在心力衰竭患者的家庭远程监控护理和执行功能
Tetsuya Kaneko1, Atsushi Tanaka2, Ayako Takamori3
1Department of Cardiovascular Medicine, Saga University, Saga, Japan.
概括
使用远程监控和远程教练的家庭远程护理计划改善了心力衰竭 (HF) 患者的执行功能. 具有更好的执行功能的患者在HF住院的次数较少,这表明自我护理能力的好处.
科学领域:
- 心脏病学 心脏病学
- 老年学是一门学科.
- 医疗信息学 医疗信息学
背景情况:
- 自我照顾能力对于管理心力衰竭 (HF) 至关重要.
- 执行功能显著影响HF患者的自我护理.
- 基于家庭的远程护理计划为患者管理提供了一种新的方法.
研究的目的:
- 调查远程监控和远程教练计划对高压患者执行功能的影响.
- 评估执行功能与临床结果之间的关系,包括HF住院和死亡率.
- 通过远程干预来评估通过远程干预增强自我护理能力的临床影响.
主要方法:
- 一项前性研究,涉及HF门诊患者,他们参与了基于家庭的远程护理计划.
- 干预包括使用自测物理数据进行远程监控和远程教练.
- 通过Trail Making Test Part B (TMT-B) 评估的执行功能;基于基线执行功能的临床结果进行比较.
主要成果:
- 远程护理计划在12个月后显著改善TMT-B得分 (p=0.039) 和改善HF症状 (NYHA类,p=0.027).
- 在基线执行功能障碍的患者中,HF住院的发生率显著更高 (HR:4.97,p=0.031).
- 执行功能障碍和住院治疗之间的关联即使在没有一般认知功能障碍的子队列中也仍然显著.
结论:
- 基于家庭的远程监控和远程教学可以有效地提高心力衰竭患者的执行功能.
- 执行职能状态与临床结果有关,特别是HF住院风险.
- 需要进一步的研究来确认以执行功能为目标的支持性护理是否能改善HF患者的结果.
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