高血压患者拒用移动医疗平台原因的质性研究
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摘要
目的探讨高血压患者拒用移动医疗平台的原因,为后期完善平台内容,对患者实施有效管理提供参考。方法采用质性研究方法,对13例高血压患者进行半结构访谈,运用Colaizzi七步分析法分析资料。结果原因包括抵触新技术、自觉存在风险、管理效果不佳、使用时操作繁琐、反馈不及时,内容缺乏新意、经常性遗忘、自感病情良好、缺乏社会支持八大主题。结论医护人员应准确识别高血压患者拒绝使用移动医疗平台的具体原因,从平台本身、患者及家属、医护人员等多方面提高患者满意度及使用率,以推动平台完善,更好地协助患者进行疾病管理。
Objective To explore the reasons for the rejection of mobile health platform in patients with hypertension,and to provide a reference for later improvement of the platform and effective management of patients. Methods A semi-structured interview was performed on 13 hypertensive patients using qualitative research methods. Colaizzi's seven-step analysis was used to analyze the data. Results The reasons for patients' refusal to use mobile health platform included resistance to new technologies,feeling at risks,poor management,inconvenient usage,untimely feedback,lack of new contents,frequent forgetting,feeling good about disease conditions,and lack of social support. Conclusion Medical staff should accurately identify the specific reasons why hypertension patients refuse to use the mobile health platform,formulate improvement schemes by taking the platform itself,patients and their families,and medical staff into consideration,try to enhance patient satisfaction and utilization rate of the platform,so as to better the platform and assist patients with disease management.
Objective To explore the reasons for the rejection of mobile health platform in patients with hypertension,and to provide a reference for later improvement of the platform and effective management of patients. Methods A semi-structured interview was performed on 13 hypertensive patients using qualitative research methods. Colaizzi's seven-step analysis was used to analyze the data. Results The reasons for patients' refusal to use mobile health platform included resistance to new technologies,feeling at risks,poor management,inconvenient usage,untimely feedback,lack of new contents,frequent forgetting,feeling good about disease conditions,and lack of social support. Conclusion Medical staff should accurately identify the specific reasons why hypertension patients refuse to use the mobile health platform,formulate improvement schemes by taking the platform itself,patients and their families,and medical staff into consideration,try to enhance patient satisfaction and utilization rate of the platform,so as to better the platform and assist patients with disease management.
引文
[1]方培元,刘燕.基于大数据的医疗服务模式转型[J].解放军医院管理杂志,2016,23(2):154-157.
[2]Hamine S,Gerthguyette E,Faulx D,et al.Impact of m Health chronic disease management on treatment adherence and patient outcomes:a systematic review[J].J Med Int Res,2015,17(2):e52.
[3]王小岩,罗仁.美国移动医疗健康App应用状况的研究与分析[J].中国数字医学,2015(11):2-6.
[4]曹志,郑小敏,乔亚楠,等.慢性病管理类医疗应用软件的现状与前景[J].中华医学图书情报杂志,2016,25(7):27-30.
[5]周双双,马力扬,邢龙,等.兰州市民对移动医疗APP认知及需求分析[J].中国公共卫生,2017,33(11):1662-1664.
[6]Cook K A,Modena B D,Simon R A.Improvement in asthma control using a minimally burdensome and proactive smartphone application[J].J Allergy Clin Immunol Pract,2016,4(4):730-737.
[7]杨雅琴.2010年修订版中国高血压防治指南解读[J].内蒙古中医药,2013,32(5):8.
[8]Sousa D.Validation in qualitative research:general aspects and specificities of the descriptive phenomenological method[J].Qual Res Psychol,2014,11(2):211-227.
[9]陈志龙,刘璐,何朝珠,等.高血压类移动医疗软件与自我管理相关功能的评价研究[J].中国全科医学,2018(19):2348-2352.
[10]张海宇,邹海欧.移动医疗应用程序在慢性病患者中应用现状与展望[J].中国公共卫生,2017(11):1587-1590.
[11]张冬妮.基于科技接受模型理论的老年居家健康管理系统接受度及其影响因素的调查研究[D].广州:南方医科大学,2013.
