患有长期慢性疾病的患者通常需要持续的医疗护理，生活方式的调整，以及超出初始诊断和治疗阶段的社会心理支持。许多人经历疾病恶化，随后需要住院治疗，特别是在出院后的过渡期。管理长期条件的一个有希望的策略是促进自我管理。涉及远程患者监测的电子健康干预措施有可能促进自我管理，并在医院和患者的家庭环境之间建立更加无缝的桥梁。然而,这种干预措施只有在有效的情况下才能对健康和医疗保健产生重大影响，被用户接受和采用，正常化为日常实践和日常生活，并能够广泛实施。可行性研究用于确定干预措施是否适合目标人群并有效实现其预期目标。它们还可以提供有关干预措施的可接受性和可用性的关键信息。
■我们旨在通过使用标准化过程理论的核心结构，评估护士辅助的远程患者监测干预措施在长期疾病患者的住院后随访中的可接受性和可用性。
■采用了描述性和解释性的定性方法，在培训期间观察患者，并在研究完成后与患者和护士进行半结构化访谈。
■参与者在2021年12月至2023年2月期间从挪威的两家大学医院招募。
■在训练期间观察到10名患者，研究完成后，对27名患者和8名护士进行了访谈。
■在患者接受操作远程患者监护服务的培训时，进行了结构化和公开的观察，由观察指南指导。对患者和护士导航员进行了半结构化访谈，了解他们的远程随访护理经验，以开放式问题为指导。数据分析遵循逐步演绎归纳法。
■“通过数字社交互动实现接受度和可用性”成为一个统一的主题，将长期疾病患者和护士导航员的经历连接起来。这个总体主题由四个分主题说明，所有这些都以各种方式反映了护士辅助远程患者监护服务的可用性和可接受性。
■可接受性和可用性是评估远程患者监护干预措施时要考虑的关键因素。在这项研究中,促进可接受性和可用性的最重要特征是患者和护士导航员之间的互动。因此,干预的可行性和实施潜力取决于其交付者和接受者之间的关系。
UNASSIGNED: Patients living with long-term chronic illnesses often need ongoing medical attention, lifestyle adjustments, and psychosocial support beyond the initial diagnosis and treatment phases. Many experience illness deterioration and subsequently require hospitalisation, especially in the transition period after hospital discharge. A promising strategy for managing long-term conditions is promoting self-management. eHealth interventions involving remote patient monitoring have the potential to promote self-management and offer a more seamless bridge between the hospital and the patient´s home environment. However, such interventions can only significantly impact health and health care if they are effective, accepted and adopted by users, normalised into routine practice and everyday life, and able to be widely implemented. Feasibility studies are used to determine whether an intervention is suitable for the target population and effective in achieving its intended goal. They may also provide critical information about an intervention´s acceptability and usability.
UNASSIGNED: We aimed to evaluate the acceptability and usability of a nurse-assisted remote patient monitoring intervention for the post-hospital follow-up of patients with long-term illnesses by use of the core constructs of normalisation process theory.
UNASSIGNED: A descriptive and explanatory qualitative approach was used, with patients observed during training and semi-structured interviews conducted with patients and nurses after study completion.
UNASSIGNED: Participants were recruited from two university hospitals in Norway between December 2021 and February 2023.
UNASSIGNED: Ten patients were observed during training, and 27 patients and eight nurses were interviewed after study completion.
UNASSIGNED: Structured and overt observations were made while the patients received training to operate the remote patient monitoring service, guided by an observation guide. Semi-structured interviews were conducted with patients and nurse navigators about their experiences of remote follow-up care, guided by open ended questions. Data analysis followed a stepwise deductive inductive method.
UNASSIGNED: `Achieving acceptance and usability through digital social interaction´ emerged as a unifying theme that bridged the experiences of patients with long-term illnesses and the nurse navigators. This overarching theme was illustrated by four sub-themes, which all reflected the usability and acceptability of the nurse-assisted remote patient monitoring service in various ways.
UNASSIGNED: Acceptability and usability are critical factors to consider when evaluating remote patient monitoring interventions. In this study, the most important feature for promoting acceptability and usability was the interaction between patients and nurse navigators. Therefore, the intervention´s feasibility and implementation potential rested upon the relationship between its deliverer and receiver.
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