使用家庭肺量计对肺移植受者进行随访：一项试点研究。
Using Home Spirometry for Follow up of Lung Transplant Recipients: "A Pilot Study".
作者信息
Fadaizadeh Lida, Najafizadeh Katayoun, Shafaghi Shadi, Hosseini Mahsa Sadat, Ghoroghi Azadeh
机构信息
Telemedicine Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of medical Sciences.
Lung Transplantation Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of medical Sciences, Tehran, Iran.
出版信息
Tanaffos. 2013;12(1):64-9.
BACKGROUND
Lung transplantation is considered the ultimate treatment for some patients, but due to the specific condition of patients undergoing it, follow up is a major concern. The aim of this study was to evaluate the role of home spirometry in follow up of lung transplant recipients and early detection of complications in these patients.
MATERIALS AND METHODS
A PC-based portable spirometry set was used to evaluate the well being of two lung transplant recipients on a regular daily basis for a 6-month period. Patient satisfaction and compliance, and device sensitivity in detecting complications were evaluated. Results of follow up were compared with 2 matched control patients.
RESULTS
Patient adherence to home spirometry was 80% in one and 61% in the other patient and both patients were satisfied with the method, although this satisfaction declined towards the end of the study period. The main reason for low adherence was insufficient internet access. This method succeeded in early detection of infectious complications.
CONCLUSION
Home spirometry seems to be a reliable method for follow up of lung transplant recipients, but further studies in a larger group of patients is recommended.
背景
肺移植被认为是某些患者的最终治疗方法，但由于接受肺移植患者的特殊情况，随访是一个主要问题。本研究的目的是评估家庭肺功能测定在肺移植受者随访及这些患者并发症早期检测中的作用。
材料与方法
使用基于个人电脑的便携式肺功能测定仪，在6个月的时间里定期每日评估两名肺移植受者的健康状况。评估了患者满意度和依从性，以及该设备检测并发症的敏感性。将随访结果与两名匹配的对照患者进行比较。
结果
一名患者对家庭肺功能测定的依从性为80%，另一名患者为61%，两名患者对该方法均满意，尽管在研究期结束时这种满意度有所下降。依从性低的主要原因是网络接入不足。该方法成功地早期检测出感染性并发症。
结论
家庭肺功能测定似乎是肺移植受者随访的可靠方法，但建议在更大规模的患者群体中进行进一步研究。
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