TY - JOUR AU - Johnson, Amber E AU - Routh, Shuvodra AU - Taylor, Christy N AU - Leopold, Meagan AU - Beatty, Kathryn AU - McNamara, Dennis M AU - Davis, Esa M PY - 2022 DA - 2022/3/21 TI -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JO - JMIR Cardio SP - e33286 VL - 6 IS - 1kw -移动健康KW -心力衰竭KW -自我护理KW -远程监测KW -远程健康KW -心脏病学KW -再入院KW -自我管理KW -移动健康KW -以患者为中心AB -背景:失代偿性心力衰竭(HF)入院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。评估HF的人口统计学和临床特征的调查分别在基线和出院后30天和90天进行。 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 SN - 2561-1011 UR - https://cardio.www.mybigtv.com/2022/1/e33286 UR - https://doi.org/10.2196/33286 UR - http://www.ncbi.nlm.nih.gov/pubmed/35311679 DO - 10.2196/33286 ID - info:doi/10.2196/33286 ER -