选择性结直肠手术后的远程监测,一个试点研究
Carine Dornbush1, Aditi Mishra1, Jennifer Hrabe1
1Department of Surgery, University of Iowa Hospitals and Clinics, Iowa City, IA.
Surgery
|September 22, 2024
概括
在农村地区进行结直肠手术后的患者,远程患者监测是安全的和可行的,使得早期出院. 这种方法是受欢迎和有效的,即使在复杂的条件下.
科学领域:
- 手术创新 在外科创新.
- 远程监控患者 远程监控患者
- 结直肠外科手术的结果
背景情况:
- 在结直肠切除后短期住院的确立安全性.
- 远程监测患者的潜力,以促进更早的出院.
- 需要评估农村环境中的可行性.
研究的目的:
- 评估选择性结直肠手术后早期出院的远程患者监测的可行性.
- 在农村人口中评估患者对远程监测的满意度.
主要方法:
- 试点研究 (2023年5月至8月) 涉及接受微创结直肠手术的成年患者.
- 家庭监测包括脉冲氧计,心率,血压和体重两周.
- 每天对患者进行症状调查,并通过升级协议进行远程护理评估.
主要成果:
- 招募了16名患者;平均逗留时间为3.0天.
- 远程护士发现了两个并发症 (端口部位感染,延迟的阴茎);发生了一次再入院.
- 在整个研究期间报告的高患者满意度.
结论:
- 远程家庭监控是农村地区结肠直肠外科手术后患者的安全,可行和可接受的选择.
- 即使是患有复杂疾病或需要转换为开放手术的患者,早期出院也是可行的.
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