慢性病居家康复研究现状及智能康复诊疗平台构建  

Research Status of Home-Based Rehabilitation in Chronic Diseases and Construction of Intelligent Rehabilitation Treatment Platform

作　　者：王菁华[1] 于少泓[2] 李丽[2] WANG Jinghua;YU Shaohong;LI Li(Shandong University of Traditional Chinese Medicine,Jinan,Shandong 250355,China;The Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan,Shandong 250001,China)

机构地区：[1]山东中医药大学,山东济南250355 [2]山东中医药大学第二附属医院,山东济南250001

出　　处：《康复学报》2023年第3期280-286,共7页Rehabilitation Medicine

基　　金：山东省中医药科技项目(2021M006)。

摘　　要：慢性病已成为严重影响我国居民身体健康、增加家庭及社会负担的一类疾病。在我国慢性病造成的致死率约占所有相关疾病致死率的86%,故防治形势严峻。长期居家、行动不便的慢性病患者如何实现实时健康监测、建立方便快捷的就医途径以提高其生存质量是慢性病康复的焦点问题。研究表明,早期了解慢性病患者心肺功能变化是进行及时有效康复干预的途径之一。鉴于“互联网+医疗”的发展现状及慢性病患者的切实需求,通过收集、整理慢性病居家康复相关文献及资料,分析总结慢性病居家康复的国内外研究现状及现有管理模式的优缺点,并在此基础上,以监测慢性病患者心肺功能变化为切入点,依托三级医院网络信息中心,构建一种符合国情的慢性病居家患者健康状况实时监控、健康指导、线上训练及线下诊疗的闭环式、全周期智能康复诊疗平台。该诊疗平台是以可穿戴设备、网络平台及手机应用为媒介,利用多种互联网优势资源构建的集服务、管理、运营于一体的居家智能康复综合服务平台;通过同步电脑或移动端平台数据,让医生和家属及时掌握患者的生活、健康及安全等状况,形成完善的三级医院医生-社区医生-患者及家属三方互动的居家、线上和线下服务三位一体的慢性病患者居家康复服务体系,架起了三级医院-社区医疗机构-居家患者-医保机构之间的桥梁,对慢性病患者健康状态进行动态管理,同时将中医理念融入其中,构建中西医结合、多学科交叉的慢性病居家康复智能化管理新模式,为我国慢性病健康管理提供决策参考。Chronic diseases seriously affect the health of residents in China and increase the burden on families and society.In China,the mortality rate caused by chronic diseases accounts for about 86%of the mortality rate of all related diseases,so as that the prevention and treatment situation is in a difficult situation.How to achieve real-time health monitoring and establish convenient and fast medical access to improve the quality of life in patients with chronic disease who live at home for a long time and have difficulty moving is the focus of chronic disease rehabilitation.Studies have shown that early identifications of changes in cardiopulmonary function in patients with chronic diseases is one of the ways for timely and effective rehabilitation intervention.In view of the development status of"Internet+medicine"and the practical needs of patients with chronic diseases,through reviewing and sorting out the relevant literature and materials on home-based rehabilitation of chronic diseases,the research trends of home-based rehabilitation of chronic diseases at home and abroad as well as the advantages and disadvantages of the current management modes were analyzed and summarized.On this footing,a closed-loop and full-cycle intelligent rehabilitation diagnosis and treatment platform for real-time monitoring,health guidance,online training and on-site diagnosis of health conditions of patients with chronic diseases at home could be constructed based on the monitoring of their cardiopulmonary function changes and supported by the network information center of tertiary hospitals.The diagnosis and treatment platform is a home-based intelligent and comprehensive rehabilitation comprehensive service platform which integrates service,management and operation and uses wearable devices,a network platform and mobile phone applications as media and utilizes variety of internet resources.By synchronizing data of the computer or mobile terminal platform,doctors and family members can grasp that the life,health,safety and other

关 键 词：慢性病 健康监测 居家康复 智慧康复 疾病管理 决策 

分 类 号：R493[医药卫生—康复医学]