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Need Assessment for Smartphone-Based Cardiac Telerehabilitation

  • Kim, Ji-Su (Cardiac Wellness Center, Severance Hospital) ;
  • Yun, Doeun (Cardiac Wellness Center, Severance Hospital) ;
  • Kim, Hyun Joo (Cardiovascular Laboratory Part, Severance Hospital) ;
  • Ryu, Ho-Youl (Cardiac Wellness Center, Severance Hospital) ;
  • Oh, Jaewon (Division of Cardiology, Severance Cardiovascular Hospital and Cardiovascular Research Institute, Yonsei University College of Medicine) ;
  • Kang, Seok-Min (Division of Cardiology, Severance Cardiovascular Hospital and Cardiovascular Research Institute, Yonsei University College of Medicine)
  • 투고 : 2018.07.12
  • 심사 : 2018.10.24
  • 발행 : 2018.10.31

초록

Objectives: To identify the current status of smartphone usage and to describe the needs for smartphone-based cardiac telerehabilitation of cardiac patients. Methods: In 2016, a questionnaire survey was conducted in a supervised ambulatory cardiac rehabilitation (CR) program in a university affiliated hospital with the participation of heart failure or heart transplantation patients who were smartphone users. The questionnaire included questions regarding smartphone usage, demands for smartphone-based disease education, and home health monitoring systems. Results were described and analyzed according to principal diagnosis. Results: Ninety-six patients (66% male; mean age, $5{\pm}11$ years), including 56 heart failure and 40 heart transplantation patients, completed the survey (completion rate, 95%). The median daily smartphone usage time was 120 minutes (interquartile range, 60-300), and the most frequently used smartphone function was text messaging (61.5%). Of the patients, 26% stated that they searched for health-related information using their smartphones more than 1 time per week. The major source of health-related information was Internet browsing (50.0%), and the least sought source was the hospital's website (3.1%). Patients with heart failure expressed significantly higher needs for disease education on treatment plan, home health monitoring of blood pressure, and body weight (${\chi}^2=5.79$, 6.27, 4.50, p < 0.05). Heart transplantation patients expressed a significant need for home health monitoring of body temperature (${\chi}^2=5.25$, p < 0.05). Conclusions: Heart failure and heart transplantation patients show high usage of and interest in mobile health technology. A smartphone-based cardiac telerehabilitation program should be developed based on high demand areas and modified to suit to each principal diagnosis.

키워드

과제정보

연구 과제 주관 기관 : Ministry of Science and ICT

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피인용 문헌

  1. Patients’ needs and perspectives for using mobile phone interventions to improve heart failure self‐care: A qualitative study vol.76, pp.9, 2018, https://doi.org/10.1111/jan.14455