Whitten Pamela, Mickus Maureen
Department of Telecommunication, Michigan State University, East Lansing, MI 48824-1212, USA.
J Telemed Telecare. 2007;13(2):69-73. doi: 10.1258/135763307780096249.
We evaluated the use of home telehealth for patients with chronic obstructive pulmonary disease (COPD) and/or congestive heart failure (CHF). Patients diagnosed with COPD and/or CHF who were prescribed home health-care services were randomly assigned to an experimental group where they received home health care through a combination of traditional face-to-face and telemedicine visits (n = 83), and a control group where only conventional home care was employed (n = 78). Data were collected via the Short Form 36 (SF-36), Outcome and Assessment Information Set (OASIS) and patient charts. In the experimental group, patient perceptions of the home telecare services were collected via telephone interviews. Overall, the addition of telehealth to COPD/CHF patient care was not a significant predictor of health and wellbeing, either positively or negatively. Although those receiving telehealth had worse ratings on the SF-36 general health subscale after the intervention, this measure was only significant when controlling for a number of key variables in the model. In regard to patient perceptions of home telecare, patients were satisfied with the technology and the way that care was delivered via this modality.
我们评估了家庭远程医疗在慢性阻塞性肺疾病（COPD）和/或充血性心力衰竭（CHF）患者中的应用。被诊断患有COPD和/或CHF且被开具家庭保健服务处方的患者被随机分配到实验组，在该组中他们通过传统面对面和远程医疗就诊相结合的方式接受家庭保健服务（n = 83），以及仅采用传统家庭护理的对照组（n = 78）。数据通过简明健康调查问卷（SF - 36）、结局与评估信息集（OASIS）以及患者病历收集。在实验组中，通过电话访谈收集患者对家庭远程护理服务的看法。总体而言，将远程医疗添加到COPD/CHF患者护理中，无论是对健康和幸福的积极还是消极影响，都不是一个显著的预测因素。尽管接受远程医疗的患者在干预后在SF - 36总体健康子量表上的评分较低，但该指标仅在控制模型中的一些关键变量时才具有显著性。关于患者对家庭远程护理的看法，患者对该技术以及通过这种方式提供护理的方式感到满意。
