TY -的盟McGillion迈克尔AU - Ouellette), Carley盟——好,琥珀AU -鸟,玛丽莎AU -亨利,Shaunattonie盟——Clyne温迪AU -特纳,Andrew AU - Ritvo保罗盟——Ritvo莎拉盟——Dvirnik Nazari AU -拉米,安德烈AU -怀特洛克,理查德AU -劳顿,克里斯托弗AU -沃尔什,杰克AU -帕特森,肯盟——Duquette Janine AU -桑切斯Medeiros卡拉AU -伊莱亚斯,Fadi AU -斯科特,Ted AU -米尔斯,约瑟夫AU -哈灵顿,黛博拉盟——字段,马克盟——Harsha Prathiba AU -杨,Stephen AU - Peter, Elizabeth AU - Bhavnani, Sanjeev AU - Devereaux, PJ PY - 2020 DA - 2020/3/18 TI -心脏和大血管手术后远程自动监测和虚拟医院到家庭护理系统:用户测试研究JO - J Med Internet Res SP - e15548 VL - 22 IS - 3kw -监测，生理KW -术后护理KW -用户测试AB -背景:心脏和大血管手术是常见的外科手术，其术后并发症和相关的再入院率很高。医院内远程自动监测(RAM)和虚拟医院到家庭患者护理系统在改善心脏和大血管手术后患者的预后方面具有很大的潜力。然而，部署和评估这些系统的科学是复杂的，并且存在实现失败的风险。目的:作为一项随机对照试验(RCT)的先导，本用户测试研究旨在分别使用Philip 's Guardian和eTrAC技术，检查用户对RAM和虚拟医院到家庭护理干预的表现和接受程度。方法:护士和患者在加拿大和英国的两个参与地点参加了系统培训和基于个案的用户测试。参与者被录下视频，并被要求在完成要求的用户任务时大声思考，同时对用户的表现进行评分。通过使用净推荐量表(NPS)调查和汇报访谈，还征求了关于用户体验的反馈，包括用户满意度和接受度。结果:共有37名参与者(26名护士和11名患者)完成了用户测试。 The majority of nurse and patient participants were able to complete most required tasks independently, demonstrating comprehension and retention of required Guardian and eTrAC system workflows. Tasks which required additional prompting by the facilitator, for some, were related to the use of system features that enable continuous transmission of patient vital signs (eg, pairing wireless sensors to the patient) and assigning remote patient monitoring protocols. NPS scores by user group (nurses using Guardian: mean 8.8, SD 0.89; nurses using eTrAC: mean 7.7, SD 1.4; patients using eTrAC: mean 9.2, SD 0.75), overall NPS scores, and participant debrief interviews indicated nurse and patient satisfaction and acceptance of the Guardian and eTrAC systems. Both user groups stressed the need for additional opportunities to practice in order to become comfortable and proficient in the use of these systems. Conclusions: User testing indicated a high degree of user acceptance of Philips’ Guardian and eTrAC systems among nurses and patients. Key insights were provided that informed refinement of clinical workflow training and systems implementation. These results were used to optimize workflows before the launch of an international RCT of in-hospital RAM and virtual hospital-to-home care for patients undergoing cardiac and major vascular surgery. SN - 1438-8871 UR - //www.mybigtv.com/2020/3/e15548 UR - https://doi.org/10.2196/15548 UR - http://www.ncbi.nlm.nih.gov/pubmed/32186521 DO - 10.2196/15548 ID - info:doi/10.2196/15548 ER -