围透析患者远程监测的安排
Grazia Maria Virzì1,2, Niccolò Morisi2,3, Sabrina Milan Manani1,2
1Department of Nephrology, Dialysis and Transplantation, San Bortolo Hospital, 36100 Vicenza, Italy.
Journal of clinical medicine
|January 23, 2024
概括
远程医疗通过在家进行自动化PD (APD) 治疗的远程患者监控 (RPM) 来增强腹腔透析 (PD). 这有助于改善患者护理和资源分配,尽管结构化的工作流对于有效管理数据至关重要.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 医疗信息学 医疗信息学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 腹腔透析 (PD) 是一种家庭治疗方式.
- 远程医疗和电子健康设备为自动化PD (APD) 提供了远程患者监控 (RPM).
- RPM允许远程数据评估和处方适应,增强家庭护理.
研究的目的:
- 提出一种方法来改善使用APD-RPM的PD患者的临床监测.
- 将维琴扎PD中心的协议和经验与APD-RPM分享.
- 通过案例报告来说明APD-RPM的应用.
主要方法:
- 维琴察PD中心对APD-RPM的临床方案的划定.
- 包括患者特征,时间和APD-RPM的目的.
- 介绍了三个案例报告,展示了APD-RPM的实施.
主要成果:
- 在PD中,远程医疗改善了医疗保健资源的分配,并减少了进入障碍.
- 潜在的挑战包括数据过载和医疗保健专业人员的工作量增加.
- 一个主动的医生方法,由指导方针和定义的工作流支持,是必不可少的.
结论:
- 为了有效实施APD-RPM,需要一个结构化的工作流.
- 患者的需要应指导远程监测的强度 (不稳定的患者频繁,稳定的患者定期).
- 需要指导方针来定义患者候选,监测参数和RPM的时间.
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