Marcel Braun, Olaf Schmidt, Thomas Schultz, Holger Woehrle, Martina Große Sundrup, Christoph Schöbel
{"title":"[SARS-CoV-2大流行期间慢性和急性肺部疾病患者的数字化护理经验]。","authors":"Marcel Braun, Olaf Schmidt, Thomas Schultz, Holger Woehrle, Martina Große Sundrup, Christoph Schöbel","doi":"10.1007/s00108-022-01266-3","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Management of patients with respiratory disorders, such as asthma or chronic obstructive pulmonary disease (COPD), became challenging during the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic due to infection prevention measures. To maintain care, a remote monitoring program was initiated, comprising a smartphone app and a Bluetooth spirometry device.</p><p><strong>Objective: </strong>To assess patient- and physician-related experience with remote monitoring.</p><p><strong>Material and methods: </strong>Structured questionnaires were developed to rate experiences from the patient or physician perspective on six-level Likert scales. Interactions between patients and physicians via the digital platform and overall utilization was analyzed.</p><p><strong>Results: </strong>A total of 745 patients with asthma, COPD, post-coronavirus disease 2019 (COVID-19) and other respiratory diseases were enrolled from 31 centers in Germany. Mean follow-up was 49.4 ± 12.6 weeks. Each participant submitted on average 289 measurements. Patient-reported experience with the remote monitoring program was positive, with the highest satisfaction reported for \"Experience with home measurement\" (1.4 ± 0.5; 99% positive), followed by \"Communication/interaction\" (1.8 ± 0.9; 83% positive) and \"Overall satisfaction with program\" (1.8 ± 0.8; 87% positive). In all, 70% reported subjective quality of life improvements related to participation in the program. Physician satisfaction with the program was also high with a mean rating of 2.2 ± 1.2.</p><p><strong>Discussion: </strong>App-based remote monitoring was successfully implemented in routine care during the SARS-CoV‑2 pandemic and demonstrated potential for improvements in care. Patient-relevant experience was positive in all dimensions and remote monitoring was well accepted. Physicians who participated in the program also expressed positive experiences, as demonstrated by a high level of interaction with the platform and positive evaluations of effects from the program.</p>","PeriodicalId":54924,"journal":{"name":"Internist","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8856116/pdf/","citationCount":"5","resultStr":"{\"title\":\"[Experiences with digital care of patients with chronic and acute lung diseases during the SARS-CoV-2 pandemic].\",\"authors\":\"Marcel Braun, Olaf Schmidt, Thomas Schultz, Holger Woehrle, Martina Große Sundrup, Christoph Schöbel\",\"doi\":\"10.1007/s00108-022-01266-3\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Management of patients with respiratory disorders, such as asthma or chronic obstructive pulmonary disease (COPD), became challenging during the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic due to infection prevention measures. To maintain care, a remote monitoring program was initiated, comprising a smartphone app and a Bluetooth spirometry device.</p><p><strong>Objective: </strong>To assess patient- and physician-related experience with remote monitoring.</p><p><strong>Material and methods: </strong>Structured questionnaires were developed to rate experiences from the patient or physician perspective on six-level Likert scales. Interactions between patients and physicians via the digital platform and overall utilization was analyzed.</p><p><strong>Results: </strong>A total of 745 patients with asthma, COPD, post-coronavirus disease 2019 (COVID-19) and other respiratory diseases were enrolled from 31 centers in Germany. Mean follow-up was 49.4 ± 12.6 weeks. Each participant submitted on average 289 measurements. Patient-reported experience with the remote monitoring program was positive, with the highest satisfaction reported for \\\"Experience with home measurement\\\" (1.4 ± 0.5; 99% positive), followed by \\\"Communication/interaction\\\" (1.8 ± 0.9; 83% positive) and \\\"Overall satisfaction with program\\\" (1.8 ± 0.8; 87% positive). In all, 70% reported subjective quality of life improvements related to participation in the program. Physician satisfaction with the program was also high with a mean rating of 2.2 ± 1.2.</p><p><strong>Discussion: </strong>App-based remote monitoring was successfully implemented in routine care during the SARS-CoV‑2 pandemic and demonstrated potential for improvements in care. Patient-relevant experience was positive in all dimensions and remote monitoring was well accepted. Physicians who participated in the program also expressed positive experiences, as demonstrated by a high level of interaction with the platform and positive evaluations of effects from the program.</p>\",\"PeriodicalId\":54924,\"journal\":{\"name\":\"Internist\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2022-03-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8856116/pdf/\",\"citationCount\":\"5\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Internist\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1007/s00108-022-01266-3\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2022/2/18 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q3\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Internist","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s00108-022-01266-3","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2022/2/18 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
[Experiences with digital care of patients with chronic and acute lung diseases during the SARS-CoV-2 pandemic].
Background: Management of patients with respiratory disorders, such as asthma or chronic obstructive pulmonary disease (COPD), became challenging during the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic due to infection prevention measures. To maintain care, a remote monitoring program was initiated, comprising a smartphone app and a Bluetooth spirometry device.
Objective: To assess patient- and physician-related experience with remote monitoring.
Material and methods: Structured questionnaires were developed to rate experiences from the patient or physician perspective on six-level Likert scales. Interactions between patients and physicians via the digital platform and overall utilization was analyzed.
Results: A total of 745 patients with asthma, COPD, post-coronavirus disease 2019 (COVID-19) and other respiratory diseases were enrolled from 31 centers in Germany. Mean follow-up was 49.4 ± 12.6 weeks. Each participant submitted on average 289 measurements. Patient-reported experience with the remote monitoring program was positive, with the highest satisfaction reported for "Experience with home measurement" (1.4 ± 0.5; 99% positive), followed by "Communication/interaction" (1.8 ± 0.9; 83% positive) and "Overall satisfaction with program" (1.8 ± 0.8; 87% positive). In all, 70% reported subjective quality of life improvements related to participation in the program. Physician satisfaction with the program was also high with a mean rating of 2.2 ± 1.2.
Discussion: App-based remote monitoring was successfully implemented in routine care during the SARS-CoV‑2 pandemic and demonstrated potential for improvements in care. Patient-relevant experience was positive in all dimensions and remote monitoring was well accepted. Physicians who participated in the program also expressed positive experiences, as demonstrated by a high level of interaction with the platform and positive evaluations of effects from the program.
期刊介绍：
Der Internist is an internationally respected journal dealing with all aspects of internal medicine. The journal serves both the scientific exchange and the continuing education of internists working in practical or clinical environments as well as of general practitioners who are particularly interested in internal medicine. The focus is on the topics of prevention, diagnostic approaches, management of complications, and current therapy strategies.
Comprehensive reviews on a specific topical issue focus on providing evidenced based information on diagnostics and therapy.
Case reports feature interesting cases and aim at optimizing diagnostic and therapeutic strategies.
Review articles under the rubric "Continuing Medical Education" present verified results of scientific research and their integration into daily practice.
![[Experiences with digital care of patients with chronic and acute lung diseases during the SARS-CoV-2 pandemic].](https://img.booksci.cn/booksciimg/2022-3/2023121178220158376315869757305.jpg)
![[Experiences with digital care of patients with chronic and acute lung diseases during the SARS-CoV-2 pandemic].](https://img.booksci.cn/booksciimg/2022-3/2023121178288153213013422700897.jpg)
![[Experiences with digital care of patients with chronic and acute lung diseases during the SARS-CoV-2 pandemic].](https://img.booksci.cn/booksciimg/2022-3/2023121178288248311006092963066.jpg)
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
