用电子国家早期预警分数对接受医疗家庭护理的患者进行远程监测系统的评估:试点实施研究
Cheng-Fu Lin1,2,3,4, Pei-Jung Chang5,6, Hui-Min Chang1
1Center for Geriatrics & Gerontology, Taichung Veterans General Hospital, 1650 Taiwan Boulevard Sect 4, Taichung, 407219, Taiwan, 886 4-2359-2525, 886 4-2359-5046.
JMIR medical informatics
|December 27, 2024
概括
这项研究表明,使用电子国家早期预警分数 (e-NEWS) 的远程医疗系统可以帮助在家庭护理中早期发现患者衰退. 该系统展示了可行性和参与者的满意度,支持对综合家庭医疗保健的远程监控.
科学领域:
- 老年学是一门学科.
- 数字健康数字健康
- 远程监控患者 远程监控患者
背景情况:
- 随着COVID-19的流行,人们开始加速采用远程医疗和可穿戴传感器来监测患者的生命体征.
- 电子国家早期预警分数 (e-NEWS) 系统对于识别和管理急性疾病至关重要.
研究的目的:
- 实施和评估使用e-NEWS的远程医疗系统,用于在综合家庭医疗保健 (iHBMC) 中进行生命体征监测.
- 加强早期检测患者病情恶化,改善在家庭环境中提供护理.
- 优化iHBMC内部的远程监控,旨在减少紧急访问和住院治疗.
主要方法:
- 在台湾的一家医疗中心和家庭卫生机构部署了远程医疗系统.
- 患者接受了家庭综合医疗保健 (iHBMC),并通过传感器每天两次监测生命体征,持续两周.
- 数据传输到云服务器计算e-NEWS;得分高达4的患者接受了干预和重新评估.
主要成果:
- 招募了28名参与者 (平均年龄为84.5岁);27人完成了研究.
- 中位数的e-NEWS是4,397个异常读数促使干预措施,如早些时候的家庭访问和药物调整.
- 86%的参与者表示对远程医疗系统感到满意.
结论:
- 该研究证实了将远程医疗与e-NEWS集成为早期检测iHBMC临床恶化的可行性.
- 虽然有好处,但该系统可能会增加护理人员的工作负担和压力.
- 由于样本规模小,监测持续时间短,区域重点,需要进行进一步的研究.
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