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使用智能手表的远程患者监控系统与反机制:基于activeDCM随机对照试验的概念,实施和评估

Reto Wettstein¹, Farbod Sedaghat-Hamedani^2,3,4, Oliver Heinze⁵

¹Institute of Medical Informatics, Heidelberg University Hospital, Heidelberg, Germany.

JMIR mHealth and uHealth

|October 4, 2024

概括

这项研究开发了一个用户友好的远程患者监控系统,使用消费者可穿戴设备. 该系统成功地集成到患者的日常生活中,显示了临床工作流集成的潜力.

科学领域:

生物医学工程生物医学工程
医疗信息学医疗信息学
数字健康数字健康

背景情况:

来自智能手机和可穿戴设备的患者生成的健康数据为远程患者监控 (RPM) 提供了潜力.
当前的RPM系统往往缺乏与医院IT和以患者为中心的设计的整合.
安全共享患者数据对于个性化的健康管理和反至关重要.

研究的目的:

通过使用消费者可穿戴设备 (Apple Watch) 构想和实施一个用户友好,可重复使用,可互操作和安全的RPM系统.
将异步反机制纳入RPM系统.
评估患者接受度和影响其使用的因素.

主要方法:

通过重点小组收集的系统要求;重复设计和实施专注于技术可行性.
在activeDCM研究中评估了临床可行性,该研究对95名扩张性心肌病患者进行了12个月的研究.
系统可用性尺度测量可用性;可穿戴式交互频率和数据完整性 (SHD,PROMs) 评估.

主要成果:

RPM系统由四个可互操作的组件组成.
该应用程序的平均系统可用性评分为78; 87%的患者将其整合到日常生活中.
71%的人认为健康管理有好处;穿戴式互动和数据完整性受到干预组成员资格的影响.

结论:

这项研究代表了将基于消费者可穿戴设备的RPM系统集成到临床工作流程中的重要一步.
开发的系统可以作为用户友好,可重复使用,可互操作和安全的RPM解决方案的蓝图.
成功融入患者的日常生活突显了这种系统在持续健康管理方面的潜力.

关键词:

在 HL7 FHIR 中.健康7级快速医疗保健互操作性资源心脏病学心脏病学心脏病学消费者设备是一个消费者设备.扩张性心肌病症扩张性心肌病症心脏衰竭是因为心脏衰竭.移动健康的移动健康手机电话手机电话手机电话远程监控患者的患者监控.远程医疗远程医疗可用性可用性可用性可以穿戴的可穿戴设备.

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