Randerath W, Bögel M, Franke C, Hellmann A, Jany B, Nilius G, Penzel T, Voshaar T, Wiater A
Für die Deutsche Gesellschaft für Schlafforschung und Schlafmedizin.
Für den Bundesverband der Pneumologen, Schlaf- und Beatmungsmediziner.
Pneumologie. 2017 Feb;71(2):81-85. doi: 10.1055/s-0042-124083. Epub 2017 Feb 21.
The use of telemonitoring in the care of patients with Sleep-related Breathing Disorders (SBD) can enhance medical support significantly. Telemonitoring aims at helping physicians to detect therapy problems early and thus improve patients' therapy adherence. Diagnostics and therapy decisions in the telemonitoring process nevertheless remain the responsibility of sleep specialists. The selection of data monitored, their evaluation and resulting consequences fall to the physician, who makes decisions and prescribes therapy in consultation with the patient. In light of professional legal and ethical requirements, it must be ensured that the extensive changes to the process flow in sleep medicine are designed in a way to guarantee high-quality patient care. In this position paper, the German Sleep Society, the German Respiratory Society, the Association of Pneumological Hospitals and the Federal Association of German Pneumologists comment on important aspects for implementation of telemonitoring for SRBD and describe the basic conditions required for its use.
在睡眠相关呼吸障碍（SBD）患者的护理中使用远程监测可以显著增强医疗支持。远程监测旨在帮助医生尽早发现治疗问题，从而提高患者的治疗依从性。然而，远程监测过程中的诊断和治疗决策仍然是睡眠专家的责任。所监测数据的选择、评估及其结果由医生负责，医生在与患者协商后做出决策并开出处方。鉴于专业的法律和道德要求，必须确保睡眠医学流程的广泛变化是以保证高质量患者护理的方式设计的。在本立场文件中，德国睡眠协会、德国呼吸协会、肺病医院协会和德国肺病专家联邦协会对SRBD远程监测实施的重要方面发表了评论，并描述了其使用所需的基本条件。
