Tele-health-care in the elderly living in nursing home: the first Sicilian multimodal approach
Tele-health-care in the elderly living in nursing home: the first Sicilian multimodal approach
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DOI：
10.1007/s40520-015-0463-8
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发表时间：
2016-08-01
影响因子：
4
通讯作者：
Calabro, Rocco Salvatore
中科院分区：
文献类型：
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作者：
De Luca, Rosaria;Bramanti, Alessia;Calabro, Rocco Salvatore
背景人口的持续老龄化正在影响工业化国家的健康，给医疗保健系统带来越来越大的负担。因此，在过去的十年中，我们协助了医疗和康复技术和设备的相关进展，包括老年护理远程医疗的发展。Aim为了证明一种新的远程医疗模式的有效性，可以更好地管理居住在养老院的老年人。（19名男性和40名女性;平均年龄79.1（+/-9.2）），被随机分为两组：实验组，采用多模式方法（包括生命体征监测和神经/心理咨询）进行适当的远程监测，对照组，接受标准的家庭护理。结果实验组老年抑郁量表（P < 0.01）和简明精神病评定量表（P < 0.05）评分明显降低，生活质量明显改善。此外，实验组的平均血压和心率低于对照组对照组住院率高于实验组（P < 0.05）结论远程医疗可以被认为是改善养老院老年人健康和生活质量的重要工具，并可能减少医疗服务的获得，住院和费用。
Background The continued aging of the population is affecting the health of the industrialized countries, with an increasing burden for the healthcare system. Thus, during the last decade, we assisted to relevant progress in the medical treatment and rehabilitation techniques and devices, including the development of telemedicine for geriatric care.Aim To demonstrate the effectiveness of a novel tele-health-care model allowing a better management of elderly living in nursing homes.Methods Fifty-nine elderly patients (19 males and 40 females; mean age 79.1 (+/- 9.2), were randomly divided into two groups: the experimental group that performed a proper telemonitoring with a multimodal approach (including monitoring of the vital signs and neurological/psychological counseling), and the control group, which underwent standard in-home nursing care. Neurobehavioral symptoms and quality of life were assessed in both the groups at baseline, and after the telecare protocol's end.Results The experimental group had a statistically significant reduction in Geriatric Depression Scale (p < 0.01) and Brief Psychiatric Rating Scale (p < 0.05) scores, and an improvement in their quality of life. Moreover, mean blood pressure and heart rate were lower in the experimental than in the control group (p < 0.05), and admission to health care services was higher in the control than in the experimental group (p < 0.05).Conclusions Telemedicine can be considered as an important tool in improving health and quality of life in the elderly living in nursing homes, and potentially reducing healthcare service access, hospitalization, and costs.