妊娠期高血压疾病移动医疗技术的用户体验与建议:卡塔尔世界杯8强波胆分析混合方法研究%A Jongsma,Karin Rolanda %A van den Heuvel,Josephus F M %A Rake,Jasmijn %A bredenord,Annelien L %A Bekker,Mireille N %+乌得勒支大学乌得勒支大学医学中心医学人文学系，邮政信箱85500，荷兰乌得勒支，3508 GA, 31 88 75 51351k.r.jongsma@umcutrecht.nl %K移动健康%K高血压%K远程监测%K伦理%K高危妊娠%K先兆子痫%K数字健康%D 2020 %7 4.8.2020 %9背景:妊娠高血压疾病(HDP)是全球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。目前，人们对女性使用此类平台的体验知之甚少，也不知道移动医疗如何与她们的需求和偏好保持一致。目的:目的有两个:(1)探索混合护理方法(移动健康与面对面护理相结合)对血压和子痫前期症状进行远程自我监测的HDP风险增加的荷兰妇女的经验;(2)制定在临床护理中使用和整合移动健康的建议。方法:在一项前瞻性混合护理研究(SAFE@home研究)中，使用移动健康技术监测HPD风险增加的孕妇，同时进行了一项混合方法研究，包括问卷调查(n=52)和访谈(n=11)。结果按主题进行分析。 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. %M 32749225 %R 10.2196/17271 %U https://mhealth.www.mybigtv.com/2020/8/e17271 %U https://doi.org/10.2196/17271 %U http://www.ncbi.nlm.nih.gov/pubmed/32749225