基于COM-B模型的心力衰竭患者移动健康平台的构建与应用
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复旦大学临床护理特色专科建设项目(FNSF201604);复旦大学复星护理科研基金项目(FNF201732)


Construction and application of a COM-B model based mobile health platform for patients with heart failure
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    摘要:

    目的 构建基于 COM-B模型的移动健康平台,并评价其对心力衰竭患者自我管理的影响。方法 通过文献检索及专家咨询 初步构建心力衰竭患者的移动健康平台,包含健康信息传播模块、自我管理反馈模块、护患沟通支持模块、门诊随访助手4个模 块。将207例患者随机分为干预组105例和对照组102例。对照组实施心力衰竭常规护理;干预组在此基础上,使用移动健康平 台实施护理。干预6个月后,评价两组患者的心力衰竭知识水平、自我护理能力、服药依从性。结果 干预后,干预组心力衰竭知 识水平、自我护理能力及服药依从性评分显著高于干预前;且与对照组比较,差异有统计学意义(均 P

    Abstract:

    Objective To establish a COM-B model based mobile health platform for patients with heart failure(HF), and to evaluate its effect on self-management. Methods A mobile health platform for HF patients, which consists 4 modules of health information, self-management feedback, nurse-patient communication, and outpatient follow-up, was constructed through literature review and expert consultation. A total of 207 HF patients admitted to the department of cardiology were randomized into 2 groups. The control group (n=102) was subjected to standard hospital care, while the the intervention group (n=105) additionally joined a 6-month program with the help of the mobile health platform. The HF knowledge, self-care ability and medication compliance of the two groups were evaluated after 6 months. Results There were significant differences in before-after scores of the HF knowledge, self-care ability and medication compliance in the intervention group, whose scores were also significantly higher than the control group(P<0.01 for all). Conclusion The mobile health platform based on COM-B model can improve the knowledge level, self-care ability and medication compliance of HF patients. The platform enables convenient, effective and low-cost transitional care to the patients.

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董忻悦,张贤,陆飞歆,张倩,徐毅云,陈雅容,林颖.基于COM-B模型的心力衰竭患者移动健康平台的构建与应用[J].护理学杂志,2019,34(23):75-78

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  • 收稿日期:2019-07-27
  • 最后修改日期:2019-09-02
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  • 在线发布日期: 2022-08-09