在亚美尼亚使用远程监控系统管理COVID-19患者:描述性研究
Lusine Musheghyan1, Nika M Harutyunyan2, Abu Sikder3
1Turpanjian College of Health Sciences, American University of Armenia, Yerevan, Armenia.
JMIR public health and surveillance
|September 30, 2024
概括
"COVID@home"计划成功地在家中使用氧气治疗和远程监测管理了COVID-19患者,显示了亚美尼亚的可行性和安全性. 这种方法可以帮助在资源较低的环境中减少医院负担.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
- 远程医疗远程医疗
背景情况:
- 随着COVID-19大流行,全球医疗保健受到压力,特别是在低收入和中等收入国家 (LMICs).
- 亚美尼亚面临着医疗保健基础设施的挑战,由大流行病和同时发生的战争加剧.
- COVID@home计划是为了解决医院床位短缺问题,通过家庭护理建立的.
研究的目的:
- 详细介绍亚美尼亚早期出院计划的协议和临床结果.
- 为在LMICs实施远程COVID-19监测提供见解.
- 评估家庭氧气治疗和远程监测的可行性和安全性.
主要方法:
- 埃里温的七家医院参与了COVID@home计划.
- 使用OpenMRS的基于Web的应用程序促进了数据采集和护理协调.
- 患者在住院期间被录取,并在接受氧气治疗时每天在家中进行监测.
主要成果:
- 在439名查患者中,有221名患者得到了治疗并被送回家.
- 94%的参与者安全地停止了家庭氧气治疗.
- 该计划证明了可行性和安全性,死亡率低于1%和低再入院率.
结论:
- "COVID@home"计划为资源有限的环境中远程患者护理提供了一个可行的模式.
- 这项研究为在传统医院环境之外管理COVID-19患者提供了实际证据.
- 调查结果可以为决策者提供有关在公共卫生危机期间开发适应性医疗保健解决方案的信息.
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