Impact of a telehealth intervention to augment home health care on functional and recovery outcomes of elderly patients undergoing coronary artery bypass grafting
Impact of a telehealth intervention to augment home health care on functional and recovery outcomes of elderly patients undergoing coronary artery bypass grafting
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DOI：
10.1016/j.hrtlng.2005.10.003
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发表时间：
2006-07-01
期刊：
影响因子：
2.8
通讯作者：
Hertzog, Melody
中科院分区：
文献类型：
--
作者：
Barnason, Susan;Zimmerman, Lani;Hertzog, Melody
目的：本初步研究探讨了家庭沟通干预（HQ）增强家庭保健（HHC）对接受冠状动脉搭桥术的老年患者功能和康复结果的影响。设计：采用随机、试验性两组（N = 50）重复测量设计。HCI组和对照组都接受了HHC治疗，HCI组还接受了由远程医疗设备健康伙伴(C)（健康英雄网络）提供的为期12周的HCI治疗。医疗结果研究简表36在手术后基线、6周和3个月测量了生理和社会心理功能。随访对象访谈确定了术后问题和保健使用的自我报告。样本：受试者的平均年龄为75.3岁。年龄，包括男性（56%）和女性（44%）。结果：通过重复测量协方差分析，对HHC就诊总次数进行协方差分析，与仅HHC组相比，HCI组的调整后平均一般健康功能评分显著高于HHC组(F = 8.41 [1,36]， P
OBJECTIVE: This pilot study examined the effect of a home communication intervention (HQ to augment home health care (HHC) on functioning and recovery outcomes of elderly patients undergoing coronary artery bypass graft.DESIGN: A randomized, experimental two-group (N = 50) repeated-measures design was used. Both HCI and control subjects received HHC, and the HCI group also received the 12-week HCI delivered by a telehealth device, the Health Buddy(C) (Health Hero Network). The Medical Outcome Study Short Form-36 measured physiologic and psychosocial functioning at baseline, 6 weeks, and 3 months after surgery. Follow-up subject interviews ascertained self-report of postoperative problems and health care use.SAMPLE: Subjects had an average age of 75.3.years and included males (56%) and females (44%).RESULTS: By using repeated-measures analyses of covariance, covariating for the total number of HHC visits, HCI subjects, compared with the HHC group only, had a significantly higher adjusted mean general health functioning score (F = 8.41 [1, 36], P