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持续气道正压通气设备依从性远程监测使用的拟议管理模式——巴西睡眠医学协会(ABMS)立场文件

Proposed management model for the use of telemonitoring of adherence to positive airway pressure equipment - position paper of the Brazilian Association of Sleep Medicine - ABMS.

作者信息

Vidigal Tatiana de Aguiar, Brasil Evelyn Lucien, Ferreira Morgana Nicolodelli, Mello-Fujita Luciane Luna, Moreira Gustavo Antonio, Drager Luciano F, Soster Leticia Azevedo, Genta Pedro Rodrigues, Poyares Dalva, Haddad Fernanda Louise Martinho

机构信息

Universidade Federal de São Paulo (UNIFESP), Departamento de Psicobiologia - São Paulo - São Paulo - Brazil.

Universidade Federal de São Paulo (Unifesp), Dep. de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço - São Paulo - São Paulo - Brazil.

出版信息

Sleep Sci. 2021 Jan-Mar;14(Spec 1):31-40. doi: 10.5935/1984-0063.20200086.

Abstract

This document "Proposed management model for the use of telemonitoring to positive airway pressure adherence" was prepared by a special commission of the Brazilian Association of Sleep Medicine, with the objective of recommending a follow-up model for patients undergoing positive airway pressure therapy using telemonitoring. This proposal was prepared based on a survey and analysis of the most up-to-date national and international literature and uses the best available evidence to facilitate the standardization of care by Sleep Science specialists with potential benefit for patients. Among the conclusions of the document, it is emphasized that telemonitoring is an important tool that allows health professionals trained in sleep-disordered breathing to remotely monitor PAP therapy, allowing prompt and, when necessary, daily adjustments to be made in order to increase adherence to treatment. The authors also conclude that the privacy of the data received and shared during the provision of telemonitoring must be respected by the physician or health professional trained in sleep, with the authorization of the patient and/or person responsible, who should be made aware of the short-, medium- and long-term provision of the service.

摘要

这份名为《使用远程监测提高气道正压通气依从性的拟议管理模式》的文件由巴西睡眠医学协会的一个特别委员会编写,目的是推荐一种针对接受气道正压通气治疗患者的使用远程监测的随访模式。该提议是在对最新的国内和国际文献进行调查和分析的基础上制定的,并利用现有最佳证据,以促进睡眠科学专家护理的标准化,这可能会给患者带来益处。在该文件的结论中强调,远程监测是一项重要工具,它能让接受过睡眠呼吸障碍培训的医护人员远程监测气道正压通气治疗,以便在必要时及时甚至每日进行调整,从而提高治疗依从性。作者们还得出结论,在提供远程监测过程中接收和共享的数据隐私必须得到睡眠专科医生或医护人员的尊重,且需得到患者和/或责任人的授权,他们应了解该服务的短期、中期和长期情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3dec/8663734/9dcdfc90ff87/ssci-14-spe1-0031-g01.jpg

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