护理研究
護理研究
호리연구
NURSING RESEARCH
2014年
19期
2330-2333
,共4页
老年病人%慢性肺疾病%心力衰竭%远程监护%家庭护理
老年病人%慢性肺疾病%心力衰竭%遠程鑑護%傢庭護理
노년병인%만성폐질병%심력쇠갈%원정감호%가정호리
elderly patients%chronic lung disease%heart failure%remote mo-nitoring%home care
[目的]观察慢性肺疾病或心力衰竭病人实施家庭远程监护的可行性。[方法]随机对照观察符合条件的58例诊断为心力衰竭(HF)或慢性肺疾病(CLD)居家病人。观察组30例,病人通过远程监护随访,日常传送病人家庭自我测量的临床参数(呼吸频率、心率、血压、氧饱和度、体重、体温和健康问卷调查)；对照组28例,接受常规护理。主要结局为12个月住院次数、住院时间、其他医疗资源利用和死亡率。[结果]观察组26例病人随访1年,17例至少住院1次,对照组25例病人随访1年,22例至少住院1次,差异有统计学意义(P=0.033)；观察组住院天数9.0 d±4.3 d,对照组为11.2 d±10.7 d,差异无统计学意义(P=0.891)；观察组电话联系较对照组多(22.6次±16.1次、8.6次±7.2次,P=0.001),而家庭护士访查观察组少于对照组(15.3次±11.6次、25.4次±26.3次,P=0.360)。[结论]对 HF 或 CLD 病人实施家庭远程监护,显著减少病人住院次数,降低住院天数；家庭远程监护可能是病情稳定老年慢性疾病病人的合理选择。
[目的]觀察慢性肺疾病或心力衰竭病人實施傢庭遠程鑑護的可行性。[方法]隨機對照觀察符閤條件的58例診斷為心力衰竭(HF)或慢性肺疾病(CLD)居傢病人。觀察組30例,病人通過遠程鑑護隨訪,日常傳送病人傢庭自我測量的臨床參數(呼吸頻率、心率、血壓、氧飽和度、體重、體溫和健康問捲調查)；對照組28例,接受常規護理。主要結跼為12箇月住院次數、住院時間、其他醫療資源利用和死亡率。[結果]觀察組26例病人隨訪1年,17例至少住院1次,對照組25例病人隨訪1年,22例至少住院1次,差異有統計學意義(P=0.033)；觀察組住院天數9.0 d±4.3 d,對照組為11.2 d±10.7 d,差異無統計學意義(P=0.891)；觀察組電話聯繫較對照組多(22.6次±16.1次、8.6次±7.2次,P=0.001),而傢庭護士訪查觀察組少于對照組(15.3次±11.6次、25.4次±26.3次,P=0.360)。[結論]對 HF 或 CLD 病人實施傢庭遠程鑑護,顯著減少病人住院次數,降低住院天數；傢庭遠程鑑護可能是病情穩定老年慢性疾病病人的閤理選擇。
[목적]관찰만성폐질병혹심력쇠갈병인실시가정원정감호적가행성。[방법]수궤대조관찰부합조건적58례진단위심력쇠갈(HF)혹만성폐질병(CLD)거가병인。관찰조30례,병인통과원정감호수방,일상전송병인가정자아측량적림상삼수(호흡빈솔、심솔、혈압、양포화도、체중、체온화건강문권조사)；대조조28례,접수상규호리。주요결국위12개월주원차수、주원시간、기타의료자원이용화사망솔。[결과]관찰조26례병인수방1년,17례지소주원1차,대조조25례병인수방1년,22례지소주원1차,차이유통계학의의(P=0.033)；관찰조주원천수9.0 d±4.3 d,대조조위11.2 d±10.7 d,차이무통계학의의(P=0.891)；관찰조전화련계교대조조다(22.6차±16.1차、8.6차±7.2차,P=0.001),이가정호사방사관찰조소우대조조(15.3차±11.6차、25.4차±26.3차,P=0.360)。[결론]대 HF 혹 CLD 병인실시가정원정감호,현저감소병인주원차수,강저주원천수；가정원정감호가능시병정은정노년만성질병병인적합리선택。
Obj ective:To observe the feasibility of implementation of home remote monitoring for chronic lung disease or heart failure patients.Meth-ods:A total of 5 8 cases of patients who met the conditions were taken in randomized controlled observation and they were diagnosed as heart failure (HF)or chronic lung disease(CLD),30 cases of patients in observation group received remote monitoring of followed up,clinical parameters of pa-tients’home self daily measurements were sent including respiratory rate,heart rate,blood pressure,oxygen saturation,body weight,body tem-perature and health questionnaire;28 cases of patients in control group re-ceived routine nursing.The primary outcomes were 1 2 months hospitaliza-tion times,length of stay,other medical resource utilization and mortality. Results:26 patients in observation group were followed up for 1 year and 17 cases hospitalized at least once;25 cases of patients in control group were followed up for 1 year,and 22 cases hospitalized at least once,the difference was statistically significant(P=0.033);hospitalization days in observation group was 9.0 d±4.3 d,11.2 d±10.7 d in control group,and the difference was not statistically significant(P=0.891);Calling in obser-vation group (22.6±16.1 times)was more than that in control group(8.6± 7.2 times),P=0.001,while the family nurse visits(15.3±11.6 times)in observation group was less than that (25.4±26.3 times)in control group (P=0.360).Conclusion:The implementation of home remote monitoring for HF or CLD patients can significantly reduce the number of hospitaliza-tion and the number of days of hospitalization;home remote monitoring might be a reasonable choice of elderly patients with chronic diseases in a stable condition.
