English  |  正體中文  |  简体中文  |  全文笔数/总笔数 : 60986/93524 (65%)
造访人次 : 1563588      在线人数 : 6
RC Version 7.0 © Powered By DSPACE, MIT. Enhanced by NTU Library & TKU Library IR team.
搜寻范围 查询小技巧:
  • 您可在西文检索词汇前后加上"双引号",以获取较精准的检索结果
  • 若欲以作者姓名搜寻,建议至进阶搜寻限定作者字段,可获得较完整数据
  • 进阶搜寻

    jsp.display-item.identifier=請使用永久網址來引用或連結此文件: https://tkuir.lib.tku.edu.tw/dspace/handle/987654321/121466

    题名: A Web-Based Integrated Management Program for Improving Medication Adherence and Quality of Life, and Reducing Readmission in Patients With Atrial Fibrillation: Randomized Controlled Trial
    作者: Hsieh, Hui-Ling;Kao, Chi-Wen;Cheng, Shu-Meng;Chang, Yue-Cune
    关键词: web-based program;atrial fibrillation;coping strategy;medication adherence;readmission;health-related quality of life
    日期: 2021-09-22
    上传时间: 2021-10-07 12:11:08 (UTC+8)
    出版者: J M I R Publications, Inc.
    摘要: Background: Atrial fibrillation (AF) is related to a variety of chronic diseases and life-threatening complications. It is estimated
    that by 2050, there will be 72 million patients with AF in Asia, of which 2.9 million will have AF-associated stroke. AF has
    become a major issue for health care systems.
    Objective: We aimed to evaluate the effects of a web-based integrated management program on improving coping strategies,
    medication adherence, and health-related quality of life (HRQoL) in patients with AF, and to detect the effect on decreasing
    readmission events.
    Methods: The parallel-group, single-blind, prospective randomized controlled trial recruited patients with AF from a medical
    center in northern Taiwan and divided them randomly into intervention and control groups. Patients in the intervention group
    received the web-based integrated management program, whereas those in the control group received usual care. The measurement
    tools included the Brief Coping Orientation to Problems Experienced (COPE) scale, Medication Adherence Rating Scale (MARS),
    the three-level version of the EuroQoL five-dimension self-report questionnaire (EQ-5D-3L), and readmission events 2 years
    after initiating the intervention. Data were collected at 4 instances (baseline, 1 month, 3 months, and 6 months after initiating the
    intervention), and analyzed with generalized estimating equations (GEEs).
    Results: A total of 231 patients were recruited and allocated into an intervention (n=115) or control (n=116) group. The mean
    age of participants was 73.08 (SD 11.71) years. Most participants were diagnosed with paroxysmal AF (171/231, 74%), and the
    most frequent comorbidity was hypertension (162/231, 70.1%). Compared with the control group, the intervention group showed
    significantly greater improvement in approach coping strategies, medication adherence, and HRQoL at 1, 3, and 6 months (all
    P<.05). In addition, the intervention group showed significantly fewer readmission events within 2 years (OR 0.406, P=.03),
    compared with the control group.
    Conclusions: The web-based integrated management program can significantly improve patients' coping strategy and medication
    adherence. Therefore, it can empower patients to
    關聯: Journal of Medical Internet Research 23(9), 30107
    DOI: 10.2196/30107
    显示于类别:[數學學系暨研究所] 期刊論文


    档案 描述 大小格式浏览次数



    DSpace Software Copyright © 2002-2004  MIT &  Hewlett-Packard  /   Enhanced by   NTU Library & TKU Library IR teams. Copyright ©   - 回馈