Design and evaluation of an electronic follow-up questionnaire for patients after percutaneous coronary intervention.

IF 3.3 3区 医学 Q2 MEDICAL INFORMATICS
Hassan Rajabi Moghadam, Parsa Rabbani, Majid Mazouchi, Hossein Akbari, Ehsan Nabovati, Soroosh Rabbani, Parissa Bagheri Toolaroud
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引用次数: 0

Abstract

Background: Patient-centered, measurable, and transparent care is essential for improving healthcare outcomes, particularly for patients undergoing percutaneous coronary intervention (PCI) procedures. Electronic follow-up questionnaires offer the potential for efficient and accurate data collection, enhancing the monitoring of patient experiences and outcomes. This study aimed to design and evaluate an electronic follow-up questionnaire tailored for post-PCI patients, focusing on real-time symptom monitoring and data collection.

Methods: This developmental study was conducted in 2020 in three phases. In the first phase, a follow-up questionnaire was developed through a needs assessment and expert consultations. Each item's content validity ratio (CVR) and content validity index (CVI) were evaluated to ensure content validity. The finalized questionnaire elements were then reviewed and refined by a panel of ten cardiologists using the Delphi technique. In the second phase, an electronic platform was designed to host the follow-up questionnaire. The tool's effectiveness for post-PCI follow-up was evaluated in the third phase.

Results: Cardiologists confirmed all items in the Delphi technique's first round, validating the follow-up questionnaire's content. A total of 41 patients undergoing PCI were enrolled in the study. The most frequently reported symptoms included issues at the catheter insertion site, chest discomfort, digestive complications, and shortness of breath. Of these patients, 21 (51.2%) utilized the electronic follow-up tool. The primary reasons for non-participation were busy schedules, forgetfulness, and perceived recovery. Among the participants, 16 (76.2%) expressed high or very high satisfaction with the tool.

Conclusion: The findings suggest that this electronic follow-up questionnaire has the potential to effectively collect clinical data, support academic research, and improve the quality of post-PCI care. However, addressing barriers to patient participation and involving patients in the tool's iterative development will be critical for enhancing its adoption and impact.

经皮冠状动脉介入治疗后电子随访问卷的设计与评价。
背景:以患者为中心、可测量和透明的护理对于改善医疗保健结果至关重要,特别是对于接受经皮冠状动脉介入治疗(PCI)手术的患者。电子随访问卷可以有效和准确地收集数据,加强对患者经历和结果的监测。本研究旨在设计和评估为pci术后患者量身定制的电子随访问卷,重点关注实时症状监测和数据收集。方法:本研究于2020年分三个阶段进行。在第一阶段,通过需求评估和专家协商拟订了一份后续问题单。评估每个项目的内容效度比(CVR)和内容效度指数(CVI)以确保内容效度。最后确定的问卷元素,然后由10名心脏病专家小组使用德尔菲技术进行审查和完善。在第二阶段,设计了一个电子平台来容纳后续问卷。在第三阶段评估该工具对pci后随访的有效性。结果:心脏病专家确认了德尔菲技术第一轮的所有项目,验证了随访问卷的内容。共有41名接受PCI的患者参加了这项研究。最常见的症状包括导管插入部位的问题、胸部不适、消化并发症和呼吸短促。其中21例(51.2%)采用了电子随访工具。不参加的主要原因是繁忙的日程安排,健忘和感知恢复。在参与者中,16人(76.2%)对该工具表示高度或非常高的满意度。结论:该电子随访问卷具有有效收集临床资料、支持学术研究、提高pci后护理质量的潜力。然而,解决患者参与的障碍并让患者参与工具的迭代开发对于提高其采用和影响至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
7.20
自引率
5.70%
发文量
297
审稿时长
1 months
期刊介绍: BMC Medical Informatics and Decision Making is an open access journal publishing original peer-reviewed research articles in relation to the design, development, implementation, use, and evaluation of health information technologies and decision-making for human health.
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