TY -的盟金Heejung盟——公园、Eunhee AU -李,Sangeun AU -金,Mijung盟——公园、恩Jeong AU -香港,Soyun PY - 2018 DA - 2018/06/29 TI -老韩国成年人慢性病自我管理:一个移动医疗培训、协议、和可行性研究乔- Uhealth SP mHealth JMIR e147六世- 6 - 6千瓦-移动健康KW -可行性研究KW -慢性疾病KW -电子健康增强长期护理模式KW -老年KW -社区卫生服务AB -背景:目前，韩国大多数慢性病自我管理培训项目主要是在卫生保健机构进行面对面的交流。因此，居住在社区的韩国老年人继续寻求慢性病管理方面的其他培训机会。这导致了新的培训方法的发展，例如在社区中心和家庭中很有价值的移动医疗(mHealth)保健。目的:本可行性研究(1)开发了一种移动健康培训方案，使社区居住的老年人能够管理他们的慢性病;(2)研究了通过移动平板电脑和应用程序(app)向老年人提供移动健康培训协议的可行性;(3)讨论了与该协议的发展相关的背景和方法挑战。方法:移动健康培训协议是基于电子健康增强慢性护理模型制定的，由四个阶段组成。第一阶段包括使用指南书、演示和指导实践的标准化技术(移动平板电脑)培训。第二阶段包括提供从政府和专业卫生保健组织获得的关于疾病管理的标准化信息。 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. SN - 2291-5222 UR - http://mhealth.www.mybigtv.com/2018/6/e147/ UR - https://doi.org/10.2196/mhealth.9988 UR - http://www.ncbi.nlm.nih.gov/pubmed/29959109 DO - 10.2196/mhealth.9988 ID - info:doi/10.2196/mhealth.9988 ER -