基于远程医疗数据的家庭结构化的步行训练和预测6分钟的步行测试距离在患有外周动脉疾病的患者的支持:前性队列研究
Fabian Wiesmüller1,2,3, Andreas Prenner4, Andreas Ziegl5
1Center for Health & Bioresources, AIT Austrian Institute of Technology GmbH, Graz, Austria.
JMIR formative research
|April 10, 2025
概括
远程医疗有效地管理了外围动脉疾病,改善了步行距离和减少疼痛. 使用连续患者数据的预测建模增强了这种方法,以获得更好的患者结果和动机.
科学领域:
- 心血管医学 心血管医学
- 数字健康数字健康
- 康复科学 康复科学 康复科学
背景情况:
- 远程医疗在治疗中风和心力衰竭等心血管疾病方面表现出有效性.
- 在通过远程医疗来管理外围动脉疾病 (PAD) 患者方面观察到有希望的结果.
- 需要进一步的研究来了解基于远程健康的预测建模对PAD患者身体健康的影响.
研究的目的:
- 使用Keep Pace研究数据分析时间患者状况的发展.
- 在研究结束时开发总步行距离的预测模型.
- 确定可能从远程医疗计划中受益的患者,并提供激励性的进展估计.
主要方法:
- 分析持续的患者报告的远程医疗数据和临床数据.
- 在一个为期12周的基于远程医疗的行走计划中,让19名Fontaine II期PAD患者参与其中.
- 通过6分钟步行测试 (6MWT) 和疼痛水平来评估身体健康.
主要成果:
- 随着时间的推移,患者疼痛感显著下降 (P=.006).
- 尽管报告了疼痛,但对6MWT协议的高度遵守率 (85.53%) 很高.
- 在定时启动和启动测试时间显著改善 (P=.002).
- 准确预测研究结束时的基线步行距离 (RMSE 30m),通过添加远程医疗数据得到改善.
结论:
- 原型趋势估计具有远程医疗整合的潜力,提供量身定制的患者咨询.
- 连续的远程医疗数据为患者的福祉,疼痛和身体健康进展提供了更深入的见解.
- 通过远程医疗数据分析,可以更好地了解患者状态和实现目标的进展.
相关概念视频
01:30Peripheral Artery Disease I: Introduction
Peripheral artery disease (PAD) predominantly results from atherosclerosis, which involves the accumulation of fatty deposits, or plaques, within the walls of arteries. This causes them to narrow and harden, significantly reducing blood flow. PAD predominantly affects the legs, particularly the arteries supplying the thighs and calves. In rare cases, it may involve other arteries, including those in the arms.Etiology of PAD:The principal cause of PAD is atherosclerosis, which results from fatty...
01:21Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
01:27Peripheral Artery Disease III: Interprofessional Care
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
01:26Peripheral Artery Disease IV: Nursing Management
The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses, temperature changes,...
01:23Peripheral Artery Disease V: Postoperative Nursing Management
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...