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可穿戴技术在妊娠期健康监测中的应用:一项观察性横断面调查研究。

Wearable technology for health monitoring during pregnancy: an observational cross-sectional survey study.

机构信息

Department of Obstetrics and Gynecology, Center on Human Development and Disability (CHDD), University of Washington, 1959 NE Pacific St, Box 356460, Seattle, WA, 98195, USA.

Fetal Precision, LLC, Seattle, WA, USA.

出版信息

Arch Gynecol Obstet. 2023 Jul;308(1):73-78. doi: 10.1007/s00404-022-06705-y. Epub 2022 Jul 14.

Abstract

PURPOSE

To evaluate how women of child-bearing age perceive the use of remote fetal ECG monitoring technologies. Telemedicine has advanced to the forefront of healthcare delivery, including maternal-fetal medicine. Smart wearable electrocardiogram (ECG) devices can enable pregnant women to monitor their health and that of their fetuses. Such technology would be a logical extension of the telemedicine ecosystem.

METHODS

We conducted an observational cross-sectional study via online surveying in the United States. Study participants were recruited using the SurveyMonkey Audience Polling system and responded virtually. In all, the sample consisted of 507 women, aged 18-45 from 45 states, who are expecting to become pregnant in the next five years. Women were asked to identify their willingness to use a wearable ECG device the size of a patch-sized large band-aid on their abdomen. Ten binary or multiple-choice questions were used to gauge population interest and related demographics toward the usage of a wearable ECG device.

RESULTS

Of the 507 participants, 461 (91%) women expressed an acceptance of wearable ECG technology throughout the pregnancy as a mechanism for increased frequency of monitoring of maternal and fetal health outside the hospital. 395 (78%) women demonstrated a willingness to wear devices day and night or at least during sleep and 213 (42%) of the women would spend up to $200 on such a device.

CONCLUSION

Even though conducted prior to the COVID-19 pandemic, this study clearly indicates a high degree of readiness of prospective pregnant women for telemedicine with continuous health monitoring of the mother-fetus dyad.

摘要

目的

评估育龄妇女如何看待远程胎儿心电图监测技术的应用。远程医疗已成为医疗保健服务的前沿领域,包括母胎医学。智能可穿戴心电图(ECG)设备可使孕妇能够监测自己和胎儿的健康状况。这种技术将是远程医疗生态系统的合理延伸。

方法

我们通过在美国的在线调查进行了一项观察性横断面研究。使用 SurveyMonkey Audience Polling 系统招募研究参与者,并进行虚拟响应。总共有 507 名年龄在 18-45 岁之间的女性来自 45 个州,预计在未来五年内怀孕。女性被要求确定她们是否愿意在腹部贴上一块贴片大小的大型创可贴大小的可穿戴 ECG 设备。使用十个二项或多项选择题来衡量人群对可穿戴 ECG 设备使用的兴趣和相关人口统计学特征。

结果

在 507 名参与者中,461 名(91%)女性表示接受可穿戴 ECG 技术在整个怀孕期间作为增加医院外监测母婴健康频率的一种手段。395 名(78%)女性表示愿意日夜佩戴设备,或者至少在睡觉时佩戴,213 名(42%)女性愿意为此类设备支付高达 200 美元。

结论

尽管这项研究是在 COVID-19 大流行之前进行的,但它清楚地表明,未来的孕妇对母亲-胎儿对子的远程医疗和持续健康监测有很高的准备程度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bbd/9281287/335ba0821cb3/404_2022_6705_Fig1_HTML.jpg

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