囊性纤维化病中的远程医疗和家庭螺旋计:一个前性的多中心研究
Jakob Medbo1,2, Henrik Imberg3, Christine Hansen4
1Department of Pediatrics, Institute of Clinical Science at Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
在囊性纤维化 (CF) 护理中,远程医疗和家庭螺旋计没有对疾病进展产生负面影响. 这种方法提供了灵活性和个性化,高患者和护理人员的满意度.
科学领域:
- 儿科肺病学 儿科肺病学
- 数字健康数字健康
- 慢性疾病管理 慢性疾病管理
背景情况:
- 确定了儿童囊性纤维化 (CF) 患者的远程医疗和家庭螺旋计的可行性.
- 这些技术对CF疾病进展的影响需要评估.
研究的目的:
- 评估将远程医疗和家庭精神测量整合到CF护理中的影响.
- 评估对疾病进展和整体患者护理的影响.
主要方法:
- 患有CF的儿童 (5-17岁) 使用家庭螺旋仪,用远程医疗替代一些面对面的访问.
- 使用线性混合效应模型比较疾病进展轨迹 (FEV1%,肺清除指数,BMI).
- 收集了关于呼吸道病原体,唾液培养,抗生素使用和患者/护理人员压力水平的数据.
主要成果:
- 在远程医疗/家庭呼吸计和大流行前的个人护理之间,没有观察到FEV1%,肺清除指数或BMI进展率的显著差异.
- 呼吸道病原体发生率,唾液培养或抗生素使用没有显著变化.
- 干预措施没有增加患者或护理人员的压力;报告高满意度.
结论:
- 将远程医疗和家庭精神测量与面对面访问相结合,可以提供与传统护理相比的有效性.
- 这种综合方法提高了儿童囊性纤维化管理的灵活性和个性化.
- 患者和护理人员对继续提供远程医疗和家庭螺旋计服务的偏好很高.
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