务部，孟菲斯，杰斐逊，1030,38104，美国，1 901 523 8990 ext 5082，linda.nichols@va.gov %K移动健康%K移动健康%K自我护理%K退伍军人%K家庭护理人员%K情绪压力%K疾病负担%K自我效能%K手机%D 2022 %7 17.10.2022 %9原始论文%J J参与医疗%G英语%X背景:虽然有很多干预措施来支持护理人员，但短信短信并没有被广泛使用。目的:在本文中，我们旨在描述退伍军人事务部(VA)安妮压力管理短信短信协议的发展，为退伍军人的照顾者，其试点测试，并随后在全国推出。方法:压力管理协议是通过短信制定的，重点是教育、激励和基于增强所有护理人员健康资源(REACH) VA护理人员干预的压力缓解活动。该方案随后在试点研究中进行了测试。在试点研究结果的基础上，实施了该方案的全国推广并对其进行了评估。护理人员从全国的退伍军人医院转介到试点和全国推广。对飞行员护理人员进行了电话采访;在6个月时，向全国推广护理人员发送了基于网络的评估链接。 For both evaluations, questions were scored on a Likert scale ranging from completely disagree to completely agree. For both the pilot and national rollout, quantitative data were analyzed with frequencies and means; themes were identified from open-ended qualitative responses. Results: Of the 22 caregivers in the pilot study, 18 (82%) provided follow-up data. On a 5-point scale, they reported text messages had been useful in managing stress (mean score 3.8, SD 1.1), helping them take care of themselves (mean score 3.7, SD 1.3), and making them feel cared for (mean score 4.1, SD 1.7). Texts were easy to read (mean score 4.5, SD 1.2), did not come at awkward times (mean score 2.2, SD 1.4), were not confusing (mean score 1.1, SD 0.2), and did not cause problems in responding (mean score 1.9, 1.1); however, 83% (15/18) of caregivers did not want to request an activity when stressed. Consequently, the national protocol did not require caregivers to respond. In the national rollout, 22.17% (781/3522) of the eligible caregivers answered the web-based survey and reported that the messages had been useful in managing stress (mean score 4.3, SD 0.8), helping them take care of themselves (mean score 4.3, SD 0.8) and loved ones (mean score 4.2, SD 0.8), and making them feel cared for (mean score 4.5, SD 0.8). Almost two-thirds (509/778, 65.4%) of the participants tried all or most of the strategies. A total of 5 themes were identified. The messages were appreciated, helped with self-care, and made them feel less alone, looking on Annie as a friend. The caregivers reported that the messages were on target and came when they were most needed and did not want them to stop. This success has led to four additional caregiver texting protocols: bereavement, dementia behaviors and stress management, (posttraumatic stress disorder) PTSD behaviors, and taking care of you, with 7274 caregivers enrolled as of February 2022. Conclusions: Caregivers reported the messages made them feel cared for and more confident. SMS text messaging, which is incorporated into clinical settings and health care systems, may represent a low-cost way to provide useful and meaningful support to caregivers. %M 36251368 %R 10.2196/35318 %U https://jopm.www.mybigtv.com/2022/1/e35318 %U https://doi.org/10.2196/35318 %U http://www.ncbi.nlm.nih.gov/pubmed/36251368