Morichelli Loredana, Porfili Antonio, Quarta Laura, Sassi Anna, Ricci Renato Pietro
Department of Cardiovascular Diseases, San Filippo Neri Hospital, Via Martinotti, 20, 00135, Rome, Italy.
J Interv Card Electrophysiol. 2014 Dec;41(3):203-9. doi: 10.1007/s10840-014-9935-6. Epub 2014 Sep 26.
Remote monitoring (RM) is becoming the new standard for follow-up of patients with cardiac implantable electronic devices. The aim of the present study was to evaluate patients' acceptance and satisfaction of RM by using a specific designed questionnaire.
The questionnaire is composed of 12 items aimed at analyzing 5 aspects of patient's acceptance and satisfaction of RM, with a scale ranging from 0 (the worst) to 4 (the best). The questionnaire was submitted to 163 ICD patients (147 male, 71 ± 12 years, 39 CRT-D), and followed by the CareLink Network Medtronic system, after a median follow-up of 20 months (13-26 months). Cronbach's alpha for reliability of the administered questionnaire was 0.73.
The mean score of all 12 items was 3.5 ± 0.3; in detail: (i) relationship with healthcare provider 3.3 ± 0.7; (ii) ease of use of network technology 3.5 ± 0.5; (iii) related psychological aspects 3.5 ± 0.4; (iv) implication of general health 3.4 ± 0.6; (v) overall satisfaction 3.8 ± 0.3. CareLink naïve patients had better scores than those with previous in-person follow-up experience (3.6 ± 0.6 vs. 3.4 ± 0.7, p = 0.027), while no differences were observed between wireless and inductive systems, neither considering the living distance from the hospital. The main independent predictor of patient satisfaction was the implantation of CRT-D [Exp(beta) = 6.80 (1.34-34.62)] (p = 0.021). No correlation was found between age and ease of use of RM, while a positive correlation was observed between age and benefits on psychological aspects (p < 0.01).
ICD patients showed a high level of acceptance and satisfaction for RM. Patients with CRT-D perceived the greatest benefit.
远程监测（RM）正成为心脏植入式电子设备患者随访的新标准。本研究的目的是通过使用一份专门设计的问卷来评估患者对RM的接受度和满意度。
该问卷由12个项目组成，旨在分析患者对RM的接受度和满意度的5个方面，评分范围从0（最差）到4（最好）。该问卷被提交给163名植入式心律转复除颤器（ICD）患者（147名男性，年龄71±12岁，39名心脏再同步化治疗除颤器（CRT-D）患者），并通过美敦力CareLink网络系统进行随访，中位随访时间为20个月（13 - 26个月）。所使用问卷的Cronbach's alpha信度系数为0.73。
所有12个项目的平均得分为3.5±0.3；具体如下：（i）与医疗服务提供者的关系3.3±0.7；（ii）网络技术的易用性3.5±0.5；（iii）相关心理方面3.5±0.4；（iv）对总体健康的影响3.4±0.6；（v）总体满意度3.8±0.3。初次使用CareLink的患者得分高于那些有过亲自随访经历的患者（3.6±0.6对3.4±0.7，p = 0.027），而在无线和感应系统之间未观察到差异，无论考虑与医院的居住距离如何。患者满意度的主要独立预测因素是CRT-D的植入[Exp(β)= 6.80（1.34 - 34.62）]（p = 0.021）。未发现年龄与RM易用性之间存在相关性，而年龄与心理方面的益处之间存在正相关（p < 0.01）。
ICD患者对RM表现出高度的接受度和满意度。CRT-D患者从中获益最大。
