Carelink远程监测系统在临床医生中的易用性评价

发布时间：2018-04-22 22:20

  本文选题：心电描记术 + 便携式　； 参考：《中国循环杂志》2017年08期

【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(P0.0001)。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。
[Abstract]:Objective: to evaluate the ease of use of Carelink remote monitoring system in clinicians. Methods: 215 patients (mean age: 62.3 卤14.3) who had been implanted with cardiovascular implantable electronic instruments with Carelink remote monitoring function were enrolled in 12 hospitals in China from January 2012 to October 2013. 108 cases were males and 107 cases were females. A total of 54 clinicians completed the questionnaire. To facilitate the analysis, patients and clinicians were divided into three groups according to the difference of follow-up investigation, including 110 cases and 30 cases in pacemaker implantation group, 54 cases and 10 cases in implanted cardioverter defibrillator group, 51 cases and 14 cases in cardiac resynchronization therapy group respectively. The patients were followed up 3 months after admission, and the duration of follow-up was recorded. In addition, Carelink remote monitor should be used to transmit CIED information at 3 and 6 months after inclusion to complete Carelink long-range follow-up. During the three-month long follow-up of Carelink, we collected the doctor's data and surveyed the clinicians about the use of the Carelink remote follow-up system during the 6-month follow-up. Results all 54 clinicians thought that Carelink remote monitoring system was simple and easy to use. One hundred and forty-seven patients were followed up in hospital for 3 months, and the average follow-up time in hospital was 14.8 卤8.4 min. The average follow-up time of Carelink was 8.2 卤4.6 minutes. The difference was statistically significant (P 0.0001). Conclusion: for clinicians, the remote monitoring system of Carelink is easy to use, easy to operate, high degree of satisfaction, and can save follow-up time.
【作者单位】： 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;复旦大学附属中山医院;上海市第一人民医院;浙江大学医学院附属第二医院;浙江医院;四川大学华西医院;新疆医科大学第一附属医院;中南大学湘雅二医院;泰达国际心血管病医院;
【分类号】：R54

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