Jelkić Nikola, Canji Tibor, Ivanović Vladimir, Srdanović Ilija, Mirković Milena, Vujin Bojan
Klinika za kardiologiju, Institut za kardiovaskularne bolesti, Sremska Kamenica.
Med Pregl. 2003 Mar-Apr;56(3-4):187-92. doi: 10.2298/mpns0304187j.
Telecommunications and information technology provide clinical care at distance by means of telemedicine. Hospitals and other health care facilities use medical telemetry devices for monitoring patients' vital signs. These portable devices are used for measuring patient vital signs such as ECG, blood pressure, heart rate, respiration, capnography (CO2) and other important parameters and then transmit these information to a remote location using a nearby receiver.
Eliminating the need for wired connection with the patient, monitors allow, otherwise bedridden patients to be mobile, which shortens the recovery time. Wireless technology is also useful in the emergency care units, because emergency physicians need not leave their patients while consulting a handheld wireless device. This equipment also enables a paramedic to communicate with emergency physicians for early assessment, well before patients' arrive in hospital.
Certain types of medical telemetry devices may be used in home conditions. Telemetry can provide monitoring and home health care services at distance, using advanced telecommunications and information technology in patients with reasonably stable, but a severe, chronic, difficult condition and caring home environment. This information can enable health-care providers to effectively manage treatment without need for acute emergency treatment and hospitalization.
Hospitals worldwide are under constant pressure to decrease healthcare cost and to improve treatment outcome. Telemedicine and home health care may be one of the solutions for the problem.
电信和信息技术通过远程医疗实现远程临床护理。医院和其他医疗保健机构使用医疗遥测设备来监测患者的生命体征。这些便携式设备用于测量患者的生命体征,如心电图、血压、心率、呼吸、二氧化碳图(CO2)和其他重要参数,然后使用附近的接收器将这些信息传输到远程位置。
监测器无需与患者进行有线连接,使原本卧床的患者能够活动,从而缩短恢复时间。无线技术在急救单元也很有用,因为急诊医生在使用手持无线设备咨询时无需离开患者。这种设备还能使护理人员在患者到达医院之前很久就与急诊医生进行沟通,以便进行早期评估。
某些类型的医疗遥测设备可用于家庭环境。遥测可以利用先进的电信和信息技术,为病情相对稳定但患有严重慢性疑难病症且有家庭护理环境的患者提供远程监测和家庭医疗保健服务。这些信息能使医疗保健提供者在无需进行急性紧急治疗和住院的情况下有效地管理治疗。
全球各地的医院都面临着降低医疗成本和改善治疗效果的持续压力。远程医疗和家庭医疗保健可能是解决该问题的方案之一。