使用短信为心血管病患者提供退院后支持的实施和影响 心脏健康计划
Brodie Sheahen1, Simone Marschner1, Haeri Min1
1Westmead Applied Research Centre, Faculty of Medicine and Health, The University of Sydney, Westmead, New South Wales, Australia.
JACC. Advances
|August 7, 2025
概括
心脏健康计划,使用短信为心血管患者,减少了医疗保健服务的使用. 这种数字健康干预措施对改善患者的治疗结果和有效管理慢性疾病充满希望.
科学领域:
- 心脏病学 心脏病学
- 数字健康数字健康
- 公共卫生 公共卫生
背景情况:
- 心脏健康计划是一个为期6个月的短信支持计划,用于澳大利亚西悉尼心血管疾病患者.
- 它提供定期的,半个性化信息,信息,建议和支持.
研究的目的:
- 评估心脏健康计划对心血管患者医疗服务利用的影响.
- 评估基于短信的干预措施在控制心血管疾病方面的有效性.
主要方法:
- 一项观察性研究,比较心脏健康参与者和对照组之间的住院率.
- 邀请了参加心脏病诊所或从韦斯特米德医院出院的患者 (≥18岁) (2020年4月至2022年4月).
- 主要结局:退院后6个月内所有原因的医疗保健利用事件,经过调整以考虑混因素.
主要成果:
- 分析了11,542名患者 (4,324名干预,7,218名对照);平均年龄为58.8岁,60.7%是男性.
- 心脏健康参与者显示,医疗服务事件发生率明显较低 (调整后发生率比:0.91;P=0.033).
- 与年轻患者相比,老年患者 (>65岁) 的医疗保健利用率下降更大 (相互作用P=0.043). 计划的坚持改善了饮食,身体活动和药物遵守.
结论:
- 基于短信的出院后支持可能会降低心血管疾病患者的医疗服务利用率.
- 心脏健康计划展示了数字健康工具在治疗慢性心血管疾病方面的价值.
- 这种干预提供了一个可扩展的解决方案,以改善患者的自我管理和减少医疗保健负担.
相关概念视频
01:28Acute Coronary Syndrome IV: Interprofessional Care
28
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
28
01:22Heart Failure VI: Adjunct Therapies
28
Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
28
01:29Cardiomyopathy VI: Nursing Management
42
Assessment: Nursing management of patients with cardiomyopathy begins with a thorough assessment of the patient's history, including a family history of cardiomyopathy or sudden cardiac death, personal history of heart disease, hypertension, diabetes, and any alcohol consumption or drug use.During the physical examination, assess vital signs, look for signs of heart failure (such as edema, jugular venous distention, and cyanosis), auscultate for abnormal heart sounds (like murmurs and gallops),...
42
01:30Pulse rhythm
927
Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
927
01:29Cardiomyopathy V: Interprofessional Care
34
Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
34
01:30Heart Failure VII: Nursing Interventions
139
The first step in nursing management of a patient with heart failure involves thoroughly assessing the patient's medical history.Subjective Data: Obtain the patient's medical history of coronary artery disease, hypertension, myocardial infarction, and symptoms like dyspnea, orthopnea, and paroxysmal nocturnal dyspnea.Objective Data: Conduct a physical examination to identify findings such as jugular vein distention, pulmonary crackles, tachycardia, murmurs, peripheral edema, and vital signs,...
139