慢性阻塞性肺疾病老年患者表型的远程医疗护理干预：一项探索性研究。
Telehealth nursing interventions for phenotypes of older adults with COPD: an exploratory study.
作者信息
Arnaert A, Ahmed A M I, Debe Z, Charbonneau S, Paul S
机构信息
Ingram School of Nursing, McGill University, Montreal, QC, Canada.
Montreal West Island Integrated University Health and Social Service Centre, Montreal, QC, Canada.
出版信息
Front Digit Health. 2023 Sep 21;5:1144075. doi: 10.3389/fdgth.2023.1144075. eCollection 2023.
INTRODUCTION
Inconclusive results exist around the effectiveness of telemonitoring for patients with COPD, and studies recommended conducting subgroup analyses to identify patient phenotypes that could benefit from these services. This exploratory study investigated what type of COPD patients were receiving which type of telenursing interventions more frequently using the telemonitoring platform.
METHODS
A sample of 36 older adults with COPD were receiving telenursing services for 12 months and were asked to answer five COPD-symptom related questions and submit their vital signs daily.
RESULTS
Findings revealed two phenotypes of older adults for whom the frequency of telenursing calls and related interventions differed. Although no statistically significant differences were observed in participants' GOLD grades and hospitalizations, cluster one participants used their COPD action plan significantly more frequently, and were in frequent contact with the telenurse.
DISCUSSION
It is paramount that further research is needed on the development of patient phenotypes who may benefit from telemonitoring.
引言
关于远程监测对慢性阻塞性肺疾病（COPD）患者的有效性，存在不确定的结果，并且研究建议进行亚组分析，以确定可能从这些服务中受益的患者表型。这项探索性研究调查了使用远程监测平台时，哪种类型的COPD患者更频繁地接受哪种类型的远程护理干预。
方法
36名患有COPD的老年人样本接受了12个月的远程护理服务，并被要求每天回答五个与COPD症状相关的问题并提交生命体征。
结果
研究结果揭示了两类老年人表型，其远程护理呼叫频率和相关干预措施有所不同。尽管在参与者的慢性阻塞性肺疾病全球倡议（GOLD）分级和住院情况方面未观察到统计学上的显著差异，但第一组参与者更频繁地使用他们的COPD行动计划，并且与远程护士保持频繁联系。
讨论
至关重要的是，需要对可能从远程监测中受益的患者表型的发展进行进一步研究。
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