HerzMobil，一个基于心力衰竭患者的综合和协作远程监测的疾病管理卡塔尔世界杯8强波胆分析项目;为日常护理开辟道路的可行性研究%A Ammenwerth,Elske %A model - osprian,Robert %A Fetz,Bettina %A Gstrein,Susanne %A Krestan,Susanne %A Dörler,Jakob %A Kastner,Peter %A Welte,Stefan %A Rissbacher,Clemens %A Pölzl,Gerhard %+ UMIT -健康科学大学医学信息与技术研究所，Eduard Wallnöfer Tirol Hall 1 centre, 6060, Austria, 43 508648 ext 3809，elske.ammenwerth@umit.at %K心力衰竭%K远程医疗%K卫生保健交付，综合%K方案评估%D 2018 %7 30.04.2018 %9背景:心力衰竭是与频繁住院相关的主要健康问题。HerzMobil Tirol是一个多学科的心力衰竭患者出院后疾病管理项目，旨在提高患者的生活质量，防止再入院，降低死亡率和医疗成本。它使用一个远程监控系统，该系统被整合到一个由专门的心力衰竭护士、医生和医院组成的网络中。患者配备手机、体重秤、血压和心率监测仪，每天采集和传输血压、心率、体重、幸福感和药物摄入量等数据。这些数据每天传送，并由网络小组定期审查。此外，患者在急性心力衰竭住院后3个月内安排3次网络医生就诊，2次心衰护士就诊。目的:本研究的目的是通过分析患者健康状况、自我护理行为和满意度的变化来评估HerzMobil Tirol的可行性，并得出在日常临床实践中实施基于远程监测的心衰跨学科疾病管理方案的建议。方法:在这项纳入35例老年患者的前瞻性、中试、单组研究中，通过分析健康状况(通过堪萨斯城心肌病问卷，KCCQ)、患者自我护理行为(通过欧洲心力衰竭自我护理行为量表，修订为9项量表，EHFScB-9)和用户满意度(通过Delone和McLean系统成功模型)的变化来评估HerzMobil Tirol的可行性。 Results: A total of 43 patients joined the HerzMobil Tirol program, and of these, 35 patients completed it. The mean age of participants was 67 years (range: 43-86 years). Health status (KCCQ, range: 0-100) improved from 46.2 to 69.8 after 3 months. Self-care behavior (EHFScB-9, possible range: 9-22) after 3 months was 13.2. Patient satisfaction in all dimensions was 86% or higher. Lessons learned for the rollout of HerzMobil Tirol comprise a definite time schedule for interventions, solid network structures with clear process definition, a network coordinator, and specially trained heart failure nurses. Conclusions: On the basis of the positive evaluation results, HerzMobil Tirol has been officially introduced in the province of Tyrol in July 2017. It is, therefore, the first regular financed telehealth care program in Austria. %M 31758765 %R 10.2196/cardio.9936 %U http://cardio.www.mybigtv.com/2018/1/e11/ %U https://doi.org/10.2196/cardio.9936 %U http://www.ncbi.nlm.nih.gov/pubmed/31758765

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