护理学报 ›› 2019, Vol. 26 ›› Issue (12): 37-40.doi: 10.16460/j.issn1008-9969.2019.12.037
慢性心力衰竭患者远程监护临床应用及影响因素研究进展
潘燕彬a, 骆谏英a, 欧阳玉霞a, 胡燕萍a, 黄转芬a, 颜建龙b
- 广州市花都区人民医院 a.护理部; b.心血管内科,广东 广州 510800
摘要： 目的 了解慢性心力衰竭患者远程监护的临床应用及相关影响因素。方法 检索国内外数据库的相关文献,重点分析远程监护的临床应用效果、使用依从性和相关影响因素。结果 远程监护能有效改善慢性心力衰竭患者出院后的院外疾病管理,使用依从性较高,但随着时间的推移其使用依从性有所下降。影响因素包括：患者年龄、监护设备、监测指标、测量频率、干预速度。结论 远程监护能早期发现慢性心力衰竭患者的病情变化,帮助其在院外进行医疗求助,延缓疾病的发展和改善患者后期生活质量。今后的研究需重视远程监护相关因素对其应用效果的影响,今后对测量指标和技术参数的设定等有待深入研究。
中图分类号:
- R473.54
| [1] Martirosyan M, Caliskan K, Dam J T, et al.Remote Monitoring of Heart Failure: Benefits for Therapeutic Decision Making[J]. Expert Rev Cardiovasc Ther, 2017,15(7):503-515. DOI:10.1080/14779072.2017.1348229. [2] Piotrowicz E.The Management of Patients with Chronic Heart Failure:The Growing Role of e-Health[J]. Expert Rev Med Devices, 2017, 14(4):271-277. DOI:10.1080/17434440.2017.1314181. [3] Serrano J A, Holthe H.Development and Trial of ePoint.telemed -An Open Web-based Platform for Home Monitoring of Chronic Heart Failure Patients[J].Stud Health Technol Inform, 2015,210:311-315.DOI:10.3233/978-1-61499-512-8-311. [4] Clark R A.Telehealth in the Elderly with Chronic Heart Failure: What Is the Evidence?[J]. Stud Health Technol Inform, 2018,246:18-23. [5] 张骞,康俊萍,刘小慧,等. 植入性血流动力学监测装置在慢性心力衰竭家庭管理的应用[J].中国介入心脏病学杂志,2015,23(8):468-470.DOI:10. 3969 /j. issn. 1004-8812. 2015. 08. 011. [6] 陈静. 远程心电监测在慢性心力衰竭患者院外管理中的应用研究[D].昆明:昆明医科大学,2017:8-37. [7] 佟冬雪. 电话随访联合微信平台护理服务模式对慢性心力衰竭出院患者影响的研究[D].锦州:锦州医科大学,2018:9-33. [8] Grebennikova A A, Stoliarov A Y, Lopatin Y M.The Use of Platform for Remote Monitoring on the Base of Mobile App for Improving Self-care in Patients with Chronic Heart Failure[J]. Kardiologiia, 2017,57(S4):11-18. DOI:10.18087/cardio.2413. [9] Hale T M, AUID- Oho, Jethwani K, et al.A Remote Medication Monitoring System for Chronic Heart Failure Patients to Reduce Readmissions: A Two-arm Randomized Pilot Study[J]. J Med Internet Res, 2016,18(5):e91. DOI:10.2196/jmir.5256. [10] 陈卓芳,林雪英,梁菊艳. 电话随访式延续性护理对慢性心力衰竭患者自我护理行为及生活质量的影响[J].临床护理杂志,2018, 17(1):24-26.DOI:10.3969/j.issn.1671-8933.2017.06.009. [11] Cowie M R, Simon M, Klein L, et al.The Cost-effectiveness of Real-time Pulmonary Artery Pressure Monitoring in Heart Failure Patients: A European Perspective[J]. Eur J Heart Fail, 2017,19(5):661-669. DOI: 10.1002/ejhf.747. [12] Schmier J K, Ong K L, Fonarow G C, et al.Cost-effectiveness of Remote Cardiac Monitoring with the CardioMEMS Heart Failure System[J]. Clin Cardiol, 2017,40(7):430-436. DOI:10.1002/clc.22696. [13] Sandhu A T, Goldhaber-Fiebert J D, Owens D K, et al. Cost-effectiveness of Implantable Pulmonary Artery Pressure Monitoring in Chronic Heart Failure[J]. JACC Heart Fail, 2016,4(5):368-375. DOI:10.1016/j.jchf.2015.12.015. [14] Soran O Z, Pina I L, Lamas G A, et al.A Randomized Clinical Trial of the Clinical Effects of Enhanced Feart Failure Monitoring Using a Computer-based Telephonic Monitoring System in Older Minorities and Women[J]. J Card Fail, 2008,14(9):711-717. DOI:10.1016/j.cardfail.2008.06.448. [15] Kitsiou S, AUID- Oho, Pare G, et al.Effects of Home Telemonitoring Interventions on Patients with Chronic Heart Failure: An Overview of Systematic Reviews[J]. J Med Internet Res, 2015,17(3):e63. DOI:10.2196/jmir.4174. [16] Koehler F, Winkler S, Schieber M, et al.Impact of Remote Telemedical Management on Mortality and Hospitalizations in Ambulatory Patients with Chronic Heart Failure: The Telemedical Interventional Monitoring in Heart Failure Study[J]. Circulation, 2011,123(17):1873-1880. DOI:10.1161/CIRCULATIONAHA.111.018473. [17] Evangelista L S, Moser D K, Lee J A, et