Frantz Ann K
Wayne State University School of Nursing, Detroit, Mich, USA. afrantz922@prodigy. net
AACN Clin Issues. 2003 May;14(2):232-9. doi: 10.1097/00044067-200305000-00012.
Physiologic monitoring is no longer confined to the critical care unit. Home monitors connect patients with clinics, physician offices, disease management programs, and home care agencies for the purpose of streamlining care delivery, maintaining a close patient connection, and promoting early identification of patient status changes. The advent of telehealth technologies offers a wide range of options for home monitoring. The goal of home monitoring is to promote patient comfort and avoid disruption of daily activities. To accomplish this, however, nurses must address issues such as, technology compatibility with patient capabilities, compatibility with nurses' practice beliefs, cost of home monitoring of overall care, and the physiologic parameters that will measure early decompensation.
生理监测不再局限于重症监护病房。家用监测设备将患者与诊所、医生办公室、疾病管理项目以及家庭护理机构连接起来，目的是简化护理流程、与患者保持密切联系并促进对患者状态变化的早期识别。远程医疗技术的出现为家庭监测提供了广泛的选择。家庭监测的目标是提高患者舒适度并避免日常活动受到干扰。然而，要实现这一目标，护士必须解决诸如技术与患者能力的兼容性、与护士执业理念的兼容性、家庭监测对整体护理成本的影响以及用于测量早期失代偿的生理参数等问题。
