Castro David, Pérez-Rivero Paula, Quintero-Lesmes Doris Cristina, Castro Javier
. Fundación Cardiovascular de Colombia, Floridablanca, Colombia. Email:
. Psychology Department, Health and Clinical Psychology Research Group. Universidad Pontificia Bolivariana, Bucaramanga Santander, Colombia Email:
Rev Cuid. 2023 Mar 29;13(3):e2335. doi: 10.15649/cuidarte.2335. eCollection 2022 Sep-Dec.
Congenital heart diseases are related to heart defects that develop during pregnancy and are present at birth. Children must regularly attend specialized clinical centers for treatment, which includes medical check-ups, hemodynamic procedures, and surgery. Nevertheless, the success of interventions largely depends on the education of parents and caregivers about the symptoms and warning signs that babies with complex congenital heart disease may present during the period between stages. Likewise, it is necessary for caregivers to have tools to face the barriers of the health system, such as, obstacles or delays in obtaining healthcare services. This facilitates timely health care for patients and avoids fatal outcomes or deterioration in quality of life.
This document presents a system that provides support to patients with complex congenital heart disease in follow-up by a home monitoring program. The system consists of a mobile application that allows parents/caregivers to monitor physiological variables of the patients (weight, intake, and oximetry). The information registered in the application is sent for real-time evaluation by the medical team.
The application provides an effective means for sending data and communicating with the medical control center, in addition to offering educational and informative material. In this way, parents/caregivers get constant help and feedback about their baby's condition.
The mobile application could help mitigate the costs of medical care and overcome the limitations of follow-up at home, giving doctors the possibility to see the patient's evolution and give timely recommendations.
先天性心脏病与孕期发育并在出生时就存在的心脏缺陷有关。患儿必须定期前往专业临床中心接受治疗,包括医学检查、血流动力学检查和手术。然而,干预措施的成功很大程度上取决于对家长和护理人员进行有关复杂先天性心脏病患儿在各阶段之间可能出现的症状和警示信号的教育。同样,护理人员需要有应对卫生系统障碍的工具,例如,在获得医疗服务方面遇到的障碍或延误。这有助于为患者提供及时的医疗护理,避免致命后果或生活质量下降。
本文介绍了一个通过家庭监测计划为复杂先天性心脏病患者的随访提供支持的系统。该系统由一个移动应用程序组成,家长/护理人员可通过该程序监测患者的生理变量(体重、摄入量和血氧饱和度)。应用程序中记录的信息会发送给医疗团队进行实时评估。
该应用程序除了提供教育和信息资料外,还为发送数据和与医疗控制中心沟通提供了有效手段。通过这种方式,家长/护理人员可不断获得有关其宝宝状况的帮助和反馈。
该移动应用程序有助于降低医疗护理成本,克服家庭随访的局限性,使医生能够了解患者的病情发展并及时给出建议。