Pedraza Leticia Lopez, Moraes João Ricardo Wagner de, Rabelo-Silva Eneida Rejane
Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil.
Hospital de Clínicas de Porto Alegre, Serviço de Cardiologia, Grupo de Insuficiência Cardíaca e Transplante Cardíaco, Porto Alegre, RS, Brazil.
Rev Lat Am Enfermagem. 2020 Sep 7;28:e3301. doi: 10.1590/1518-8345.3519.3301.
to develop and test an SMS monitoring software application for patients with acute decompensated heart failure.
the waterfall model was used for software development. All expected functionalities were defined, program modules were codified and tests were done so as to ensure good performance by the software application. Ten patients participated in the prototype test.
the system sends two types of messages: questions that should be answered by patients and unilateral educational reinforcements. In addition, the system generates alarms in case of no response or according to a flow chart to detect congestion in the patient previously created by the team. Of the 264 SMS texts sent, 247 were answered. The alarm was triggered seven times: three patients woke up with shortness of breath for two consecutive nights, and four patients felt more fatigued for two consecutive days. All patients took the prescribed medications during follow-up. The study nurse guided the patients who generated alarms in the system.
the SMS software application was successfully developed and a high response rate and preliminary evidence of improvements in self-management of HF were observed. With this regard, telehealth is a promising alternative in the treatment of chronic diseases.
开发并测试一款用于急性失代偿性心力衰竭患者的短信监测软件应用程序。
采用瀑布模型进行软件开发。定义了所有预期功能，对程序模块进行编码并进行测试，以确保软件应用程序具有良好性能。十名患者参与了原型测试。
该系统发送两种类型的消息：患者应回答的问题和单方面的教育强化信息。此外，系统在无响应的情况下或根据流程图生成警报，以检测团队先前为患者创建的充血情况。在发送的264条短信中，有247条得到了回复。警报触发了七次：三名患者连续两晚因气短醒来，四名患者连续两天感到更加疲劳。所有患者在随访期间都服用了规定的药物。研究护士对系统中产生警报的患者进行了指导。
成功开发了短信软件应用程序，观察到了较高的回复率以及心力衰竭自我管理改善的初步证据。就此而言，远程医疗是慢性病治疗中一种有前景的替代方法。
