在外围动脉疾病 (TEXTPAD) 研究中进行远程医疗练习训练:在社会经济弱势群体中进行试点随机对照试验
James Prentis1, Arathi Radhakrishnan1, Eileen Kaner2
1Department of Perioperative and Critical Care Medicine, Freeman Hospital, Newcastle upon Tyne, United Kingdom.
PloS one
|November 4, 2025
概括
家庭远程医疗干预,将运动和咨询结合起来,对于周围动脉疾病 (PAD) 患者在英国服务不足的地区是可行的. 探索性结果显示主观功能和健康行为的潜在改善,在最终的试验中需要进一步调查.
科学领域:
- 心血管医学 心血管医学
- 数字健康数字健康
- 公共卫生 公共卫生
背景情况:
- 周围动脉疾病 (PAD) 不成比例地影响社会经济弱势的老年人.
- 监督的运动对于PAD听至关重要,但面临着进入障碍,COVID-19大流行加剧了这种情况.
- 远程医疗提供了一个潜在的解决方案,但其在弱势群体中的可行性和有效性需要评估.
研究的目的:
- 对来自社会经济贫困地区的英国PAD患者进行家庭远程医疗干预的可行性进行评估.
- 这项干预综合了运动和行为改变咨询.
- 关键的可行性结果包括招聘,保留和遵守.
主要方法:
- 一项试点随机对照试验 (RCT) 涉及36名PAD患者.
- 参与者被随机分配到远程医疗干预组 (n=19) 或对照组 (n=17).
- 该干预包括12周的每周电话辅导和每周两次的虚拟监督运动会.
主要成果:
- 招募不足于目标 (36/102名符合条件的患者被招募,而目标为60人).
- 干预组在主观功能能力 (步行速度,爬楼梯) 和生活质量方面显著改善 (P<0.01).
- 干预组中观察到50%的戒烟率;在目标功能,酒精或饮食方面没有发现显著差异.
结论:
- 对于在社会经济上处于不利地位的PAD患者来说,数字交付的,基于家庭的远程医疗干预是可行的.
- 探索性发现表明对主观功能和健康行为的潜在益处.
- 数据支持测量结果的适宜性,并为长期临床结果的最终试验设计提供信息.
相关概念视频
01:27Peripheral Artery Disease III: Interprofessional Care
232
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...
232
01:30Peripheral Artery Disease I: Introduction
301
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...
301
01:26Peripheral Artery Disease IV: Nursing Management
339
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,...
339
01:21Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
343
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...
343
01:26Exercise Stress Test
1.1K
Introduction
Exercise stress testing, commonly known as a treadmill test, is a noninvasive procedure used to evaluate cardiovascular function and diagnose heart conditions.
Definition
An exercise stress test measures the heart's response to exertion using a treadmill or stationary bicycle. Chest electrodes record the heart's electrical activity through an ECG, and blood pressure is monitored regularly.
Purposes
Exercise stress testing, commonly known as a treadmill test, is a noninvasive procedure used to evaluate cardiovascular function and diagnose heart conditions.
Definition
An exercise stress test measures the heart's response to exertion using a treadmill or stationary bicycle. Chest electrodes record the heart's electrical activity through an ECG, and blood pressure is monitored regularly.
Purposes
1.1K
01:23Peripheral Artery Disease V: Postoperative Nursing Management
365
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...
365