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慢性肾衰竭患者护理监测数字平台的开发。

Development of a digital platform for nursing monitoring of patients with chronic kidney failure.

作者信息

Kasimovskaya Nataliya, Poleshchuk Ilia, Fomina Elena, Shatova Eugenia, Diatlova Ekaterina, Chalova Ekaterina

机构信息

Department of Nursing Management and Social Work, Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation.

出版信息

Int Urol Nephrol. 2025 Jan;57(1):285-294. doi: 10.1007/s11255-024-04186-3. Epub 2024 Aug 24.

DOI:10.1007/s11255-024-04186-3
PMID:39180620
Abstract

PURPOSE

This study aims to develop and propose the key criteria and elements necessary to be included in digital platforms for achieving high-quality monitoring of patients with chronic kidney failure.

METHODS

The research was conducted from 2021 to 2023 in Moscow, Russia. A total of 75 patients comprised the experimental group (digital monitoring), while an equal number constituted the control group (standard nursing care).

RESULTS

Patients in the experimental group highly rated the convenience (4.6 ± 0.3) and accessibility (4.7 ± 0.4) levels of the monitoring system compared to those in the control group (convenience: 3.8 ± 0.4, accessibility: 3.9 ± 0.3). Furthermore, it was found that the level of patient satisfaction in the experimental group (4.4 ± 0.3) noticeably exceeded that in the control group (3.9 ± 0.4). The effectiveness of digital platforms is supported by data on the timeliness of detecting changes in patient's health status. In the experimental group, the response time to deteriorating health conditions decreased by 30% compared to the control group.

CONCLUSION

The conclusions of our study underscore the necessity of integrating digital monitoring platforms into medical practice. Monitoring utilizing digital technologies has the potential to significantly enhance patient satisfaction levels as well as promptness in responding to changes in their health status.

摘要

目的

本研究旨在制定并提出数字平台中实现对慢性肾衰竭患者高质量监测所需的关键标准和要素。

方法

该研究于2021年至2023年在俄罗斯莫斯科进行。共有75名患者组成实验组(数字监测),同时相同数量的患者组成对照组(标准护理)。

结果

与对照组相比,实验组患者对监测系统的便利性(4.6±0.3)和可及性(4.7±0.4)评价很高(对照组便利性:3.8±0.4,可及性:3.9±0.3)。此外,发现实验组患者满意度水平(4.4±0.3)明显超过对照组(3.9±0.4)。数字平台的有效性得到了关于检测患者健康状况变化及时性数据的支持。在实验组中,与对照组相比,对健康状况恶化的响应时间缩短了30%。

结论

我们的研究结论强调了将数字监测平台整合到医疗实践中的必要性。利用数字技术进行监测有可能显著提高患者满意度以及对其健康状况变化的响应及时性。

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本文引用的文献

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Design and development of opto-electrochemical biosensing devices for diagnosing chronic kidney disease.用于诊断慢性肾病的光电化学生物传感装置的设计与开发。
Biotechnol Bioeng. 2023 Nov;120(11):3116-3136. doi: 10.1002/bit.28490. Epub 2023 Jul 13.
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Patient Satisfaction With a Multisite, Multiregional Remote Patient Monitoring Program for Acute and Chronic Condition Management: Survey-Based Analysis.患者对急性和慢性疾病管理的多地点、多区域远程患者监测计划的满意度:基于调查的分析。
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J Nephrol. 2022 Nov;35(8):2057-2065. doi: 10.1007/s40620-022-01353-6. Epub 2022 Jun 14.
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Clinical practice guideline exercise and lifestyle in chronic kidney disease.慢性肾脏病的临床实践指南:运动与生活方式
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Successful Distancing: Telemedicine in Gastroenterology and Hepatology During the COVID-19 Pandemic.成功实现医患“距离”:COVID-19 大流行期间胃肠病学和肝病学的远程医疗。
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Characteristics, Symptom Severity, and Experiences of Patients Reporting Chronic Kidney Disease in the PatientsLikeMe Online Health Community: Retrospective and Qualitative Study.患者自述慢性肾脏病患者的特征、症状严重程度和体验:患者自述在线健康社区的回顾性和定性研究。
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