基于家庭监护系统的远程随访平台在起搏器植入患者中的应用  

Application of a home monitoring system-based remote follow-up platform for patients undergoing pacemaker implantation

作　　者：邬海燕 李想[1] 王盼盼[2] 白井双 都静 Wu Haiyan;Li Xiang;Wang Panpan;Bai Jingshuang;Du Jing(Department of Cardiovascular Diseases,The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第一附属医院心血管内科,河南郑州450000 [2]郑州大学护理与健康学院社区护理教研室

出　　处：《护理学杂志》2024年第20期97-101,共5页Journal of Nursing Science

基　　金：郑州大学第一附属医院护理科研专项青年项目(HLKY2023020)。

摘　　要：目的探讨基于家庭监护系统的远程随访平台在起搏器植入术后患者中的应用及效果。方法采用便利抽样方法,选取植入具有家庭监护功能的双腔起搏器患者作为研究对象,将2021年1月至2022年3月收治的42例患者作为对照组,2022年4月至2023年6月收治的41例患者作为观察组。对照组采用常规门诊随访,观察组采用基于家庭监护系统的远程随访平台进行随访管理。干预6个月后,对两组患者的肩关节功能、自我护理能力、门诊随访次数、随访干预效果进行比较分析。结果两组各40例完成全程研究。干预6个月后,观察组门诊随访次数显著低于对照组,肩关节功能总分及日常生活能力、肩关节活动功能、肩关节疼痛3个维度得分显著高于对照组;观察组自护能力总分显著高于对照组(均P<0.05)。观察组干预总有效率为93.5%。结论基于家庭监护系统的远程随访平台,在患者居家期间为其提供专业支持,可改善起搏器植入术后患者肩关节功能、自护能力,降低门诊随访次数,提高随访干预效果。Objective To explore the application and effectiveness of a home monitoring system-based remote follow-up platform in patients after pacemaker implantation.Methods A convenience sampling method was employed to select patients who received implantation of dual-chamber pacemakers with home monitoring functions as participants.Forty-two patients admitted between January 2021 and March 2022 were included in the control group,and 41 patients admitted between April 2022 and June 2023 were included in the experimental group.The control group received routine outpatient follow-up,while the experimental group received follow-up management through a home monitoring system-based remote follow-up platform.After 6 months of intervention,shoulder joint function,self-care ability,outpatient follow-up frequency,and the effectiveness of the follow-up intervention were compared between the two groups.Results There were patients in each group who completed the entire study.After 6 months of intervention,the experimental group had significantly fewer outpatient follow-ups than the control group;the total score of shoulder joint function,as well as the scores in the three dimensions of daily living ability,shoulder joint mobility,and shoulder joint pain,were significantly higher in the experimental group than in the control group;additionally,the total score of self-care ability was significantly higher in the experimental group than in the control group(all P<0.05).The overall effectiveness rate of the intervention in the experimental group was 93.5%.Conclusion The home monitoring system-based remote follow-up platform provides professional support for patients during home care,improves shoulder joint function and self-care ability after pacemaker implantation,reduces outpatient follow-up frequency,and enhances the effectiveness of follow-up interventions.

关 键 词：起搏器植入 家庭监护 远程随访 随访平台 肩关节功能 自我护理能力 门诊随访 家庭护理 

分 类 号：R473.2[医药卫生—护理学]