远程数据收集的代码设计,用于慢性管理儿科家庭机械通风
Carolyn C Foster1,2,3, Aaron J Kaat4, Avani V Shah5,6
1Division of Advanced General Pediatrics and Primary Care, Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Pediatric pulmonology
|September 13, 2023
概括
远程患者监测 (RPM) 是可行的和可接受的儿童在侵入性家庭机械通风 (IHMV). 这项技术捕捉了呼吸机休息期间临床显著的生命体征变化,改善了IHMV管理.
科学领域:
- 儿科肺病学 儿科肺病学
- 生物医学工程 生物医学工程
- 医疗信息学 医疗信息学
背景情况:
- 室外监测儿童的侵入性家庭机械通风 (IHMV) 是至关重要的,但面临的挑战.
- 这项研究调查了慢性IHMV管理的远程数据收集的可行性和可接受性.
研究的目的:
- 评估使用IHMV的儿童远程患者监测 (RPM) 的可行性和可接受性.
- 评估RPM在采集呼吸机使用期间生命体征变化的临床实用性.
主要方法:
- 一项代码设计研究,涉及IHMV程序,护士和使用IHMV的儿童 (0-17岁) 的父母.
- 父母使用RPM捆绑8周收集生理数据 (HR,RR,SpO2,EtCO2,呼吸机压力).
- 使用定性方法和系统可用性量表 (SUS) 分析了用户反;混合效应模型分析了生命体征差异.
主要成果:
- 平均83.7%的周收集了RPM数据,可用性得分高 (护士:84.8,家长:91.8).
- 超过90%的家长认为RPM是可行的,并且与孩子的护理相关.
- 在呼吸机休息期间,潮末二氧化碳 (EtCO2) 和呼吸速率 (RR) 显著增加.
结论:
- 远程患者监测 (RPM) 是一个可行的和可接受的方法来管理儿童的IHMV.
- RPM有效捕捉临床上有意义的生命体征变异,支持其在IHMV护理中的实用性.
- 这项技术增强了需要侵入性家庭机械通风的儿童的管理.
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