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在退院后,对胸部手术患者进行远程症状监测
Marisa Sewell1, Thomas Boerner1, Caitlin Harrington1
1Department of Surgery, Thoracic Service, Memorial Sloan Kettering Cancer Center, New York, NY.
胸部手术患者的远程电子症状监测可以帮助早期识别问题. 该系统有潜力通过改善患者和护理团队之间的沟通来减少再入院.
科学领域:
- 医疗信息学 医疗信息学
- 胸部外科手术 胸部外科手术
- 数字健康数字健康
背景情况:
- 手术后恢复的改善 手术后恢复的改善 手术后恢复的改善 手术后恢复的改善 手术后恢复的改善 手术后恢复的改善 手术后恢复的改善 手术后恢复的改善 手术后恢复的改善 手术后恢复的改善 手术后恢复的改善 手术后恢复的改善 手术后恢复的改善 手术后恢复的改善 手术后恢复的改善 手术后恢复的改善 手术后恢复的改善
- 在家中早期识别患者的症状对于防止复杂胸部手术后病情恶化至关重要.
研究的目的:
- 评估一个用于远程症状监测的电子平台.
- 通过患者报告的症状,增强胸部手术中出院后的护理.
主要方法:
- 为胸部手术患者开发了一个在线症状跟踪平台.
- 患者完成了23个症状领域的电子调查,使用利克尔特尺度表.
- 警报 (黄色表示中度症状,红色表示严重症状) 通知护理团队及时干预.
主要成果:
- 1997名患者被录取,其中76%完成了至少一个调查 (受访者).
- 受访者重新接收率较低 (OR:0.53).
- 与未被重新接纳的响应者相比,重新接纳的响应者显示出中度和严重症状警报率更高.
结论:
- 电子症状报告为患者和临床团队之间提供了额外的沟通道.
- 这种增强的沟通显示出减少胸部手术患者再入院的潜力.
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