杂志文章@ 1438-8871 %I JMIR出版物V 24% N 8卡塔尔世界杯8强波胆分析% P 37728 %T基于视频的患者教育和咨询对冠状动脉搭桥手术后非计划医疗保健利用和早期恢复的影响(改进版):随机对照试验%A van Steenbergen,Gijs %A van Veghel,Dennis %A van Lieshout,Dideke %A Sperwer,Merel %A ter Woorst,Joost %A Dekker,Lukas +心胸外科，Catharina心脏中心，Catharina医院，Michaelangelolaan 3, PO Box 1350，埃因霍温，5602，荷兰，31 040 239 9111，gijs.v.steenbergen@catharinaziekenhuis.nl % K e-Health % K电子健康% K数字医疗% K病人教育% K冠状动脉搭桥手术% K心脏手术% K医疗利用% K成本% K成本% K经济% K冠状% K心脏病% K心脏% K手术% K绕过% K个随机对照试验% K随机对照试验% K视频咨询% K远程医疗% K远程医疗% K patient-reported % K复苏% K费用% D原始论文7 26.8.2022 % 9 2022% % J J互联网Res % G英语% X背景:冠状动脉旁路移植(CABG)手术后的医疗保健利用率很高，部分是非计划性质的。电子卫生应用已被提出用于减少涉及和帮助患者康复的护理消耗。这样，就可以减少保健费用，提高保健质量。目的:本研究的目的是评估电子健康项目是否可以减少冠状动脉搭桥术后前6周的计划外医疗保健利用和改善心理和身体健康。方法:进行了一项单盲随机对照试验，其中包括2020年2月至2021年10月期间来自荷兰单一中心的非急性冠脉搭桥手术患者。干预组的参与者除了标准护理外，还可以使用由在线教育视频和与荷兰心脏基金会联合开发的视频咨询组成的电子健康计划。对照组接受标准治疗。 The primary outcome was the volume and costs of a composite of unplanned health care utilization, including emergency department visits, outpatient clinic visits, rehospitalization, patient-initiated telephone consultations, and visits to a general practitioner, measured using the Medical Technology Assessment Medical Consumption Questionnaire. Patient-reported anxiety and recovery were also assessed. Intention-to-treat and “users-only” analyses were used. Results: During the study period, 280 patients were enrolled and randomly allocated at a 1:1 ratio to the intervention or control group. The intention-to-treat analysis consisted of 136 and 135 patients in the intervention and control group, respectively. At 6 weeks, the primary endpoint had occurred in 43 of 136 (31.6%) patients in the intervention group and in 61 of 135 (45.2%) patients in the control group (hazard ratio 0.56, 95% CI 0.34-0.92). Recovery was faster in the intervention group, whereas anxiety was similar between study groups. “Users-only” analysis yielded similar results. Conclusions: An eHealth strategy comprising educational videos and video consultations can reduce unplanned health care utilization and can aid in faster patient-reported recovery in patients following CABG surgery. Trial Registration: Netherlands Trial Registry NL8510; https://trialsearch.who.int/Trial2.aspx?TrialID=NL8510 International Registered Report Identifier (IRRID): RR2-10.1007/s12471-020-01508-9 %M 36018625 %R 10.2196/37728 %U //www.mybigtv.com/2022/8/e37728 %U https://doi.org/10.2196/37728 %U http://www.ncbi.nlm.nih.gov/pubmed/36018625