移动健康管理模式在心律失常患者远程管理中的应用

发布时间：2019-02-24 17:58

【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。
[Abstract]:Objective to explore the application of mobile health management model in remote management of arrhythmia patients. Methods the remote follow-up center of arrhythmia in "cloud ward" was established. The patient with arrhythmia was taken as the management object, and the database of medical records was established by electronic medical record clip system. Some of the high-risk patients were equipped with palmtop ECG monitor. Gradually improve the mobile health management model, the implementation of remote management of patients. Results in the mode of mobile health management, 54,979 doctor-patient communication conversations were realized through cloud ward, and the number of electrocardiogram returned by patients was 4 834, echocardiography 850, dynamic electrocardiogram 3 200; According to the test results, the medication scheme was adjusted 1 587 times; 34 patients who needed to be re-hospitalized by remote consultation were found in time; and 4 500 reminders were sent. The patient's satisfaction rate is 100. Conclusion the mobile health management model provides a flexible and feasible new approach for the long-distance follow-up and timely diagnosis and treatment of arrhythmia patients after discharge from hospital.
【作者单位】：南京医科大学第一附属医院心血管内科;南京医科大学护理学院;
【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)
【分类号】：R473.5

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