| Popis: |
BACKGROUND Post-discharge care involving telephone follow-up by an enterostomal therapy (ET) nurse is a common form of connected healthcare (cHealth) for post-operative patients with enterostomy. Although telephone follow-up may compensate for the inconvenience of a home visit or a return visit, the present telehomecare cannot completely meet the various needs of patients with enterostomy. Mobile health (mHealth) with apps had shown some promising results in disease management, the success factors for its practical promotion to patients with enterostomy are not elear. The explorations of user experiences are necessary for enhancing the design of cHealth systems. OBJECTIVE The study was aimed to explore the patients’, primary caregivers’, families’, and ET nurses’ health behavior intentions, user experiences, and other recommendations after using the system in telehomecare. METHODS A cHealth system was designed for patients with enterostomy. Two ET nurses, 10 patients (or primary caregivers), and 10 families were recruited for the study. After training, participants were asked to use their mobile applications daily. After 3 patient follow-ups (at the time of enrollment and 1 week and 2 weeks after enrolling), a semi-structured interview was conducted for each participant. Researchers transcribed the interview contents to texts, performed coding with NVivo 11 Pro for Windows (QSR International, Melbourne, Australia) qualitative data analysis Software, and the content through content analysis. RESULTS From the set of stakeholders, 5 patients,5 primary caregivers,10 families and 2 ET nurses were selected. They were all between 21 and 67 years. The results indicated that the stakeholders have 2 primary health behavior intentions: sudden threats and distress and social support and ambient intimacy. There were 3 primary user experiences: intuitive at a glance, self-empowerment and participation and the conflict between utility and value. They also provided some other recommendations for enhancing the design of cHealth systems. CONCLUSIONS This study investigated the health behavior intentions and user experiences of the stakeholders of patients with enterostomy who used mobile apps and a cHealth system for telehomecare and proposed system improvement recommendations. Understanding user experiences and expectations is crucial for system developers to identify the defects in the design of mobile apps and cHealth systems for facilitating the app of cHealth for patients with enterostomy. It is recommended that researchers refer to the recommendations of the users in this study to improve cHealth system designs and to explore the costs and benefits of systems that implement cHealth models for patients after enterostomy. |
