Lew Susie Q, Sikka Neal, Thompson Clinton, Cherian Teena, Magnus Manya
Department of Medicine, Milken Institute School of Public Health, George Washington University, Washington, DC, USA
Department of Emergency Medicine, Milken Institute School of Public Health, George Washington University, Washington, DC, USA.
Perit Dial Int. 2017 Sep-Oct;37(5):576-578. doi: 10.3747/pdi.2016.00272.
We examined participant uptake and utilization of remote monitoring devices, and the relationship between remote biometric monitoring (RBM) of weight (Wt) and blood pressure (BP) with self-monitoring requirements. Participants on peritoneal dialysis (PD) ( = 269) participated in a Telehealth pilot study of which 253 used remote monitoring of BP and 255 for Wt. Blood pressure and Wt readings were transmitted in real time to a Telehealth call center, which were then forwarded to the PD nurses for real-time review. Uptake of RBM was substantial, with 89.7% accepting RBM, generating 74,266 BP and 52,880 Wt measurements over the study period. We found no significant correlates of RBM uptake with regard to gender, marital, educational, socio-economic or employment status, or baseline experience with computers; frequency of use of BP RBM by Black participants was less than non-Black participants, as was Wt RBM, and participants over 55 years old were more likely to use the Wt RBM than their younger counterparts. Having any review of the breach by a nurse was associated with reduced odds of a subsequent BP breach after adjusting for sex, age, and race. Remote biometric monitoring was associated with adherence to self-monitoring BP and Wt requirements associated with PD. Remote biometric monitoring was feasible, allowing for increased communication between patient and PD clinical staff with real-time patient data for providers to act on to potentially improve adherence and outcomes.
我们研究了参与者对远程监测设备的接受程度和使用情况，以及体重（Wt）和血压（BP）的远程生物特征监测（RBM）与自我监测要求之间的关系。269名腹膜透析（PD）参与者参与了一项远程医疗试点研究，其中253人使用了血压远程监测，255人使用了体重远程监测。血压和体重读数实时传输到远程医疗呼叫中心，然后转发给PD护士进行实时审查。RBM的接受程度很高，89.7%的人接受了RBM，在研究期间产生了74266次血压测量和52880次体重测量。我们发现，RBM的接受情况与性别、婚姻状况、教育程度、社会经济或就业状况，或计算机使用的基线经验没有显著相关性；黑人参与者使用血压RBM的频率低于非黑人参与者，体重RBM也是如此，55岁以上的参与者比年轻参与者更有可能使用体重RBM。在调整性别、年龄和种族后，由护士对违规情况进行任何审查都与随后血压违规的几率降低有关。远程生物特征监测与遵守PD相关的自我监测血压和体重要求有关。远程生物特征监测是可行的，它增加了患者与PD临床工作人员之间的沟通，并为提供者提供了实时患者数据，以便采取行动，有可能提高依从性和改善治疗结果。
