TY -的AU -吴,罗伯特·C AU - Delgado迭戈AU -科斯蒂根,Jeannine盟——存在,简非盟-罗斯,希瑟PY - 2005 DA - 2005/3/26 TI -医患沟通工具互联网的试点研究心力衰竭疾病管理乔- J地中海互联网Res SP - e8六世- 7 - 1 KW -互联网KW -疾病管理KW -充血性心力衰竭KW -医患关系KW交流AB -背景:互联网疾病管理有望改善心力衰竭患者的护理，但支持其使用的证据有限。我们设计了一个心力衰竭互联网通信工具(HFICT)，允许患者向临床医生输入信息，以及他们的日常症状、体重、血压和心率。临床医生在同一天审查信息并提供反馈。目的:本初步研究评估使用互联网与症状性心力衰竭患者沟通的可行性及患者的接受程度。方法:指导有症状的心力衰竭患者如何使用网络通讯工具。主要结局指标是定期使用该系统的患者比例，平均每周至少输入一次信息，持续至少3个月。次要结果测量包括工具的安全性和可维护性。我们还对进入评论字段的患者和临床医生信息子集进行了内容分析。结果:1999年5月3日至2002年11月1日，共纳入62例患者，平均年龄48.7岁。 At 3 months 58 patients were alive and without a heart transplant. Of those, 26 patients (45%; 95% Confidence Interval, 0.33-0.58) continued using the system at 3 months. In 97% of all entries by participants weight was included; 68% of entries included blood pressure; and 71% of entries included heart rate. In 3386 entries out of all 5098 patient entries (66%), comments were entered. Functions that were not used included the tracking of diuretics, medications and treatment goals. The tool appeared to be safe and maintainable. Workload estimates for clinicians for entering a response to each patient's entry ranged from less than a minute to 5 minutes or longer for a detailed response. Patients sent 3386 comments to the Heart Function Clinic. Based on the content analysis of 100 patient entries, the following major categories of communication were identified: patient information; patient symptoms; patient questions regarding their condition; patient coordinating own care; social responses. The number of comments decreased over time for both patients and clinicians. Conclusion: While the majority of patients discontinued use, 45% of the patients used the system and continued to use it on average for 1.5 years. An Internet tool is a feasible method of communication in a substantial proportion of patients with heart failure. Further study is required to determine whether clinical outcomes, such as quality of life or frequency of hospitalization, are improved. SN - 1438-8871 UR - //www.mybigtv.com/2005/1/e8/ UR - https://doi.org/10.2196/jmir.7.1.e8 UR - http://www.ncbi.nlm.nih.gov/pubmed/15829480 DO - 10.2196/jmir.7.1.e8 ID - info:doi/10.2196/jmir.7.1.e8 ER -