Experience of home-based digital-intelligent blood pressure management for ischemic stroke patients: a qualitative study
10.3760/cma.j.cn115682-20250212-00613
- VernacularTitle:缺血性脑卒中患者居家数智化血压管理体验的质性研究
- Author:
Yuxin WANG
1
;
Hong CHANG
;
Siying TIAN
;
Jie ZHAO
;
Jingyi XU
;
Na YIN
;
Xuan WANG
Author Information
1. 首都医科大学宣武医院神经内科 国家老年疾病临床医学研究中心,北京 100053
- Publication Type:Journal Article
- Keywords:
Stroke;
Digital intelligence;
Blood pressure management;
Home-based;
Qualitative research
- From:
Chinese Journal of Modern Nursing
2025;31(23):3091-3096
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the experiences and needs of discharged patients with ischemic stroke during the implementation of home-based digital-intelligent blood pressure management.Methods:Using purposive sampling method, 13 acute ischemic stroke patients admitted to the Department of Neurology of Xuanwu Hospital of Capital Medical University and discharged to receive home-based digital-intelligent blood pressure management were selected for face-to-face semi-structured interviews between March and May 2024. Colaizzi 7-step analysis was used for the analysis.Results:A total of three themes and six sub-themes were extracted, namely, the double-edged effect under digital-intelligent empowerment (current situation of collision between technological novelty and cognitive generation gap, and contradiction between precision priority and lagging user experience), inertial resistance and behavioral reshaping in the process of digital-intelligent intervention (behavioral intervention exclusion under life inertia and self-efficacy enhancement driven by digital intelligence), and the "support disconnection" and the need for system reconstruction in home-based rehabilitation (professional guidance "vacuum" identity anxiety, and imbalance in the tension of family support networks) .Conclusions:Home-based blood pressure digital-intelligent management devices and programs for ischemic stroke patients need to be improved and developed. The role of multidisciplinary teams should be actively utilized, the digital divide should be emphasized, and post-disease family relationships should be reconstructed to further enhance patients' awareness of long-term blood pressure management.