Chow Josephine Sau Fan, Sykes Amanda, De Guzman Joyce, Bonfield Vicki, Maurya Nutan
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.
Aust J Prim Health. 2023 Oct;29(5):490-500. doi: 10.1071/PY22067.
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.
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.
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.
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.
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。
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。
在44名被纳入研究的患者中，有7名在6个月时停止使用设备。对监测期间及停止使用设备后12个月的住院/急诊就诊后续数据显示，住院频率有所降低/无入院情况。患者报告称，在TM的支持下，他们对自身健康状况的理解有所提高，且对自我健康管理更有信心。
结果表明，TM作为一种在慢性病患者护理协调中进行健康教育和自我管理的工具是可行的；然而，样本量较小是一个局限性。
