设计,实施和影响一个特定于肝硬化的远程患者监测程序
Daniel D Penrice1, Kamalpreet S Hara1, Beatriz Sordi-Chara1
1Division of Gastroenterology and Hepatology, Department of Internal Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Hepatology communications
|July 22, 2024
概括
脱补偿性肝硬化患者的远程患者监测 (RPM) 显示了高满意度和利用率. 这种专业计划可能会减少医院再入院,需要进一步调查.
科学领域:
- 数字健康数字健康
- 胃肠病学 胃肠病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 远程患者监控 (RPM) 正在获得医疗保健的吸引力,以降低成本和提高患者满意度.
- 专门的RPM程序可以补充办公室内访问,并提高患者的护理.
- 本研究的重点是针对非补偿性肝硬化患者的RPM计划的开发和结果.
研究的目的:
- 开发和评估一个肝硬化特定的RPM程序 (CiRPM) 的可行性.
- 评估早期结果,包括患者满意度和医院再入院率.
- 确定CiRPM在治疗不补偿性肝硬化中的潜力.
主要方法:
- 41名患有不补偿性肝硬化症的患者被纳入医院出院后的CiRPM计划.
- 参与者使用远程监控设备和平板电脑进行日常生命体征上传和症状报告.
- 建立了一个历史对照组 (n=74) 使用治疗权重的逆概率进行比较.
主要成果:
- 患者的平均监测时间为83.9天,每天提交的数据高 (93%).
- 超过75%的患者对CiRPM计划表示满意.
- 与对照组 (47%) 相比,CiRPM组的90天再入院率较低 (34%).
结论:
- 这项研究证实了针对肝硬化症的RPM计划的可行性.
- 观察到高患者满意度和计划利用率.
- 需要进一步的研究来验证RPM对减少非补偿性肝硬化再入院的影响.
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