基于网络的症状监测计划对症状干扰,体力活动和急诊室重新入院的预毛细血管肺高血压患者的影响:随机对照试验
Miao-Yi Chen1,2, Chun-Hsien Wu3, Shu-Meng Cheng3
1Graduate Institute of Medical Sciences, College of Medicine, National Defense Medical University, Taipei, Taiwan.
Journal of medical Internet research
|September 17, 2025
概括
一个基于网络的症状监测程序显著减少了症状干扰和急诊室的访问对于患有毛囊前肺高血压 (PH) 的患者. 这种方法也改善了身体活动,为管理这种无法治愈的疾病提供了有前途的工具.
科学领域:
- 心脏病学 心脏病学
- 数字健康数字健康
- 肺部医学 肺部医学
背景情况:
- 毛囊前肺高血压 (PH) 是一种严重,渐进的疾病,患病率和死亡率高.
- 目前的疗法只能带来有限的改善,需要创新的管理策略.
- 基于网络的症状监测提供了一种非侵入性方法,用于自我管理和早期检测疾病减补偿.
研究的目的:
- 评估基于网络的症状监测计划对症状干扰,体力活动和急诊室 (ED) 在毛囊前PH患者的再入院的影响.
- 在9个月的时间内评估该计划的有效性.
主要方法:
- 一个平行组,单盲,随机对照试验,涉及51名毛囊前PH患者.
- 干预组接受了为期6个月的基于网络的症状监测计划;对照组接受了标准护理.
- 在基线和3,6,9个月测量结果,包括症状干扰,6分钟步行测试和ED再入院.
主要成果:
- 与对照组相比,干预组显示症状干扰的减少更大.
- 在干预组中,6分钟的步行测试距离 (每3个月9.8米) 显著改善 (P=.03).
- 干预组的ED再接收可能性下降65% (P=.04).
结论:
- 基于网络的症状监测是有效的管理前毛囊PH.
- 该计划减少了症状负担,增强了身体活动,并减少了医疗保健利用率.
- 这种数字健康方法支持自我管理,并改善PH患者的治疗结果.
相关概念视频
Pulmonary Embolism I: Introduction
521
Pulmonary embolism (PE) occurs when a thrombus, fat or air embolus, amniotic fluid, or tumor tissue blocks one or more pulmonary arteries. These blockages originate in the venous system or the right side of the heart.EtiologyPE primarily arises from deep vein thrombosis (DVT) and other hypercoagulable states, such as inherited thrombophilias. Additional etiological factors include venous stasis, commonly seen in obesity, and endothelial injury from surgery and trauma. Less common causes include...
521
Chronic Obstructive Pulmonary Disease-III: Symptoms and Complications.
3.5K
Understanding the variety of primary symptoms and systemic complications that characterize chronic obstructive pulmonary disease (COPD) is crucial for healthcare professionals.
Symptoms of COPD can be classified as primary or systemic. Primary symptoms relate to reduced airflow, while systemic or extrapulmonary symptoms relate to COPD's broader impact on the body.
Primary Symptoms of COPD:
Symptoms of COPD can be classified as primary or systemic. Primary symptoms relate to reduced airflow, while systemic or extrapulmonary symptoms relate to COPD's broader impact on the body.
Primary Symptoms of COPD:
3.5K
Peripheral Artery Disease III: Interprofessional Care
248
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...
248
Treatment for Pulmonary Arterial Hypertension: Endothelin Receptor Antagonists
441
Endothelins (ETs) are potent vasoactive peptides critical in the human body's various physiological and pathological processes. One of the most promising therapeutic strategies for treating pulmonary arterial hypertension (PAH) involves counteracting the effects of these endothelins using a class of drugs known as endothelin receptor antagonists.
ETs are synthesized through a complex sequence of enzymatic steps, primarily involving an enzyme referred to as endothelin-converting enzyme...
ETs are synthesized through a complex sequence of enzymatic steps, primarily involving an enzyme referred to as endothelin-converting enzyme...
441
Treatment for Pulmonary Arterial Hypertension: Prostacyclin Receptor Agonists
465
Prostacyclin receptor agonists are a class of therapeutic agents integral to managing pulmonary arterial hypertension (PAH). These drugs operate by mimicking the action of prostaglandin I2, or PGI2, a naturally occurring compound in the body.
These agonists bind to the IPR receptor situated on the plasma membrane of the pulmonary artery smooth muscle cells. This binding triggers a cascade of reactions known as the GS-AC-cAMP-PKA pathway. This pathway results in the relaxation of smooth muscle...
These agonists bind to the IPR receptor situated on the plasma membrane of the pulmonary artery smooth muscle cells. This binding triggers a cascade of reactions known as the GS-AC-cAMP-PKA pathway. This pathway results in the relaxation of smooth muscle...
465
Peripheral Artery Disease IV: Nursing Management
351
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,...
351

