TY - JOUR AU - van Steenbergen, Gijs AU - van Veghel, Dennis AU - van Lieshout, Dideke AU - Sperwer, Merel AU - ter worst, Joost AU - Dekker, Lukas PY - 2022 DA - 2022/8/26 TI -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卫生保健利用和早期恢复的影响:随机对照试验乔- J地中海互联网Res SP - e37728六世- 24 - 8 KW - e-Health KW -电子健康KW -数字医疗KW -病人教育KW -冠状动脉搭桥手术千瓦心脏手术KW -医疗利用KW -成本KW -成本KW -经济KW -冠状KW -心脏病KW -心脏KW -手术KW -绕过KW -个随机对照试验KW -随机对照试验KW -视频咨询KW -远程医疗KW -远程医疗KW - patient-reported KW -复苏KW - AB为代价背景:冠状动脉搭桥术(CABG)术后的医疗保健利用率很高，且部分具有计划外性质。电子健康应用被提出，以减少护理消耗，使患者参与并协助其康复。通过这种方式，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方案是否可以减少无计划的卫生保健利用，并改善冠状动脉搭桥术后6周的心理和身体健康。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月来自荷兰单一中心的计划接受非急性冠脉搭桥手术的患者。干预组的参与者，除了标准护理外，还可以使用电子健康计划，包括在线教育视频和与荷兰心脏基金会联合开发的视频咨询。对照组接受标准治疗。主要结果是使用医疗技术评估医疗消费问卷衡量的非计划卫生保健利用综合的数量和费用，包括急诊就诊、门诊就诊、再住院、患者发起的电话咨询和全科医生就诊。 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 SN - 1438-8871 UR - //www.mybigtv.com/2022/8/e37728 UR - https://doi.org/10.2196/37728 UR - http://www.ncbi.nlm.nih.gov/pubmed/36018625 DO - 10.2196/37728 ID - info:doi/10.2196/37728 ER -