在慢性病患者中使用患者报告结果进行远程症状监测:随机对照试验的过程评估
Birgith Engelst Grove1,2, Annette de Thurah2,3, Per Ivarsen2,4
1AmbuFlex, Centre for Patient-Reported Outcomes, Gødstrup Hospital, Herning, Denmark.
JMIR formative research
|April 24, 2024
概括
慢性病 (CKD) 患者的远程监测显示了高度的坚持和医生参与. 结合远程和亲自护理的混合方法可以优化这种不断变化的医疗保健提供模式.
科学领域:
- 医疗保健提供创新 医疗保健提供创新
- 数字健康干预措施 数字健康干预措施
- 慢性疾病管理 慢性疾病管理
背景情况:
- 丹麦慢性病 (CKD) 的门诊护理正在转向远程医疗服务.
- 在利用远程患者报告结果 (PRO) 和理解干预机制方面存在挑战.
- 过程评估对于优化干预如何以及为什么在临床实践中起作用至关重要.
研究的目的:
- 评估对CKD患者进行远程监测干预的过程.
- 评估干预的代表性,患者和医生的使用,坚持和临床参与.
- 提供关于远程医疗保健的实际实施的见解.
主要方法:
- 一个多中心随机对照试验 (RCT) 包含一个过程评估.
- 开发和实施使用PRO措施的远程监控干预.
- 从PRO,网络系统,医疗记录和医生采访中收集数据.
主要成果:
- 在320名受邀患者中,有152名患者 (47.5%) 参与,反映了目标人群.
- 观察到高患者坚持 (82%) 和问卷答复率 (99.1%).
- 医生发现PROs是有益的,但注意到人们担心在没有面对面接触的情况下缺失症状.
结论:
- 远程监测对于CKD患者来说很重要,并且在实践中很有用,需要高度的坚持和医生管理.
- 医生对"临床眼光"丧失的担忧凸显了远程症状评估中的潜在风险.
- 建议采用混合方法,将远程和面对面的咨询结合起来,以应对实施挑战.
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