Pereira Jaime, Teixeir Juliana, Lopes Inês, Sousa Filipe
Center for Computer Graphics, Guimarães, Portugal.
Fraunhofer Center for Assistive Information and Communication Solutions, Porto, Portugal.
Stud Health Technol Inform. 2020 Sep 4;273:189-194. doi: 10.3233/SHTI200637.
The prevalence of Heart Failure is growing exponentially in the last decades, particularly amongst older adults. Heart Failure is a chronic cardiovascular disease that demands self-care management and substantial healthcare resources. For that reason, it is highly associated with hospital readmissions and mortality. Due to increased hospitalization costs, excessive waiting times and lack of specialized healthcare professionals to follow-up this growing population, telemedicine and telemonitoring technologies have become the best solutions to support health providers in the disease management tasks. Telemonitoring technologies offer better and more comfortable care because the elderly do not have to leave the comfort of their home to interact with the doctors, giving and receiving daily feedbacks trough these new applications, wearables, and health care platforms. This paper provides a comprehensive review covering the current progress of research in telemedicine and telemonitoring and their applications to Heart Failure Management services. It presents SmartBEAT, which demonstrated during a pilot phase, a user adherence of 97% for three months. Furthermore, SmartBEAT plus, an improved solution, is described, and the system usability a technology acceptance will be evaluated through a pilot with 40 Heart Failure Patients, involving nurses and cardiologists.
在过去几十年中，心力衰竭的患病率呈指数级增长，尤其是在老年人中。心力衰竭是一种慢性心血管疾病，需要自我护理管理和大量医疗资源。因此，它与住院再入院率和死亡率高度相关。由于住院成本增加、等待时间过长以及缺乏专业医疗人员来跟进这一不断增长的人群，远程医疗和远程监测技术已成为支持医疗服务提供者进行疾病管理任务的最佳解决方案。远程监测技术提供了更好、更舒适的护理，因为老年人无需离开舒适的家就能与医生互动，通过这些新应用程序、可穿戴设备和医疗保健平台给予和接收日常反馈。本文全面综述了远程医疗和远程监测的当前研究进展及其在心力衰竭管理服务中的应用。它介绍了SmartBEAT，该系统在试点阶段展示了三个月97%的用户依从率。此外，还描述了改进后的解决方案SmartBEAT plus，并将通过一项涉及40名心力衰竭患者、护士和心脏病专家的试点评估该系统的可用性和技术接受度。
