Carelink远程监测系统在临床医生中的易用性评价  

Evaluation for the Usability of Carelink Remote Monitoring System by Clinical Physicians

作　　者：李玉秋[1] 陈柯萍[1] 宿燕岗[2] 刘少稳[3] 项美香[4] 沈法荣[5] 刘兴斌[6] 汤宝鹏[7] 刘启明[8] 齐向前[9] 张澍[1] 

机构地区：[1]北京协和医学院中国医学科学院国家心血管病中心阜外医院心律失常中心,北京市100037 [2]复旦大学附属中山医院 [3]上海市第一人民医院 [4]浙江大学医学院附属第二医院 [5]浙江医院 [6]四川大学华西医院 [7]新疆医科大学第一附属医院 [8]中南大学湘雅二医院 [9]泰达国际心血管病医院

出　　处：《中国循环杂志》2017年第8期752-756,共5页Chinese Circulation Journal

摘　　要：目的:初步评价Carelink远程监测系统在临床医生中的易用性。方法:前瞻性入选2012-01至2013-10在全国12家医院已经植入具有Carelink远程监测功能的心血管植入型电子器械(CIED)的患者215例,平均年龄(62.3±14.3)岁,其中男性108例,女性107例。共有54名临床医生填写了调查问卷。为便于分析,根据患者随访调查CIED的不同,将患者和临床医生各分为植入起搏器(PM)组110例和30名、植入型心律转复除颤器(ICD)组54例和10名、心脏再同步化治疗(CRT)组51例和14名。患者需在入选后3个月时进行1次院内常规随访,记录临床医生随访患者使用时间。此外,患者还需应用Carelink远程监测仪在入选后3、6个月时传输CIED信息完成Carelink远程随访。在3个月Carelink远程随访时收集医生数据查看时间,在6个月随访时针对Carelink远程随访系统的使用情况对临床医生进行问卷调查。结果:54名临床医生均认为Carelink远程监测系统操作简单,容易使用。有147例患者完成了3个月院内常规随访,临床医生院内常规随访平均时间为(14.8±8.4)min;150例患者完成了3个月Carelink远程随访,Carelink远程随访平均时间为(8.2±4.6)min,差异有统计学意义(P<0.0001)。结论:对于临床医生而言,Carelink远程监测系统使用容易,操作简单,满意程度高,可以节约随访时间。Objective： To conduct a preliminary evaluation for the usability of Carelink remote monitoring system by clinical physician. Methods： A total of 215 patients received cardiovascular implantable electronic devices（CIED） with Carelink remote monitoring function from 12 hospitals in China between 2012-01 and 2013-10 were prospectively enrolled. The patient＇s mean age was（62.3±14.3） years including 108 male and 107 female. There were 54 physicians completed questionnaire survey. Based on the type of CIED, the patients were divided into3 groups： PM（pace maker） group, n=110, ICD（implantable cardioverter defibrillator） group, n =54 and CRT（cardiac resynchronization therapy） group, n =51. The patients received routine hospital visit at 3 months of CIED implantation and meanwhile, they performed device data transmission at 3 and 6 months of Carelink remote monitoring. The time physician spent to evaluate data was collected at 3 months and the questionnaire survey was completed by physician at 6 months after CIED implantation.Results： All 54 physicians felt that Carelink remote monitoring system was simple to operate and easy to use. There were 147 patients finished hospital visit at 3 months after CIED implantation, the mean time for physician to evaluate data was（14.8±8.4） min; 150 patients finished Carelink remote monitor at 3 months after CIED implantation, the mean time for physician to evaluate data was（8.2 ±4.6） min, P〈0.0001.Conclusion： Carelink remote monitoring system was easy to use, it may save time in follow-up study which with high satisfaction in clinical practice.

关 键 词：心电描记术 便携式 心血管植入型电子器械 方案评价 

分 类 号：R541.4[医药卫生—心血管疾病]