使用远程医疗评估运动能力：囊性纤维化成人的可行性研究。

Assessing exercise capacity using telehealth: a feasibility study in adults with cystic fibrosis.

机构信息

Department of Physiotherapy, La Trobe University, Melbourne, Victoria, Australia.

出版信息

Respir Care. 2013 Feb;58(2):286-90. doi: 10.4187/respcare.01922.

DOI:10.4187/respcare.01922

PMID:22711058

Abstract

BACKGROUND

Provision of healthcare from a remote site may assist patients to access important services. We aimed to establish the feasibility of monitoring an assessment of exercise capacity using telehealth technology.

METHODS

Adults with CF completed two 3-min step tests, monitored in-person or remotely via videoconferencing, in randomized order. Measurements were physiological responses to exercise, system usability, ease of clinician interaction, metronome acoustics, and participant comfort.

RESULTS

Ten adults (5 male), mean ± SD age 32 ± 7 years, and FEV1 55.4% of predicted (range 38-90% of predicted), completed both tests. Participants reported good system usability, with a mean (95% CI) System Usability Scale score of 85.63 out of 100 (79.8-91.5). Metronome acoustics were rated as significantly poorer remotely (P = .006). There were no differences in measurements of oxyhemoglobin saturation or heart rate between assessment settings.

CONCLUSION

Exercise capacity assessment using the 3-min step test is feasible and accurate via remote videoconferencing in adults with CF.

摘要

背景

远程提供医疗保健服务可能有助于患者获得重要服务。我们旨在确定使用远程医疗技术监测运动能力评估的可行性。

方法

成人 CF 患者以随机顺序分别亲自或通过视频会议远程完成两次 3 分钟的踏步测试。测量包括运动时的生理反应、系统可用性、临床医生交互的便利性、节拍器的声学效果和参与者的舒适度。

结果

十名成年人（5 名男性），平均年龄为 32 ± 7 岁，FEV1 预测值的 55.4%（预测值的 38-90%），均完成了两项测试。参与者报告系统具有良好的可用性，系统可用性量表的平均（95%CI）评分为 85.63 分（79.8-91.5）。远程评估时节拍器的声学效果明显较差（P =.006）。评估设置之间的血氧饱和度或心率测量值无差异。