Development of a home-based telehealthcare model for improving the effectiveness if the chronic care of stroke patients
Development of a home-based telehealthcare model for improving the effectiveness if the chronic care of stroke patients
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DOI：
10.1016/j.kjms.2011.10.001
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发表时间：
2012-01-01
影响因子：
3.3
通讯作者：
Liu, Ching-Kuan
中科院分区：
文献类型：
--
作者：
Kuo, Yen-Hung;Chien, Yi-Kuang;Liu, Ching-Kuan
本研究描述了信息技术（IT）为媒介的家庭为基础的医疗保健模式，旨在提高照顾中风患者谁需要慢性，家庭护理的有效性的发展。该模型于2005年至2008年在台湾高雄医学院进行了评估; 84例诊断为慢性共价期的新诊断中风患者入选本模型进行初步测试。这些病人需要24小时在家监测其健康状况和紧急呼叫服务。在研究过程中，进行了15次紧急转移，平均在26分钟内将急性中风患者送到急诊室。该系统帮助医生、患者及其家属更有效地检测复发性卒中的发生。此外，我们发现了一个统计学显著性发现（p < 0.001），即每日血压（BP）监测从研究最初一个月的45.5%增加到干预3-10个月后的76%。与此同时，血压异常率的患者比例从研究最初一个月的20.5%下降到干预3-10个月后的10.9%。这表明，这种模式有助于改善患者的行为和他们照顾自己的能力。本研究是台湾第一个以资讯科技为媒介，以居家为基础的健康照护模式的研究。这个模式融合了医疗和临床服务，能够提高为慢性病患者提供的护理的成效，特别是那些在疾病管理中需要自我护理的患者。版权所有（C）2011，Elsevier Taiwan LLC. All rights reserved.
This study describes the development of an information technology (IT)-mediated home-based healthcare model designed to improve the effectiveness of caring for stroke patients who require chronic, home care. This model was evaluated at Kaohsiung Medical Hospital in Taiwan between 2005 and 2008; 84 newly diagnosed stroke patients diagnosed as the chronic covalence stage were enrolled for preliminary testing of this model. These patients required 24-hour in-home monitoring of their health status and emergency call service. Over the course of the study, 15 emergency transfers were carried out, and the acute stroke patients were sent to the emergency care within 26 minutes, on average. This system helped physicians, patients, and their families to more efficiently detect the occurrence of recurrent stroke. In addition, we found a statistically significant finding (p < 0.001) that daily blood pressure (BP) monitoring increased from 45.5% in the initial month of the study to 76% after 3-10 months of intervention. Meanwhile, the proportion of patients with an abnormal BP rate decreased from 20.5% in the initial month of the study to 10.9% after 3-10 months of intervention. This suggests that this model helped to improve patient behavior and their ability to care for themselves. This is the first study to develop an IT-mediated, home-based healthcare model in Taiwan. This model integrates both healthcare and clinical services and is capable of enhancing the effectiveness of the care provided to patients with chronic diseases, especially those in situations where self-care is essential for disease management. Copyright (C) 2011, Elsevier Taiwan LLC. All rights reserved.