Eilat-Tsanani Sophia, Golovner Michal, Marcus Ohad, Dayan Mordechai, Sade Zipi, Iktelat Adel, Rothman Johanna, Oppenheimer Yoel
Clalit Health Services, Israel
Clalit Health Services, Israel.
Eur J Cardiovasc Nurs. 2016 Apr;15(3):e78-84. doi: 10.1177/1474515115602677. Epub 2015 Aug 26.
This research was conducted to evaluate the impact of a telehealth service on re-hospitalization of patients with congestive heart failure at New York Heart Association II-IV.
The telehealth service for congestive heart failure patients was designed to follow the patients after their daily weighing and to provide a response in cases of non-compliance or deviation from baseline weight. A weighing scale was installed in the patient's house together with a communication module connected to the telemedicine control centre through a telephone line. The control centre is staffed by skilled nurses whose responses to patients are guided by programmed algorithm. Over a year, we evaluated the changes in the frequency of hospital admission and of primary care visits, and quality of life of 141 individuals who were eligible for the telehealth service for congestive heart failure. A decline was noted in the average number of hospitalizations per patient (from 4.7 to 2.6, p < 0.001). Scores of parameters of quality of life were improved (average score for first through fourth quarterly administration: 64, 50, 16, 16, p < 0.001 by the Minnesota Living with Heart Failure Questionnaire).
During the year of use in telehealth service for congestive heart failure parameters of hospitalization were improved, together with parameters of quality of life.
本研究旨在评估远程医疗服务对纽约心脏协会心功能II-IV级的充血性心力衰竭患者再次住院的影响。
针对充血性心力衰竭患者的远程医疗服务旨在患者每日称重后对其进行跟踪，并在出现不依从或体重偏离基线的情况时做出回应。在患者家中安装了一个体重秤，并通过电话线连接到远程医疗控制中心的通信模块。控制中心配备了技术熟练的护士，他们对患者的回应由编程算法指导。在一年的时间里，我们评估了141名符合充血性心力衰竭远程医疗服务条件的患者的住院频率和初级保健就诊次数的变化以及生活质量。每位患者的平均住院次数有所下降（从4.7次降至2.6次，p<0.001）。生活质量参数得分得到改善（通过明尼苏达心力衰竭生活问卷，第一至第四季度管理的平均得分分别为：64、50、16、16，p<0.001）。
在充血性心力衰竭远程医疗服务使用的这一年中，住院参数以及生活质量参数均得到改善。
