悉尼西南部的健康教育与自我管理远程监测

Telemonitoring for health education and self-management in South Western Sydney.

作者信息

Chow Josephine Sau Fan, Sykes Amanda, De Guzman Joyce, Bonfield Vicki, Maurya Nutan

机构信息

South Western Sydney Local Health District, Sydney, NSW, Australia; and Ingham Institute for Applied Medical Research, Liverpool, NSW, Australia; and University of Sydney, Sydney, NSW, Australia; and University of New South Wales, Sydney, NSW, Australia; and Western Sydney University, Sydney, NSW, Australia.

South Western Sydney Local Health District, Sydney, NSW, Australia.

出版信息

Aust J Prim Health. 2023 Oct;29(5):490-500. doi: 10.1071/PY22067.

DOI:10.1071/PY22067

PMID:36914937

Abstract

BACKGROUND

Telemonitoring (TM) plays an important role in the self-management of chronic diseases. This study aimed to assess the feasibility of TM in early stages of chronic care for self-management and recognition of signs and symptoms of exacerbation, with a view to completing the TM program in an optimal timeframe to encourage independence and self-management.

METHODS

This study was conducted from 2019 to 2020. Included in the study were patients with chronic conditions at an early stage of their disease residing in the South Western Sydney region. Eligible patients were allocated a TM device for 6months. Their routine tests data were sent in real time to health care professionals. Following assessment by a TM coordinator, suitable patients were off-boarded (deactivation of monitoring device) after 6months. Data on hospitalisation/emergency department presentation and surveys were collected to assess the impact of TM on the level of the patient's understanding of their signs and symptoms of exacerbation, self-care, and quality of life.

RESULTS

Out of 44 patients approached, seven were off-boarded at the 6-month timeframe. The follow-up data on the hospitalisation/emergency department presentation during monitoring and 12months post off-boarding showed a reduction in the frequency of hospitalisation/nil admissions. Patients reported an increased understanding of their health condition and confidence in managing their own health with the support of TM.

CONCLUSION

The result demonstrates the feasibility of TM as a tool for health education and self-management in the coordination of care for chronic disease patients; however, the small sample size was a limitation.

摘要

背景

远程监测（TM）在慢性病的自我管理中发挥着重要作用。本研究旨在评估TM在慢性病早期护理中用于自我管理以及识别病情加重的体征和症状的可行性，以期在最佳时间范围内完成TM项目，以鼓励患者独立和自我管理。

方法

本研究于2019年至2020年进行。纳入研究的是居住在悉尼西南部地区、处于疾病早期阶段的慢性病患者。符合条件的患者被分配一台TM设备，为期6个月。他们的常规检测数据实时发送给医护人员。经过TM协调员评估后，合适的患者在6个月后停止使用（停用监测设备）。收集住院/急诊就诊数据和调查问卷，以评估TM对患者对病情加重的体征和症状的理解程度、自我护理以及生活质量的影响。