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决策支持系统远程康复在中风后远程康复管理中的应用前景

Perspectives of Decision Support System TeleRehab in the Management of Post-Stroke Telerehabilitation.

作者信息

Nikolaev Vitaly A, Nikolaev Alexander A

机构信息

Research Institute for Healthcare Organization and Medical Management of Moscow Healthcare Department, 9 Sharikopodshipnikovskaya St., Moscow 115088, Russia.

Pirogov Russian National Research Medical University, 1 Ostrovityanova St., Moscow 117513, Russia.

出版信息

Life (Basel). 2024 Aug 24;14(9):1059. doi: 10.3390/life14091059.

Abstract

Stroke is the main cause of disability among adults. Decision-making in stroke rehabilitation is increasingly complex; therefore, the use of decision support systems by healthcare providers is becoming a necessity. However, there is a significant lack of software for the management of post-stroke telerehabilitation (TR). This paper presents the results of the developed software "TeleRehab" to support the decision-making of clinicians and healthcare providers in post-stroke TR. We designed a Python-based software with a graphical user interface to manage post-stroke TR. We searched Scopus, ScienceDirect, and PubMed databases to obtain research papers with results of clinical trials for post-stroke TR and to form the knowledge base of the software. The findings show that TeleRehab suggests recommendations for TR to provide practitioners with optimal and real-time support. We observed feasible outcomes of the software based on synthetic data of patients with balance problems, spatial neglect, and upper and lower extremities dysfunctions. Also, the software demonstrated excellent usability and acceptability scores among healthcare professionals.

摘要

中风是成年人残疾的主要原因。中风康复中的决策日益复杂;因此,医疗保健提供者使用决策支持系统正变得不可或缺。然而,用于中风后远程康复(TR)管理的软件严重匮乏。本文介绍了已开发的软件“TeleRehab”的成果,以支持临床医生和医疗保健提供者在中风后TR中的决策。我们设计了一款基于Python且带有图形用户界面的软件来管理中风后TR。我们搜索了Scopus、ScienceDirect和PubMed数据库,以获取有关中风后TR临床试验结果的研究论文,并形成该软件的知识库。研究结果表明,TeleRehab为TR提供建议,以便为从业者提供最佳的实时支持。基于平衡问题、空间忽视以及上下肢功能障碍患者的合成数据,我们观察到了该软件可行的效果。此外,该软件在医疗专业人员中表现出了优异的可用性和可接受性评分。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b82/11432844/8f9b4a85313a/life-14-01059-g001.jpg

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