al.Examining Older Adults' Perceptions of Usability and Acceptability of Remote Monitoring Systems to Manage Chronic Heart Failure[J]. Gerontol Geriatr Med, 2015,1:2333721415618050. DOI:10.1177/2333721415618050. [18] Mortara A, Pinna G D, Johnson P, et al.Home Telemonitoring in Heart Failure Patients: The HHH study (Home or Hospital in Heart Failure)[J]. Eur J Heart Fail, 2009,11(3):312-318. DOI:10.1093/eurjhf/hfp022. [19] Chaudhry S I, Mattera J A, Curtis J P, et al.Telemonitoring in Patients with Heart Failure[J]. N Engl J Med, 2010,363(24):2301-2309. DOI:10.1056/NEJMoa1010029. [20] Wu J R, Moser D K, De Jong M J, et al. Defining an Evidence-based Cutpoint for Medication Adherence in Heart Failure[J]. Am Heart J, 2009,157(2):285-291. DOI:10.1016/j.ahj.2008.10.001. [21] Brugts J J, Manintveld O C, van Mieghem N. Remote Monitoring of Pulmonary Artery Pressures with CardioMEMS in Patients with Chronic Heart Failure and NYHA Class III: First Experiences in the Netherlands[J]. Neth Heart J, 2018,26(2):55-57. DOI:10.1007/s12471-017-1054-4. [22] Herrmann E, Ecke A, Herrmann E, et al.Daily Non-invasive Haemodynamic Telemonitoring for Efficacy Evaluation of MitraClip(R) Implantation in Patients with Advanced Systolic Heart Failure[J]. ESC Heart Fail, 2018,5(5):780-787. DOI:10.1002/ehf2.12303. [23] Scherr D, Kastner P, Kollmann A, et al.Effect of Home-based Telemonitoring Using Mobile Phone Technology on the Outcome of Heart Failure Patients after an Episode of Acute Decompensation: Randomized Controlled Trial[J]. J Med Internet Res, 2009,11(3):e34. DOI: 10.2196/jmir.1252. [24] Riegel B, Knafl G J.Electronically Monitored Medication Adherence Predicts Hospitalization in Heart Failure Patients[J]. Patient Prefer Adherence, 2013,8:1-13.DOI:10.2147/PPA.S54520. [25] Nakamura N, Koga T, Iseki H.A Meta-analysis of Remote Patient Monitoring for Chronic Heart Failure Patients[J]. J Telemed Telecare,2014,20(1):11-17.DOI:10.1177/1357633X13517352. [26] Patel M S, Asch D A, Volpp K G.Wearable Devices as Facilitators, Not Drivers, of Health Behavior Change[J]. JAMA,2015,313(5):459-460.DOI:10.1001/jama.2014.14781. [27] Albert N M, Dinesen B, Spindler H, et al.Factors Associated with Telemonitoring Use Among Patients with Chronic Heart Failure[J]. J Telemed Telecare, 2017,23(2):283-291. DOI:10.1177/1357633X16630444. [28] Chan M, Esteve D, Fourniols JY, et al.Smart Wearable Systems: Current Status and Future Challenges[J]. Artif Intell Med,2012,56(3):137-156.DOI:10.1016/j.artmed.2012.09.003. [29] Lynga P, Persson H, Hagg-Martinell A, et al.Weight Monitoring in Patients with Severe Heart Failure (WISH). A Randomized Controlled Trial[J]. Eur J Heart Fail, 2012,14(4):438-444. DOI:10.1093/eurjhf/hfs023. [30] Giordano A, Scalvini S, Zanelli E, et al.Multicenter Randomised Trial on Home-based Telemanagement to Prevent Hospital Readmission of Patients with Chronic Heart Failure[J]. Int J Cardiol, 2009,131(2):192-199. DOI: 10.1016/j.ijcard.2007.10.027. [31] Goldberg L R, Piette J D, Walsh M N, et al.Randomized Trial of a Daily Electronic Home Monitoring System in Patients with Advanced Heart Failure: The Weight Monitoring in Heart Failure (WHARF) Trial[J]. Am Heart J, 2003,146(4):705-712. DOI:10.1016/S0002-8703(03)00393-4. [32] Weintraub A, Gregory D, Patel AR, et al.A Multicenter Randomized Controlled Evaluation of Automated Home Monitoring and Telephonic Disease Management in Patients Recently Hospitalized for Congestive Heart Failure: The SPAN-CHF II Trial[J]. J Card Fail, 2010,16(4):285-292. DOI:10.1016/j.cardfail.2009.12.012. |
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