@Article{info:doi/10.2196/17271，作者=“Jongsma, Karin Rolanda and van den Heuvel, Josephus F M and Rake, Jasmijn and Bredenoord, Annelien L and Bekker, Mireille N”，标题=“移动健康技术对妊娠高血压疾病的用户体验及建议:混合方法研究”，期刊=“JMIR Mhealth Uhealth”，年=“2020”，月=“8”，日=“4”，卷=“8”，号=“8”，页=“e17271”，关键词=“移动健康”;高血压;远程控制;道德规范;高危妊娠;子痫前期;背景:妊娠期高血压疾病(HDP)是全世界孕产妇和新生儿不良结局的主要原因。对于有高血压并发症风险的妇女，指南建议经常监测血压和先兆子痫的迹象。就诊时间从每两周到每周几次不等。鉴于智能手机和电脑在大多数国家普遍普及，以及对自我管理的日益重视，数字技术，包括移动健康(mHealth)，构成了妊娠期间监测(自我测量)血压的一个有希望的组成部分。 Currently, little is known about the experiences of women using such platforms and how mHealth can be aligned with their needs and preferences. Objective: The objectives were twofold: (1) to explore the experiences of Dutch women who had an increased risk of HDP with a blended care approach (mHealth combined with face-to-face care) for remote self-monitoring of blood pressure and preeclampsia symptoms and (2) to formulate recommendations for the use and integration of mHealth in clinical care. Methods: Alongside a prospective blended care study (SAFE@home study) that monitors pregnant women at increased risk of HPD with mHealth technology, a mixed methods study was conducted, including questionnaires (n=52) and interviews (n=11). Results were analyzed thematically. Results: Of the 4 themes, 2 themes were related to the technologies themselves (expectations, usability), and 2 themes were related to the interaction and use of mHealth (autonomy and responsibilities of patients, responsibilities of health care professionals). First, the digital platform met the expectations of patients, which contributed to user satisfaction. Second, the platform was considered user-friendly, and patients favored different moments and frequencies for measuring their blood pressure. Third, patient autonomy was mentioned in terms of increased insight about their own condition and being able to influence clinical decision making. Fourth, clinical expertise of health care professionals was considered essential to interpret the data, which translates to subsequent responsibilities for clinical management. Data from the questionnaires and interviews corresponded. Conclusions: Blended care using an mHealth tool to monitor blood pressure in pregnancy was positively evaluated by its users. Insights from participants led to 7 recommendations for designing and implementing similar interventions and to enhance future, morally sound use of digital technologies in clinical care. ", issn="2291-5222", doi="10.2196/17271", url="https://mhealth.www.mybigtv.com/2020/8/e17271", url="https://doi.org/10.2196/17271", url="http://www.ncbi.nlm.nih.gov/pubmed/32749225" }