远程护理干预计划在减少慢性呼吸衰竭患者接受非侵入性正压通风的恶化症的有效性:一项随机对照试验
Makoto Shimoyama1, Shiori Yoshida2, Chikako Takahashi3
1School of Nursing, Miyagi University, Miyagi, Japan.
PloS one
|October 26, 2023
概括
远程护理使用非侵入性正压通风 (NPPV) 为慢性呼吸衰竭患者减少住院和恶化. 这种远程护理干预措施在患者的治疗结果和生活质量方面显著改善.
科学领域:
- 呼吸系统医学 呼吸系统医学
- 数字健康数字健康
- 护理科学 护理科学
背景情况:
- 在非侵入性正压通风 (NPPV) 上的慢性呼吸衰竭患者经常经历恶化.
- 远程护理干预措施看起来很有希望,但需要更多的证据来证明在这个人群中的有效性.
研究的目的:
- 调查远程护理干预计划在减少家庭NPPV患者恶化的有效性.
- 评估远程护理对住院,门诊和患者报告结果的影响.
主要方法:
- 一项随机对照试验包括31名接受家庭NPPV的患者,分为干预 (远程护理) 和控制 (常规护理) 组.
- 远程护理干预涉及3个月的远程监控和视频电话健康咨询.
- 主要终点包括非计划的门诊,住院和住院日;次要终点评估生活质量和自我护理机构.
主要成果:
- 与对照组相比,远程护理组的住院次数 (p = .037) 和住院日数 (p = .031) 显著减少.
- 在干预组中,圣乔治呼吸道问卷 (SGRQ) (p = .039) 和自理机构问卷 (SCAQ) (p = .034) 的得分有显著改善.
- 虽然常规门诊诊所的病情恶化增加,但整体医院利用率下降,这表明急性事件的管理更好.
结论:
- 结合远程监测和健康咨询的远程护理干预计划,可以有效地减少慢性呼吸衰竭患者在家中NPPV的恶化和住院治疗.
- 远程护理可以改善患者的治疗结果和生活质量,支持将数字健康纳入慢性疾病管理.
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