慢性呼吸道疾病的成年人运动能力的远程评估:安全性,可靠性和可接受性
Narelle S Cox1,2, Simone Dal Corso1, Angela T Burge1,2,3
1Respiratory Research@Alfred, School of Translational Medicine, Monash University, Melbourne Australia.
Chronic respiratory disease
|January 30, 2025
概括
通过视频会议对慢性呼吸道疾病患者进行修改增量步骤测试 (MIST) 的远程监督是安全可靠的. 这种远程医疗方法表现出高参与者满意度和接受度,在肺部康复评估中证明有效.
科学领域:
- 心肺运动测试 心肺运动测试
- 呼吸系统医学中的远程医疗.
- 临床评估工具 临床评估工具
背景情况:
- 修改后的增量步骤测试 (MIST) 是评估慢性呼吸道疾病患者的运动能力的宝贵工具.
- 传统的MIST需要面对面的监督,这可能是某些患者进入的障碍.
- 远程医疗提供了一种潜在的解决方案,可以克服医疗保健提供中的地理和后勤挑战.
研究的目的:
- 评估使用视频会议在患有慢性呼吸道疾病的成年人中远程监督MIST的安全性,可靠性和可接受性.
- 将远程MIST与传统的面对面监督进行比较.
主要方法:
- 一项随机的单中心队列研究,涉及38名患有慢性呼吸道疾病的成年人,正在接受肺部康复治疗.
- 参与者在面对面和远程 (视频会议) 监督下完成了MIST.
- 收集的数据包括总步数,最低氧和和心率峰值,测试顺序随机.
主要成果:
- 在面对面和远程MIST之间观察到总步数 (ICC=0.93) 的优异一致性.
- 对于最低氧和值 (ICC=0.797) 和最高心率 (ICC=0.782) 发现了非常好的一致性,并且没有发现显著差异.
- 参与者对远程医疗的满意度很高,测试条件之间的信心没有差异,没有报告的不良事件.
结论:
- 通过视频会议进行远程MIST监督是一种安全,可靠和可接受的方法,用于评估患有慢性呼吸道疾病的成年人.
- 这种远程医疗方法可以有效地纳入肺部康复计划.
- 远程MIST提供了面对面测试的可行替代方案,可能增加可访问性和患者参与度.
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