Braun Marcel, Schmidt Olaf, Schultz Thomas, Woehrle Holger, Sundrup Martina Große, Schöbel Christoph
Universitätsmedizin Essen, Ruhrlandklinik - Westdeutsches Lungenzentrum, Klinik für Pneumologie, Lehrstuhl für Schlaf- und Telemedizin, Universität Duisburg-Essen, Essen, Deutschland.
KPPK Studienzentrum Koblenz/Pneumologische Gemeinschaftspraxis Koblenz, Koblenz, Deutschland.
Internist (Berl). 2022 Mar;63(3):255-265. doi: 10.1007/s00108-022-01266-3. Epub 2022 Feb 18.
Management of patients with respiratory disorders, such as asthma or chronic obstructive pulmonary disease (COPD), became challenging during the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic due to infection prevention measures. To maintain care, a remote monitoring program was initiated, comprising a smartphone app and a Bluetooth spirometry device.
To assess patient- and physician-related experience with remote monitoring.
Structured questionnaires were developed to rate experiences from the patient or physician perspective on six-level Likert scales. Interactions between patients and physicians via the digital platform and overall utilization was analyzed.
A total of 745 patients with asthma, COPD, post-coronavirus disease 2019 (COVID-19) and other respiratory diseases were enrolled from 31 centers in Germany. Mean follow-up was 49.4 ± 12.6 weeks. Each participant submitted on average 289 measurements. Patient-reported experience with the remote monitoring program was positive, with the highest satisfaction reported for "Experience with home measurement" (1.4 ± 0.5; 99% positive), followed by "Communication/interaction" (1.8 ± 0.9; 83% positive) and "Overall satisfaction with program" (1.8 ± 0.8; 87% positive). In all, 70% reported subjective quality of life improvements related to participation in the program. Physician satisfaction with the program was also high with a mean rating of 2.2 ± 1.2.
App-based remote monitoring was successfully implemented in routine care during the SARS-CoV‑2 pandemic and demonstrated potential for improvements in care. Patient-relevant experience was positive in all dimensions and remote monitoring was well accepted. Physicians who participated in the program also expressed positive experiences, as demonstrated by a high level of interaction with the platform and positive evaluations of effects from the program.
在严重急性呼吸综合征冠状病毒2（SARS-CoV-2）大流行期间，由于感染预防措施，哮喘或慢性阻塞性肺疾病（COPD）等呼吸系统疾病患者的管理变得具有挑战性。为了维持护理，启动了一项远程监测计划，该计划包括一个智能手机应用程序和一个蓝牙肺功能仪设备。
评估患者和医生对远程监测的相关体验。
开发了结构化问卷，从患者或医生的角度在六级李克特量表上对体验进行评分。分析了患者和医生通过数字平台的互动以及总体利用率。
从德国31个中心招募了总共745名患有哮喘、COPD、2019冠状病毒病（COVID-19）和其他呼吸系统疾病的患者。平均随访时间为49.4±12.6周。每位参与者平均提交了289次测量数据。患者报告的远程监测计划体验是积极的，“家庭测量体验”的满意度最高（1.4±0.5；99%为积极），其次是“沟通/互动”（1.8±0.9；83%为积极）和“对计划的总体满意度”（1.8±0.8；87%为积极）。总体而言，70%的人报告参与该计划后主观生活质量有所改善。医生对该计划的满意度也很高，平均评分为2.2±1.2。
基于应用程序的远程监测在SARS-CoV-2大流行期间的常规护理中成功实施，并显示出改善护理的潜力。与患者相关的体验在各个方面都是积极的，远程监测得到了很好的接受。参与该计划的医生也表达了积极的体验，这体现在与平台的高度互动以及对该计划效果的积极评价上。
