@文章{信息:doi/10.2196/12178，作者=“Lefler, Leanne L和Rhoads, Sarah J和Harris, Melodee和Funderburg, Ashley E和Lubin, Sandra A和Martel, Isis D和Faulkner, Jennifer L和Rooker, Janet L和Bell, Deborah K和Marshall, Heather和Beverly, Claudia J”，标题=“评估移动医疗技术在老年人心力衰竭中的使用:“混合方法研究”，期刊=“JMIR Aging”，年=“2018”，月=“Dec”，日=“04”，卷=“1”，号=“2”，页=“e12178”，关键词=“心力衰竭;远程监控;移动健康;老年人;可行性;背景:心力衰竭(HF)与高住院率、发病率、死亡率和费用相关。远程患者监测(移动医疗、移动医疗)有望改善自我保健和心衰管理，从而提高护理质量，同时减少住院和成本;然而，关于老年心衰患者对移动医疗使用的看法的信息有限。目的:本研究旨在比较老年HF患者的观点，他们被随机分配到(1)连接24小时呼叫中心的移动医疗设备，(2)数字家庭设备，或(3)标准护理，涉及设备的易用性和满意度，提供者沟通和参与，以及自我监测和管理疾病的能力。 Methods: We performed a pilot study using a mixed-methods descriptive design with pre- and postsurveys, following participants for 12 weeks. We augmented these data with semistructured qualitative interviews to learn more about feasibility, satisfaction, communication, and self-management. Results: We enrolled 28 patients with HF aged 55 years and above, with 57{\%} (16/28) male, 79{\%} (22/28) non-Hispanic white, and with multiple comorbid conditions. At baseline, 50{\%} (14/28) rated their health fair or poor and 36{\%} (10/28) and 25{\%} (7/28) were very often/always frustrated and discouraged by their health. At baseline, 46{\%} (13/28) did not monitor their weight, 29{\%} (8/28) did not monitor their blood pressure, and 68{\%} (19/28) did not monitor for symptoms. Post intervention, 100{\%} of the equipment groups home monitored daily. For technology anxiety, 36{\%} (10/28) indicated technology made them nervous, and 32{\%} (9/28) reported fear of technology, without significant changes post intervention. Technology usability post intervention scored high (91/100), reflecting ease of use. A majority indicated that a health care provider should be managing their health, and 71{\%} reported that one should trust and not question the provider. Moreover, 57{\%} (16/28) believed it was better to seek professional help than caring for oneself. Post intervention, mHealth users relied more on themselves, which was not mirrored in the home equipment or standard care groups. Participants were satisfied with communication and engagement with providers, yet many described access problems. Distressing symptoms were unpredictable and prevailed over the 12 weeks with 79 provider visits and 7 visits to emergency departments. The nurse call center received 872 readings, and we completed 289 telephone calls with participants. Narrative data revealed the following main themes: (1) traditional communication and engagement with providers prevailed, delaying access to care; (2) home monitoring with technology was described as useful, and mHealth users felt secure knowing that someone was observing them; (3) equipment groups felt more confident in self-monitoring and managing; and finally, (4) uncertainty and frustration with persistent health problems. Conclusions: mHealth equipment is feasible with potential to improve patient-centered outcomes and increase self-management in older adults with HF. ", issn="2561-7605", doi="10.2196/12178", url="http://aging.www.mybigtv.com/2018/2/e12178/", url="https://doi.org/10.2196/12178", url="http://www.ncbi.nlm.nih.gov/pubmed/31518257" }