Compliance and effectiveness of 1 year's home telemonitoring. The report of a pilot study of patients with chronic heart failure
Compliance and effectiveness of 1 year's home telemonitoring. The report of a pilot study of patients with chronic heart failure
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DOI：
10.1016/s1388-9842(01)00190-8
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发表时间：
2001-12-01
影响因子：
18.2
通讯作者：
Leatham, E
中科院分区：
文献类型：
--
作者：
de Lusignan, S;Wells, S;Leatham, E
在研究实践中登记的诊断为心力衰竭的患者被招募到研究中。首先，他们接受了心脏病专家的评估。然后将他们随机分为两组，一组是远程监测的患者，他们测量脉搏、血压、体重和视频咨询，另一组是对照组。目的：探讨家庭远程监控的可接受性、有效性和可靠性。结果：被邀请者参加的比例很高（n = 20/24）。在整个研究过程中，测量体重、脉搏和血压的依从性仍然很高。数据采集系统和安全的web服务器可靠。远程监护组在收集心脏药物处方方面表现得更好。视频咨询一开始充满热情，但后来用处不大。远程监测组与对照组在生活质量（GHQ）和慢性心力衰竭（Guyatt）问卷得分方面无显著差异。结论：家庭远程监护是一种可接受、可靠的干预措施。本研究列出了自我监测依从性的基线率。在药物依从性和自我监测方面，一年后仍然可以看到益处。通过普通电话线进行的视频咨询没有显示出持续的效益，也没有得到遵守。(C) 2001欧洲心脏病学会。版权所有。
Patients with a diagnosis of heart failure, registered at the study practice, were recruited into the study. First, they had a cardiologist's assessment. They were then randomised into telemonitored patients who measured pulse, BP, weight and video consulted, and controls. Aim: To examine the acceptability, effectiveness and reliability of home telemonitoring. Results: A high proportion of those invited took part (n = 20/24). Compliance with measuring weight, pulse and BP remained high throughout the study. The data collection system and secure web-server were reliable. The telemonitoring group complied better with collecting prescriptions for their cardiac drugs. Video consulting started with enthusiasm, but became less useful. There were no significant differences in the quality of life (GHQ) and Chronic Heart Failure (Guyatt) questionnaire scores between the telemonitored group and the controls. Conclusions: Home telemonitoring is an acceptable reliable intervention. Baseline rates for compliance with self-monitoring are set out in this study. Benefit in terms of compliance with medication and self-monitoring is still seen after I year. Video consulting over ordinary telephone lines did not show sustained benefit, and was not complied with. (C) 2001 European Society of Cardiology. All rights reserved.