[12]李维瑜,刘静,余桂林,等.知信行理论模式在护理工作中的应用现状与展望[J].护理学杂志,2015,30(6):107-110.
[13]吴兆苏,霍勇,王文,等.中国高血压患者教育指南[J].中华高血压杂志,2013,21(12):1123-1149.
[14]Con D,De Cruz P.Mobile phone apps for inflammatory bowel disease self-management:a systematic assessment of content and tools[J].JMIR Mhealth Uhealth,2016,4(1):e13.
[15]葛晓翔,张恩全,黄国琼,等.基于移动医疗法律风险分析下的医务人员培训效果评价[J].中国高等医学教育,2016(4):35-36.
[16]阎红,刘书文,蒋运兰,等.老年慢性病患者社会支持网的建立及效果分析[J].重庆医学,2018,47(9):1233-1236.
[17]Pailler M E,Johnson T M,Kuszczak S,et al.Adjustment to acute leukemia:the impact of social support and marital satisfaction on distress and quality of life among newly diagnosed patients and their caregivers[J].J Clin Psychol Med Settings,2016,23(3):298-309.
[18]Peng W,Yuan S,Holtz B E.Exploring the challenges and opportunities of health mobile apps for individuals with type2 diabetes living in rural communities[J].Telemed J EHealth,2016,22(9):733-738.
[2]Hamine S,Gerthguyette E,Faulx D,et al.Impact of m Health chronic disease management on treatment adherence and patient outcomes:a systematic review[J].J Med Int Res,2015,17(2):e52.
[3]王小岩,罗仁.美国移动医疗健康App应用状况的研究与分析[J].中国数字医学,2015(11):2-6.
[4]曹志,郑小敏,乔亚楠,等.慢性病管理类医疗应用软件的现状与前景[J].中华医学图书情报杂志,2016,25(7):27-30.
[5]周双双,马力扬,邢龙,等.兰州市民对移动医疗APP认知及需求分析[J].中国公共卫生,2017,33(11):1662-1664.
[6]Cook K A,Modena B D,Simon R A.Improvement in asthma control using a minimally burdensome and proactive smartphone application[J].J Allergy Clin Immunol Pract,2016,4(4):730-737.
[7]杨雅琴.2010年修订版中国高血压防治指南解读[J].内蒙古中医药,2013,32(5):8.
[8]Sousa D.Validation in qualitative research:general aspects and specificities of the descriptive phenomenological method[J].Qual Res Psychol,2014,11(2):211-227.
[9]陈志龙,刘璐,何朝珠,等.高血压类移动医疗软件与自我管理相关功能的评价研究[J].中国全科医学,2018(19):2348-2352.
[10]张海宇,邹海欧.移动医疗应用程序在慢性病患者中应用现状与展望[J].中国公共卫生,2017(11):1587-1590.
[11]张冬妮.基于科技接受模型理论的老年居家健康管理系统接受度及其影响因素的调查研究[D].广州:南方医科大学,2013.
[12]李维瑜,刘静,余桂林,等.知信行理论模式在护理工作中的应用现状与展望[J].护理学杂志,2015,30(6):107-110.
[13]吴兆苏,霍勇,王文,等.中国高血压患者教育指南[J].中华高血压杂志,2013,21(12):1123-1149.
[14]Con D,De Cruz P.Mobile phone apps for inflammatory bowel disease self-management:a systematic assessment of content and tools[J].JMIR Mhealth Uhealth,2016,4(1):e13.
[15]葛晓翔,张恩全,黄国琼,等.基于移动医疗法律风险分析下的医务人员培训效果评价[J].中国高等医学教育,2016(4):35-36.
[16]阎红,刘书文,蒋运兰,等.老年慢性病患者社会支持网的建立及效果分析[J].重庆医学,2018,47(9):1233-1236.
[17]Pailler M E,Johnson T M,Kuszczak S,et al.Adjustment to acute leukemia:the impact of social support and marital satisfaction on distress and quality of life among newly diagnosed patients and their caregivers[J].J Clin Psychol Med Settings,2016,23(3):298-309.
[18]Peng W,Yuan S,Holtz B E.Exploring the challenges and opportunities of health mobile apps for individuals with type2 diabetes living in rural communities[J].Telemed J EHealth,2016,22(9):733-738.