在临床实践中使用移动应用程序远程监测慢性心力衰竭患者

A. Rustambekova, A. M. Noruzbaeva, B. Kurmanbekova
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引用次数: 1

摘要

慢性心力衰竭(CHF)的稳步增长和流行导致死亡率、反复住院和人口残疾的增加。超过一半的再住院是由于治疗依从性差,医生不可能及时观察,以及患者在出院期间和出院后对自我控制和自助基础知识的教育不足。为了提高CHF患者的生活质量,减少再入院频率和死亡率,有必要创建方案,以优化门诊护理,监测临床指标和及时纠正治疗的可能性,这可以使用数字技术-移动健康来完成。人们认为,移动电话和便携设备的普及,使远程监控软件的引入更实惠,成本更低。因此,本综述的目的是收集和分析关于使用移动技术程序对CHF患者进行无创远程监测的现有文献数据。因此,调查远程监测对CHF病程影响的研究包括了使用不同设备和不同支持包的不同患者队列。当然,由于样本和方法的异质性,导致所获得的数据不一致,无法对结果进行充分的比较和评价。除此之外,由于无法直接比较对CHF患者进行远程监测的不同方法,决定了不可能选择其中最有效的方法,这反过来又决定了需要根据每个国家的医疗保健系统对方法进行标准化。总的来说,移动健康应用程序提供了一种潜在的经济有效的解决方案,可以持续获得症状监测,鼓励患者参与自我护理和自我监测,并且比标准实践改善了结果。虽然有相当多的证据表明远程监测程序的有效性,但许多领域仍然存在不确定性,移动电话干预需要进一步仔细评估。虽然现有的数据不足以证实移动电话监测的影响,但很明显,潜力是巨大的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Use of a mobile application for remote monitoring of patients with chronic heart failure in clinical practice
The steady growth and prevalence of chronic heart failure (CHF) leads to an increase in mortality, repeated hospitalizations and disability of the population. More than half of rehospitalizations are due to poor adherence to therapy, the impossibility of timely observation by a doctor, and inadequate patient education in the basics of self-control and self-help during and after discharge. In order to improve the quality of life of patients with CHF, reduce the frequency of readmissions and mortality, it is necessary to create programs to optimize outpatient care with the possibility of monitoring clinical indicators and timely correction of therapy, which can be done using digital technologies — mHealth. The ubiquity of mobile phones and portable gadgets is thought to make the introduction of remote monitoring software more affordable and cost effective. Thus, the purpose of the review is to collect and analyze the available literature data on the use of mobile technology programs for non-invasive remote monitoring of patients with CHF. Thus, studies investigating the impact of remote monitoring on the course of CHF have included widely varying patient cohorts using dissimilar devices with different support packages. Of course, the heterogeneity of both the sample and the methods used led to the inconsistency of the data obtained, the inability to compare and evaluate the results in full. Along with this, the inability to directly compare different methods of remote monitoring of patients with CHF determines the impossibility of choosing the most effective of them, which, in turn, dictates the need for standardization of methods according to, including the healthcare system in each individual country. Overall, mHealth applications offer a potentially cost-effective solution with continued access to symptom monitoring, encouraging patient engagement in self-care and self-monitoring, and improved outcomes over standard practice. While there is considerable evidence for the effectiveness of remote monitoring programs, many areas of uncertainty remain, and mobile phone interventions require further careful evaluation. Although the available data is insufficient to confirm the impact of mobile phone monitoring, it is clear that the potential is enormous.
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