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新型冠状病毒肺炎如何影响肺动脉高压患者远程医疗的引入及患者报告结局——来自日本一家转诊中心的报告

How COVID-19 Affected the Introduction of Telemedicine and Patient Reported Outcomes Among Patients With Pulmonary Hypertension　- A Report From a Referral Center in Japan.

作者信息

Tamura Yuichi, Takeyasu Rika, Furukawa Asuka, Takada Hiromi, Takechi Mineki, Taniguchi Hirohisa, Kawamura Akio

机构信息

Pulmonary Hypertension Center, International University of Health and Welfare Mita Hospital Tokyo Japan.

Department of Cardiology, International University of Health and Welfare School of Medicine Narita Japan.

出版信息

Circ Rep. 2020 Aug 27;2(9):526-530. doi: 10.1253/circrep.CR-20-0088.

DOI:10.1253/circrep.CR-20-0088
PMID:33693278
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7819649/
Abstract

COVID-19 is fatal to patients with pulmonary hypertension (PH), so preventive actions are recommended. This study investigated the effectiveness of telemedicine and effects on quality of life (QOL) in the treatment of patients with PH. Japanese patients with PH (n=40) were recruited from one referral center. Patient self-reported anxiety worsened significantly and elderly patients in particular experienced detrimental lifestyle changes under COVID-19. Telemedicine worked well to decrease the frequency of going out. Telemedicine is effective in reducing travel distances, and frequent remote interventions may be desirable for older, anxious patients.

摘要

新型冠状病毒肺炎（COVID-19）对肺动脉高压（PH）患者具有致命性，因此建议采取预防措施。本研究调查了远程医疗在PH患者治疗中的有效性及其对生活质量（QOL）的影响。从一个转诊中心招募了40名日本PH患者。患者自我报告的焦虑显著加重，尤其是老年患者在COVID-19疫情下经历了有害的生活方式改变。远程医疗在减少外出频率方面效果良好。远程医疗在减少出行距离方面有效，对于年长、焦虑的患者，频繁的远程干预可能是可取的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea71/7819649/be2d3c2b8f86/circrep-2-526-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea71/7819649/baf6f2eea8e2/circrep-2-526-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea71/7819649/be2d3c2b8f86/circrep-2-526-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea71/7819649/baf6f2eea8e2/circrep-2-526-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea71/7819649/be2d3c2b8f86/circrep-2-526-g002.jpg

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本文引用的文献

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N Engl J Med. 2020 Jul 9;383(2):120-128. doi: 10.1056/NEJMoa2015432. Epub 2020 May 21.
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Care of patients with pulmonary arterial hypertension during the coronavirus (COVID-19) pandemic.
COVID-19 患者的肺动脉高压管理。
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