摘要
目的探讨移动健康管理模式在心律失常患者远程管理中的应用。方法建立"云病房"心律失常远程随访中心,以心律失常患者为管理对象,依托电子病历夹系统建立病历资料库,部分高危患者配备掌上心电监护仪,逐步完善移动健康管理模式,对患者实施远程管理。结果在移动健康管理模式下,通过云病房实现医患沟通对话54 979次,患者回传的心电图数量4 834份;超声心动图850份;动态心电图报告3 200份;根据检验结果指导调整用药方案1 587次;通过远程会诊及时发现病情变化需再次住院的患者34例;发送提醒复诊信息4 500次。患者满意率100%。结论移动健康管理模式为心律失常患者出院后医护之间的远程随访、及时诊治提供了一种灵活、切实可行的新途径。
Objective To explore the effect of mobile health monitoring model in remote monitoring of patients with cardiac arrhythmia. Methods A cloud service unit was established as an esseneial part of a mobile health monitoring model,then an electronic medi cal chart database of arrhythmia patients was built to collect these patients＇ medical records, and part of the high-risk patients were equipped with snap ECG. Then arrhythmia patients were remotely followed-up through the mobile health monitoring model. Results Under the mobile health monitoring model, with 54979 times of patient-doctor commucation completed, and 4834 ECG charts, 850 echocardiography charts,and 3200 Holler ECG charts returned back, the cloud-service unit was running welt. Doctors made completion of 1 587 times of medication adjustment, and located 34 cases who were found to have disease progression during remote consults and arranged readmission for them. A total of 4500 text messages reminding the patients of hospital revisit were sent. Patient satisfaction rate amounted to 100%. Conclusion Mobile health monitoring system has offered a more flexible way for remote monitoring of patients with cardiac arrhythmias after discharge.
作者
王琳
孙国珍
田金萍
陈明龙
杨刚
赵文文
戴维思
Wang Lin Sun Guozhen Tian Yinping Chen Minglong Yang Gang Zhao Wenwen Dai Weisi(Department of Cardiovascular Diseases, First Affiliated Hospital, Nanjing Medical University, Nanjing 210029, China)
出处
《护理学杂志》
CSCD
2017年第3期78-80,共3页
Journal of Nursing Science
基金
南京医科大学(优势学科二期)"健康促进护理协同创新中心"建设项目(JX21831803/004)
2016年江苏省一级学科重点学科护理学开放基金项目(NYLCHL201603)
关键词
心律失常
移动健康
云病房
杏树林
远程管理
移动护理
arrhythmia
mobile health
cloud service unit
apricot forest （Xingshulin）
remote management
mobile nursing
