移动应用随访对高血压患者治疗依从性和自我护理管理的影响:随机对照试验。

IF 1.7 4区 医学 Q2 NURSING
Alev Yildirim Keskin, Nurhan Özpancar Şolpan, Hasan Değirmenci
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引用次数: 0

摘要

背景:高血压(HT)是一个全球性的健康问题。虽然有有效的治疗方案,但患者很难适应定期使用药物、饮食和改变生活方式。目的:本研究旨在确定移动应用随访对高血压患者治疗依从性和自我护理管理的影响:这项随机对照试验于 2021 年 11 月和 2022 年 3 月进行,实验组和对照组 HT 患者各 40 人。研究数据通过患者信息表、"希尔骨高血压治疗依从性量表(HBHTTCS)"、"高血压自我护理档案--动机量表(HTSPMS)"、上传到患者手机上的移动应用程序(每日血压、脉搏、用药、饮食、运动追踪)以及个人动机信息进行收集:第 6 周时,HBHTTCS 的平均总分为(14.57 ± 1.89)分,HTSPMS 的平均总分为(78.15 ± 2.05)分。在干预组患者的首次访谈(第1周随访)和最后一次访谈(第6周随访)之间,HTSPMS(p = 0.000)和HBHTTCS(p = 0.000)的平均总分以及HBHTTCS的医疗(p = 0.002)和营养(p = 0.002)分量表的平均得分均有统计学差异:本研究表明,移动应用随访提高了高血压患者的治疗动力水平和治疗依从性,并改善了自我护理。这些积极的研究结果表明,在高血压患者的疾病管理中整合移动应用非常重要:试验注册:ClinicalTrials.gov ID:NCT05334446, https://clinicaltrials.gov/ct2/show/NCT05334446.
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Effect of Mobile Application Follow-Up on Treatment Compliance and Self-Care Management in Patients With Hypertension: Randomized Controlled Trial.

Background: Hypertension (HT) is a global health problem. Although there are effective treatment protocols, patients have difficulty in adapting to regular use of drugs, diet, and lifestyle changes. Mobile apps can be a potential alternative for managing HT and improving self-care behavior.

Purpose: This study aimed to determine the effect of mobile application follow-up on treatment compliance and self-care management in patients with HT.

Methods: This randomized controlled trial was conducted in November 2021 and March 2022 with 40 experimental and 40 control group patients with HT. Research data were collected using a patient information form, "Hill-Bone Hypertension Treatment Compliance Scale (HBHTTCS)," "Hypertension Self-Care Profile-Motivation Scale (HTSPMS)," a mobile application program (daily blood pressure, pulse, medication, diet, exercise tracking) uploaded to the mobile phones of the patients, and individual motivational messages.

Results: The mean total score of the HBHTTCS at Week 6 was 14.57 ± 1.89 and the mean total score of the HTSPMS was 78.15 ± 2.05. There was a statistically significant difference in mean total HTSPMS (p = 0.000) and HBHTTCS (p = 0.000) scores and mean scores on medical (p = 0.002) and nutrition (p = 0.002) subscales of HBHTTCS between the first interview (1st-week follow-up) and the last interview (6th-week follow-up) of patients in the intervention group.

Conclusions: This study showed that mobile application follow-up increased motivation levels and treatment compliance in patients with HT and resulted in better self-care. These positive findings indicate importance of integrating mobile applications in the disease management of HT patients.

Trial registration: ClinicalTrials.gov ID: NCT05334446, https://clinicaltrials.gov/ct2/show/NCT05334446.

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来源期刊
Public Health Nursing
Public Health Nursing 医学-公共卫生、环境卫生与职业卫生
CiteScore
3.50
自引率
4.80%
发文量
117
审稿时长
6-12 weeks
期刊介绍: Public Health Nursing publishes empirical research reports, program evaluations, and case reports focused on populations at risk across the lifespan. The journal also prints articles related to developments in practice, education of public health nurses, theory development, methodological innovations, legal, ethical, and public policy issues in public health, and the history of public health nursing throughout the world. While the primary readership of the Journal is North American, the journal is expanding its mission to address global public health concerns of interest to nurses.
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