在高风险怀孕中实施远程血压监测;在SAFE@home研究中对患者经验进行多中心定量分析
Shinta L Moes1, Martine Depmann1, Ingelin Kvamme2
1Department of Obstetrics and Gynecology, University Medical Centre Utrecht, Utrecht University, the Netherlands.
概括
使用SAFE@home平台远程监测高风险怀孕中的血压和症状,显示出高患者可用性和接受度. 为了更广泛地采用数字健康,需要改善患者自主性和技术支持.
科学领域:
- 产科和妇科 产科和妇科
- 数字健康数字健康
- 孕产妇健康 孕产妇健康
背景情况:
- 高风险怀孕需要持续监测不良结果.
- 远程监控为远程患者管理提供了一个潜在的解决方案.
- 评估患者体验对于成功实施数字健康至关重要.
研究的目的:
- 评估患者对高风险怀孕的SAFE@home远程监测平台的体验.
- 评估远程血压和症状跟踪的可用性和患者中心性.
- 识别障碍物和促进者,以扩大产科数字健康解决方案的规模.
主要方法:
- 这是一项定量队列研究,涉及11家医院的606名患者.
- 患有高风险怀孕的患者使用SAFE@home平台每天在家监测血压和症状.
- 患者的满意度,对护理质量的感知和以客户为中心的感知被评估,使用5分利克尔特级别的验证问卷进行评估.
主要成果:
- 报告的高可用性:98%的人认为SAFE@home对血压监测有用,86%-95%的人认为它易于使用.
- 患者报告增加了控制 (68%) 和欣赏与个人偏好 (81%) 的调整.
- 需要改进的领域包括患者在护理管理中的自主性 (51%的同意) 和技术支持联系人的清晰度 (25%不知道).
结论:
- 在高风险怀孕中,SAFE@home平台展示了对远程监测的高可用性和患者接受.
- 远程监控增强了患者的参与度和控制感.
- 解决患者自主性和技术支持是成功整合和数字产科护理可扩展性的关键.
相关概念视频
01:25Errors occurring during blood pressure monitoring
579
Blood pressure monitoring is a crucial clinical procedure in diagnosing and managing various cardiovascular conditions. Despite its significance, the accuracy of blood pressure measurements can be compromised by multiple factors, potentially leading to either falsely high or low readings. These inaccuracies are critical as they can significantly impact patient care. So, it is vital to understand these challenges deeply and adopt strategic approaches to minimize errors.
Several factors...
Several factors...
579
01:28Special considerations while measuring blood pressure
694
When assessing blood pressure (BP), healthcare professionals must consider various factors and potential unexpected outcomes to ensure accurate readings and provide proper patient care. Adhering to these guidelines is essential to achieving the most reliable results.
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
694
01:19Assessing Blood pressure using a doppler ultrasound
1.2K
To obtain accurate blood pressure measurements in clinical settings, especially when traditional methods are insufficient, healthcare professionals utilize the Doppler ultrasound technique. This method uses high-frequency sound waves to detect blood flow within the arteries, which is crucial for patients with conditions that complicate circulatory system assessment.
Pre-Procedural Guidelines for Doppler Ultrasound Blood Pressure Assessment:
Preparation of Equipment:
Pre-Procedural Guidelines for Doppler Ultrasound Blood Pressure Assessment:
Preparation of Equipment:
1.2K
01:15Assessment of blood pressure in brachial artery(one-step method)
549
This procedural guide systematically measures blood pressure using an oscillometric digital sphygmomanometer, emphasizing accuracy, patient safety, and comfort.
Prepare for the Procedure:
Prepare for the Procedure:
549
01:17Measurement of Blood Pressure
784
Assessing blood pressure is a standard procedure executed in virtually all medical environments. The method utilized today was established over a hundred years ago by an innovative Russian doctor, Dr. Nikolai Korotkoff. The soft ticking noise, known as Korotkoff sounds, heard while taking blood pressure readings results from turbulent blood flow within the vessels. The apparatus required for this procedure includes a sphygmomanometer, a blood pressure cuff attached to a gauge, and a...
784
01:10Pre-Procedural Guidelines for Assessing Blood Pressure
518
Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
518