临床增强的呼吸系统护理数字健康计划与更好的药物使用和保留有关
Leanne Kaye1, Vy Vuong2, Urvashi Patel3
1ResMed Science Center, San Diego, CA, USA. leanne.kaye@resmed.com.
NPJ primary care respiratory medicine
|December 28, 2024
概括
数字喘自我管理平台改善了结果. 在一个远程,现实世界的研究中,添加虚拟临床监督显著提高了节目保留和药物坚持.
科学领域:
- 数字健康数字健康
- 喘管理的管理
- 远程监控患者的监控.
背景情况:
- 数字健康平台显示出对喘自我管理的前景.
- 在现实世界中,远程设置需要进一步调查.
- 整合数字工具与虚拟护理需求评估.
研究的目的:
- 单独评估一个数字喘自我管理平台 (DP).
- 评估与虚拟临床监督 (DP+TRC) 结合的DP的好处.
- 为了比较患有非控制性喘的患者的六个月结果.
主要方法:
- 对18584名DP患者和3440名DP+TRC患者的回顾性分析.
- 使用的电子药物传感器用于短效β激动剂 (SABA) 和控制器使用.
- 使用回归模型评估SABA使用,控制器坚持和程序保留.
主要成果:
- 与DP相比,DP+TRC的节目保留率 (55%对41%) 和控制器遵守率 (54%对45%) 显著高于DP.
- 两组之间平均SABA使用量没有显著差异.
- 两组人均每日SABA使用量均有相似的减少,SABA无使用日均有相似的改善.
结论:
- 数字喘自我管理与虚拟监督相结合是一个可扩展的解决方案.
- 这种综合方法可以提高药物服药和节目保留率.
- 它有效地减少了SABA的使用,同时促进了更好的自我管理.
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