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The needs and preferences of cardiac patients regarding an human-centered eHealth intervention during the perioperative phase : a qualitative analysis

Markus, Tessa (2020) The needs and preferences of cardiac patients regarding an human-centered eHealth intervention during the perioperative phase : a qualitative analysis.

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Abstract:Background. A large part of the population suffers from cardiovascular diseases that require surgery. During the perioperative phase of such surgeries, patients have to deal with many physical, psychological and environmental changes that the health care system currently cannot absorb. eHealth offers an effective way to fill the gaps of the health care system since it is accessible anytime and anywhere, offering individual solutions to patients. Objective. This study aims to analyze the needs and preferences of cardiac patients regarding an eHealth intervention during the perioperative phase in order to create an intervention that is human-centered and therefore, improves the health outcomes of cardiac patients. Methods. Semi-structured interviews about e.g. the course of the treatment, experiences, needs and preferences with regard to an intervention were conducted with six cardiac patients who varied in terms of sex, age, education and kind of surgery. Transcripts of the interviews were coded through conventional content analysis using Atlas.ti. Results. The need for an eHealth intervention was low. Half of the participants had no interest due to positive surgery experiences or lack of technology (-knowledge), the other half had ambivalent feelings. Concerning the preconditions and content, participants described a great number of preferences. Participants would like to receive information about the procedure, prognosis or medication. Participants wanted mindfulness, physical exercises, diary writing and self-monitoring to be included. Participants would like support provided through the app like personal or virtual contact with a professional but also independent use and they had timid preferences regarding the conceivable expenditure of time. Some participants could imagine the daily use; the period should start approximately 3 weeks before surgery and last up to one year after. Conclusion. Cardiac patients do not fully believe in eHealth to manage the shortcomings they experienced during their perioperative phase. Nevertheless, this study provided a deeper insight into the needs and preferences of cardiac patients regarding an eHealth intervention’s content. It would be conceivable that care robots would be a medium to unite the needs of the participants. Further research is still needed on one hand to investigate other forms of convenient interventions and on the other hand to investigate how eHealth can be more appealing to the target group.
Item Type:Essay (Master)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:77 psychology
Programme:Psychology MSc (66604)
Link to this item:http://purl.utwente.nl/essays/85222
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