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The Feasibility of the Heart Failure Mobile Phone Aide Application (Android Apps.) on Self-Management Measured by Improved Physical Function and Reduced Hospital Admissions Related to Heart Failure in Thailand
Başlık:
The Feasibility of the Heart Failure Mobile Phone Aide Application (Android Apps.) on Self-Management Measured by Improved Physical Function and Reduced Hospital Admissions Related to Heart Failure in Thailand
Yazar:
Suthipong, Chittraphorn, author.
ISBN:
9780438007949
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Fiziksel Tanımlama:
1 electronic resource (173 pages)
Genel Not:
Source: Dissertation Abstracts International, Volume: 79-10(E), Section: B.
Advisors: Janice B. Agazio Committee members: Sandra O’Brien; Rachanee Sunsern.
Özet:
Heart failure (HF), deterioration of heart function, is a serious chronic disease in Thailand. It affects patients' physical health, emotional state, and life expectancy. Patients who poorly self-manage their HF can expose themselves to unnecessary and dangerous risk factors, causing them to be hospitalized or readmitted to the hospital. Most patients with HF need additional resources to assist them in monitoring their signs and symptoms, the side effects of their medications, the administration of their medications, and the control of fluid and sodium levels. Aide apps on mobile phones aim to improve self-management in patients with HF, helping them improve physical function and decrease hospital readmission rates.
The purpose of this study was to test whether there were differences in readmission rate, physical function, pitting edema, and blood pressure between patients with HF who used the Heart Failure Aide Application (HFAA) and patients with HF who received the standard treatment. The study was based on a quasi-experimental design with repeated measures for two groups in a pretest-posttest design. It used self-management in chronic disease as a theory framework.
The project method involved introducing the HFAA to enhance self-management in patients in Thailand who have HF. The 120 participants were divided equally into a control group and an implementation group. The intervention group used the HFAA, and the control group received standard care from the hospital over the next three months. This study used descriptive statistics, bivariate analysis, and repeated measures of multivariate analysis of covariance (MANCOVA) to detect differences between the mean values across four timeframes (the baseline, 30 days, 60 days, and 90 days) for each measurement. The independent sample t-tests assessed differences in hospital readmission rates between the two groups.
The findings supported the first, third, and fourth hypotheses. Thai patients with HF who used the HFAA demonstrated more improvements in the 6MWT and experienced fewer hospital readmissions. And, fewer patients who used the HFAA experienced episodes of pitting edema compared to those who did not use the mobile app. The second hypothesis was not supported. That is, Thai patients with HF who used the HFAA did not demonstrate any differences in systolic blood pressure and diastolic blood pressure compared to those who did not use the mobile app. As the results showed, patients with HF who received the HFAA had lower readmission rates, fewer episodes of pitting edema, and better scores on the 6MWT than those who received the standard treatment. These findings indicate a strong potential for patients with HF to use the HFAA.
Notlar:
School code: 0043
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Yer Numarası | Demirbaş Numarası | Shelf Location | Lokasyon / Statüsü / İade Tarihi |
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XX(679907.1) | 679907-1001 | Proquest E-Tez Koleksiyonu | Arıyor... |
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