Cross Raymond K, Finkelstein Joseph
Department of Medicine, Division of Gastroenterology and Hepatology, University of Maryland School of Medicine, Baltimore, MD 21201, USA.
Dig Dis Sci. 2007 Feb;52(2):357-64. doi: 10.1007/s10620-006-9523-4. Epub 2007 Jan 9.
Our purpose was to assess the acceptance and feasibility of a home telemanagement system (HAT) in inflammatory bowel disease (IBD). The HAT consists of a laptop and a scale. Subjects were required to complete weekly self-testing for 6 months. Disease activity, quality of life, and knowledge were assessed at baseline and 6 months. Attitudinal surveys were completed at 6 months. Twenty-five subjects completed the study. Ninety-one percent of patients thought that self-testing was not complicated. Eighty-six percent said that self-testing did not interfere with their usual activities. Ninety-one percent of patients would consider using a HAT in the future. Adherence with self-testing was 91%. Improvements in disease activity and quality of life, and significant improvements in knowledge, were observed after implementation of the HAT. The HAT is feasible and accepted in IBD. We predict that the HAT will positively affect adherence, monitoring, and patient education, resulting in improved disease activity and quality of life.
我们的目的是评估家庭远程管理系统（HAT）在炎症性肠病（IBD）中的可接受性和可行性。HAT由一台笔记本电脑和一台秤组成。受试者需要在6个月内每周进行自我检测。在基线和6个月时评估疾病活动度、生活质量和知识水平。在6个月时完成态度调查。25名受试者完成了研究。91%的患者认为自我检测并不复杂。86%的患者表示自我检测没有干扰他们的日常活动。91%的患者会考虑在未来使用HAT。自我检测的依从率为91%。在实施HAT后，观察到疾病活动度和生活质量有所改善，知识水平有显著提高。HAT在IBD中是可行的且被接受的。我们预测HAT将对依从性、监测和患者教育产生积极影响，从而改善疾病活动度和生活质量。
