%0杂志文章%@ 2291-5222 %I JMIR出版物%V 6% 卡塔尔世界杯8强波胆分析N 6% P e147% T韩国老年人慢性疾病的自我管理:移动健康培训，协议和可行性研究%A Kim, hejung %A Park,Eunhee %A Lee,Sangeun %A Kim,Mijung %A Park,Eun Jeong %A Hong,Soyun %+延世大学护理学院，延世大学护理学院407室，延世大学，延世大学，首尔西大门区延世路50-1,03722，韩国，82 10 7298 6706，rnsoyun@gmail.com %K移动健康%K可行性研究%K慢性疾病%K电子健康增强慢性护理模式%K老年人%K社区卫生服务%D 2018年%7 2018年29.06.9原始论文%J JMIR移动健康Uhealth %G英语%X背景:目前韩国大多数慢性疾病自我管理培训项目主要涉及面对面的互动，主要在医疗保健环境中进行。因此，居住在社区的老年韩国人继续寻求慢性病管理的其他培训机会。这导致了新的培训方法的发展，如移动保健(mHealth)护理，这在社区中心和家庭中很有价值。目的:本可行性研究(1)开发了移动健康培训方案，使社区居住的老年人能够管理他们的慢性疾病;(2)研究了通过移动平板电脑和应用程序(应用程序)向老年人提供这种移动健康培训协议的可行性;并且(3)讨论了与该协议的开发相关的上下文和方法学挑战。方法:以电子健康增强慢性病护理模式为基础，制定移动健康培训方案，分为四个阶段。第一阶段包括使用指南、演示和指导实践的标准化技术(移动平板电脑)培训。 Phase 2 included provision of standardized information about disease management that was obtained from governmental and professional health care organizations. Phase 3 included provision of training on the use of high-quality mHealth apps that were selected based on individual diagnoses. Phase 4 included encouraging the patients to practice using self-selected mHealth apps based on their individual needs. Quantitative descriptive statistics and qualitative content analyses of user evaluations were used to assess the feasibility and user acceptance of this protocol. Results: Of the 27 older adults included in this study, 25 completed all 4 weeks of the mHealth training. The attrition rate was 7% (2/27), and the reasons included time conflicts, emotional distress, and/or family discouragement. The men required little or no training for Phase 1, and in comparison with men, women seemed to depend more on the mHealth trainers in Phase 3. Gender, level of education, and previous experience of using smartphones were associated with the speed of learning, level of confidence, and overall competence. Conclusions: A tailored and personalized approach is required to develop mHealth training protocols for older adults. Self-management of chronic diseases via mHealth training requires careful consideration of the complex nature of human behavior, emotional responses, and familial influences. Therefore, integration of a theoretical, clinical, and technical approach is necessary for the successful development and implementation of an mHealth training program that targets older adults with chronic diseases in a community setting. %M 29959109 %R 10.2196/mhealth.9988 %U http://mhealth.www.mybigtv.com/2018/6/e147/ %U https://doi.org/10.2196/mhealth.9988 %U http://www.ncbi.nlm.nih.gov/pubmed/29959109