TY -的盟Weenk剧中AU - van Goor,哈利盟——Frietman Bas盟——Engelen吕西安JLPG AU - van Laarhoven Cornelis JHM AU - Smit, Jan AU - Bredie塞巴斯蒂安JH AU - van de带汤姆H PY - 2017 DA - 2017/07/05 TI -连续监测生命体征在普通病房使用可穿戴设备:试点研究乔- Uhealth Mhealth JMIR SP - e91六世- 5 - 7 KW -遥感技术KW -生命体征KW -无线技术KW -连续监测AB -背景:住院患者生命体征的测量是评估患者临床情况的必要手段。早期预警评分(EWS),如修改早期预警评分(MEWS),通常每天计算3次,但这些可能无法捕获早期恶化。诊断病情恶化的延迟与死亡率增加有关。可穿戴设备的持续监测可以在早期阶段检测到临床恶化,从而使临床医生能够采取纠正措施。目的:在本初步研究中,探讨使用ViSi Mobile (VM;Sotera Wireless)和HealthPatch (HP;对Vital Connect进行了测试,并收集了患者和护士的经验。方法:在本可行性研究中,对20例内科、外科病房患者同时进行2 ~ 3天的VM和HP监测。对技术问题进行了分析。 Vital sign measurements by nurses were taken as reference and compared with vital signs measured by both devices. Patient and nurse experiences were obtained by semistructured interviews. Results: In total, 86 out of 120 MEWS measurements were used for the analysis. Vital sign measurements by VM and HP were generally consistent with nurse measurements. In 15% (N=13) and 27% (N=23) of the VM and HP cases respectively, clinically relevant differences in MEWS were found based on inconsistent respiratory rate registrations. Connection failure was recognized as a predominant VM artifact (70%). Over 50% of all HP artifacts had an unknown cause, were self-limiting, and never took longer than 1 hour. The majority of patients, relatives, and nurses were positive about VM and HP. Conclusions: Both VM and HP are promising for continuously monitoring vital signs in hospitalized patients, if the frequency and duration of artifacts are reduced. The devices were well received and comfortable for most patients. SN - 2291-5222 UR - http://mhealth.www.mybigtv.com/2017/7/e91/ UR - https://doi.org/10.2196/mhealth.7208 UR - http://www.ncbi.nlm.nih.gov/pubmed/28679490 DO - 10.2196/mhealth.7208 ID - info:doi/10.2196/mhealth.7208 ER -
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