远程医疗护士的可用性支持在外围动脉疾病的家庭行走训练 - 保持节奏! 试点研究试点研究
Andreas Prenner1, Andreas Ziegl2,3, Fabian Wiesmüller3,4
1Division of Angiology, Department of Internal Medicine, Medical University of Graz, Austria.
VASA. Zeitschrift fur Gefasskrankheiten
|May 29, 2024
概括
一个远程医疗服务",跟上步伐! ",显著改善了周围动脉疾病 (PAD) 患者的步行距离和生活质量. 患者报告高满意度,表明远程医疗服务.
科学领域:
- 心血管医学 心血管医学
- 数字健康数字健康
- 康复科学 康复科学 康复科学
背景情况:
- 指导方针建议步行训练用于外围动脉疾病 (PAD) 管理.
- 有监督的步行训练比建议更能改善步行距离.
- 护士支持的远程医疗可以弥合监督培训可访问性的差距.
研究的目的:
- 为了评估新型远程医疗服务的有效性和患者满意度",跟上步伐! ",用于PAD患者的结构化家庭行走训练.
- 评估步行距离,疼痛控制和与健康有关的生活质量的改善.
- 确定护士监督在远程医疗模型中的影响.
主要方法:
- 一个远程医疗服务"跟上步伐!" 对于症状性PAD患者 (Fontaine IIa/IIb阶段) 实施.
- 该服务包括基于应用程序的步骤监控和6分钟步行测试 (6MWT) 与地理位置跟踪.
- 监督包括8周的护士带领的呼叫,然后是4周的独立培训.
主要成果:
- 观察到无痛步行距离 (+112.2%) 和6MWT总距离 (+117.2%) 的显著改善.
- 该服务导致不适的显著减少和社会参与的改善.
- 报告的患者满意度很高 (总体为95.4%),其中78.9%的人认为护士电话提高了疗效.
结论:
- 这次的"跟上步伐!" 远程医疗服务显示了高患者满意度和PAD患者身体健康的显著改善.
- 远程医疗,特别是在护士支持下,是通过在家进行步行训练来管理PAD的可行和有效方法.
- 这种方法提高了患者的动力和坚持,从而带来了可衡量的临床益处.
相关概念视频
01:30Peripheral Artery Disease I: Introduction
Peripheral artery disease (PAD) predominantly results from atherosclerosis, which involves the accumulation of fatty deposits, or plaques, within the walls of arteries. This causes them to narrow and harden, significantly reducing blood flow. PAD predominantly affects the legs, particularly the arteries supplying the thighs and calves. In rare cases, it may involve other arteries, including those in the arms.Etiology of PAD:The principal cause of PAD is atherosclerosis, which results from fatty...
01:21Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
01:27Peripheral Artery Disease III: Interprofessional Care
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
01:26Peripheral Artery Disease IV: Nursing Management
The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses, temperature changes,...
01:23Peripheral Artery Disease V: Postoperative Nursing Management
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...