Supervised training with wireless monitoring of ECG, blood pressure and oxygen-saturation in cardiac patients

Supervised training with wireless monitoring of ECG, blood pressure and oxygen-saturation in cardiac patients
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DOI:
10.1258/jtt.2009.003002
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发表时间:
2009-01-01
影响因子:
4.7
通讯作者:
Scheffold, Thomas
Scheffold, Thomas
中科院分区:
医学3区
文献类型:
--
作者:
Busch, Clemens;Baumbach, Christian;Scheffold, Thomas

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我们开发了一款远程康复应用程序,用于培训心脏病患者。它使用了一辆改装的测功器自行车,配备了一套无线传感器。当患者在运动时,持续自动监测心电、血压和血氧饱和度。如果传感器的值超过预定义的阈值,患者会收到警报。因此,根据警报的严重程度,训练将在减少负荷的情况下停止或继续进行。为了衡量用户的接受程度,我们向13名工作人员和4名患者介绍了该系统,他们在住院期间每天都接受该系统的培训。共完成39期培训。在27%的锻炼过程中,无法建立心电连接,23%的人血压测量失败。然而,在测量血氧饱和度方面没有失败。患者对图形用户界面(图形用户界面)的总体接受度非常好。医生的图形用户界面及其功能的总分为1.5分,从I到4(有用性1.6,可用性1.3,可操作性1.6)。萨菲尔远程康复系统运行正常,受到患者和医生的好评。
We have developed a tele-rehabilitation application for training cardiac patients. It uses a modified ergometer bicycle with a set of wireless sensors. While the patient is exercising, the ECG, blood pressure and oxygen-saturation are monitored constantly and automatically. If sensor values exceed pre-defined thresholds, the patient receives an alarm. As a result the training will either be stopped or continued at a reduced load, depending on the severity of the alarm. To measure user acceptance, we introduced the system to 13 members of staff and four patients, who trained on the system every day during their stay in hospital. A total of 39 training sessions were completed. In 27% of the exercise sessions an ECG connection could not be established and in 23%, blood pressure measurement failed. However, there were no failures to measure oxygen saturation. The overall acceptance of the patient's graphical user interface (GUI) was excellent. The doctor's GUI with its functions received an overall score of 1.5 on a scale of I to 4 (usefulness 1.6, usability 1.3 and operability 1.6). The SAPHIRE tele-rehabilitation system operated properly and was well accepted by patients and doctors.