TY - JOUR AU - Aquino, Maria AU - Griffith, Janessa AU - Vattaparambil, Tessy AU - Munce, Sarah AU - Hladunewich, Michelle AU - Seto, Emily PY - 2022 DA - 2022/2/7 TI -患者和提供者对远程监测的观点和需求，以支持子痫前期高危人群的临床管理和自我护理:质性研究JO - JMIR Hum Factors SP - e32545 VL - 9is - 1kw -高危妊娠KW -血压KW -子痫前期KW -远程监测KW -家庭监测KW - mHealth AB -背景:子痫前期是全球孕产妇死亡的主要原因之一，全球流行率为2%-8%的孕妇。先兆子痫(PHRPE)高危患者发生并发症的风险增加，如胎儿生长受限、早产、异常凝血以及肝肾疾病。对PHRPE进行远程监测可以及时诊断和加强管理，从而可能改善孕产妇和围产期结局。目的:本研究的目的是通过对两组患者的半结构化访谈，确定PHRPE患者及其医疗服务提供者对远程监测的认知和需求。本研究探讨了(1)孕期和产后监测PHRPE的需求和挑战;(2)远程监测项目需要哪些功能来支持PHRPE的自我护理和临床管理。方法:本研究采用定性描述方法，并进行专题分析。研究人员要求PHRPE和来自加拿大多伦多一家大型学术医院高风险产科诊所的医护人员参加个人半结构化访谈。两位研究人员共同开发了一个编码框架，并分别对每个采访进行编码，以确保采访是双重编码的。软件程序NVivo版本12被用来帮助组织代码。 Results: In total, 7 PHRPE and 5 health care providers, which included a nurse practitioner and physicians, participated in the semistructured interviews. Using thematic analysis, perceptions on the benefits, barriers, and desired features were determined. Perceived benefits of telemonitoring for PHRPE included close monitoring of home blood pressure (BP) measurements and appropriate interventions for abnormal BP readings; the development of a tailored telemonitoring system for pregnant patients; and facilitation of self-management. Perceived barriers to telemonitoring for PHRPE included financial and personal barriers, as well as the potential for increased clinician workload. Desired features of a secure platform for PHRPE included the facilitation of self-management for patients and decision making for clinicians, as well as the inclusion of evidence-based action prompts. Conclusions: The perceptions of patients and providers on the use of telemonitoring for PHRPE support the need for a telemonitoring program for the management of PHRPE. Recommendations from this study include the specific features of a telemonitoring program for PHRPE, as well as the use of frameworks and design processes in the design and implementation of a telemonitoring program for PHRPE. SN - 2292-9495 UR - https://humanfactors.www.mybigtv.com/2022/1/e32545 UR - https://doi.org/10.2196/32545 UR - http://www.ncbi.nlm.nih.gov/pubmed/35129445 DO - 10.2196/32545 ID - info:doi/10.2196/32545 ER -