The association of home-telehealth use and care coordination with improvement of functional and cognitive functioning in frail elderly men
The association of home-telehealth use and care coordination with improvement of functional and cognitive functioning in frail elderly men
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DOI：
10.1089/1530562041641200
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发表时间：
2004-06-01
期刊：
影响因子：
--
通讯作者：
Kobb, R
中科院分区：
文献类型：
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作者：
Chumbler, NR;Mann, WC;Kobb, R
这项研究比较了健康相关的结果，在一年的时间内，两组体弱的老年人，一个是通过远程监控（家庭远程医疗），一个是没有接受干预的护理协调。采用病例对照设计。家庭远程医疗干预小组由111名男性退伍军人组成，他们参加了退伍军人健康管理局的一个项目。对照组由115名来自高级服务机构或医院康复计划的男性组成，但没有接受家庭远程医疗。两组受试者的主要诊断为高血压、糖尿病、呼吸系统疾病或心脏病。两组在基线时的年龄、种族、婚姻状况和工具性日常生活活动（IADL）独立性方面相似。采用配对t检验研究每组内结局指标的前后（基线至12个月随访）改善。回归模型用于比较两组之间的结果改善。1年后，干预组的IADL评分、运动功能评分和认知功能评分分别比对照组提高2.2分、14.4分和2.7分（p <0.05）。
This study compared health-related outcomes, during a 1-year period, for two groups of frail elders-one that received care coordination via distance monitoring (home-telehealth) and one that received no intervention. A case-control design was employed. The home telehealth intervention group was made up of 111 male veterans who were enrolled in a Veterans Health Administration project. The control group consisted of 115 men who were referred from either senior service agencies or hospital rehabilitation programs, but did not receive hometelehealth. Subjects in both groups had primary diagnoses of hypertension, diabetes, respiratory disease, or heart disease. The two groups were similar in terms of age, race, marital status, and independence in instrumental activities of daily living (IADL) at baseline. A paired t-test was used to study the before-after (baseline to 12-month follow-up) improvements in the outcome measures within each group. Regression models were used to compare the outcome improvements between the two groups. Over 1 year, the intervention group improved 2.2 points more in IADL, 14.4 points more in FIM motor scores, and 2.7 points more in FIM cognitive scores than the control group (p