%0杂志文章%@ 2561-1011 %I JMIR出版物%V 6% 卡塔尔世界杯8强波胆分析N 1% P e33286% T开发和实施mHealth心力衰竭自我护理计划以减少再入院:随机对照试验%A Johnson,Amber E %A Routh,Shuvodra %A Taylor,Christy N %A Leopold, megan A Beatty,Kathryn %A McNamara,Dennis M %A Davis，美国宾夕法尼亚州匹兹堡市洛斯罗普街200号，1412 648 6598，匹兹堡大学医学系心脏病科，Esa M %+johnsonae2@upmc.edu %K移动健康%K心力衰竭%K自我护理%K远程监测%K远程健康%K心脏病学%K再入院%K自我管理%K移动健康%K以患者为中心%D 2022 %7 21.3.2022 %9原始论文%J JMIR心脏%G英语%X背景:失代偿性心力衰竭(HF)患者在出院期间有再入院和生活质量差的风险。促进慢性心脏病自我管理的生活方式行为改变与生活质量的提高有关。然而，移动健康(mHealth)项目是否能够帮助患者在急性出院期进行心衰的自我管理尚不清楚。目的:我们旨在开发一个移动健康项目，旨在提高心衰患者的自我管理知识，自我效能和症状检测。我们假设HF住院患者在出院后愿意使用可行部署的移动健康计划。方法:我们采用以患者为中心的结果研究方法来设计一个利益相关者知情的移动健康计划。一所大型学术医院收治的成年心衰患者被纳入并随机分组，分别接受移动健康干预和常规护理。我们的可行性结果包括项目部署的便利性、临床升级过程的使用、参与者招募的持续时间和参与者的流失。 Surveys assessing the demographics and clinical characteristics of HF were measured at baseline and at 30 and 90 days after discharge. Results: The study period was between July 1, 2019, and April 7, 2020. The mean cohort (N=31) age was 60.4 (range 22-85) years. Over half of the participants were men (n=18, 58%) and 77% (n=24) were White. There were no significant differences in baseline measures. We determined that an educational mHealth program tailored for patients with HF is feasibly deployed and acceptable by patients. Though not significant, we found notable trends including a higher mean quality of life at 30 days posthospitalization among program users and a longer duration before rehospitalization, which are suggestive of better HF prognosis. Conclusions: Our mHealth tool should be further assessed in a larger comparative effectiveness trial. Our pilot intervention offers promise as an innovative means to help HF patients lead healthy, independent lives. These preliminary data suggest that patient-centered mHealth tools can enable high-risk patients to play a role in the management of their HF after discharge. Trial Registration: ClinicalTrials.gov NCT03982017; https://clinicaltrials.gov/ct2/show/NCT03982017 %M 35311679 %R 10.2196/33286 %U https://cardio.www.mybigtv.com/2022/1/e33286 %U https://doi.org/10.2196/33286 %U http://www.ncbi.nlm.nih.gov/pubmed/35311679