摘要目的 探讨高血压患者对高血压远程管理模式的接受程度,以期为下一步临床推广应用提供依据.方法 选取2016年6—9月参与高血压远程管理的患者10例,采用质性研究中的现象学研究方法,基于技术接受模型(technology acceptance model,TAM)进行非结构式访谈,并采用Colaizzi现象学7步分析法对获得的资料进行分析和整理,提炼出主题.结果 根据技术接受模型归纳出3个主题,包括:感知易用性:患者表示管理平台易于使用;感知有用性:患者表示增加了对自身血压水平的了解,改善了血压监测习惯及不良生活方式,提高了诊治效率,节约了时间成本;使用意图:医护人员的参与度直接影响患者使用动机,患者在费用方面持有不同观点并认为在短时间内和特定情况下进行高血压远程管理更有意义.结论 患者对于高血压远程管理模式的接受度高,在临床推广应用层面需进一步研究并解决实际难点问题以保证其可持续发展.

abstractsObjective To explore hypertension patients' acceptability with the remote management model, and to provide a basis for clinical application in the future.Methods Totally 10 patients who received remote management between June and September 2016 were selected, and received unstructured interviews based on the technology acceptance model (TAM) with the phenomenological method in qualitative studies. And the data thus collected were analyzed and organized with the Colaizzi Seven-Step Method to find main themes. Results Totally 3 themes were found according to TAM, including perceived ease of use (the management platform was easy for use according to patients), perceived usefulness (patients better understood their own blood pressure, changed their habits of blood pressure monitoring and unhealthy lifestyle, improved treatment efficiency, and saved time costs), and intention of use (the participation of medical and nursing staffs could directly affect patients' intention of use, and patients had different opinions on expenses, believing that it was more meaningful to conduct remote management in short time and in particular cases).Conclusions Patients show a high acceptability with the remote management model, and in clinical application, further research is needed to tackle real difficulties and ensure the sustainable development of the model.