Telemonitoring
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Úvod: Mnohé štúdie a metaanalýzy preukázali, že telemonitorovanie krvného tlaku ako aj iných faktorov metabolického syndrómu môže zlepšiť ich manažment. Avšak mnoho pacientov nevyužíva telemonitorovanie kvôli osobným, technologickým a iným bariéram. Cieľom tejto štúdie bolo zistenie aké sú perspektívy a prekážky telemonitoringu lipitenzie na Slovensku z pohľadu pacienta. Metódy: Táto štúdia bola realizovaná ako dotazníková a mala za cieľ osloviť 2 545 pacientov. Dotazník pozostával z častí zameraných na osobné charakteristiky pacienta, návyky z hľadiska merania krvného tlaku (TK), na využívanie smart-technológií, ich predpokladané prínosy a prekážky z hľadiska pacienta ako aj na znalosť lipidového profilu a kardiovaskulárneho rizika samotným pacientom. Výsledky: Celkovo sme získali 252 odpovedí od pacientov (9,9 %). Z celkového počtu opýtaných má arteriálnu hypertenziu 67,4 %, kým nefarmakologickú terapiu užíva 7,9 %. Denne si TK meria len 21,2 % hypertonikov, signifikantne vyšší počet mužov ako žien (p = 0,011) a najčastejšie si meria TK veková kategória 31–45 rokov. Až 19,4 % využíva nositeľné zariadenia a 6,3 % tlakomery prepojené s aplikáciou. Signifikantne častejšie smart-technológie využíva kategória 31–45-ročných (p = 0,01). Závažné prekážky využitia smart-technológií neboli identifikované, väčšina si vyžadovala funkciu vzdialených konzultácií, úpravy liekov a jednoduché užívateľské rozhranie. Väčšina pacientov nevie svoju hodnotu LDL-cholesterolu a až 45,7 % tých čo vie, malo zvýšené hladiny. Záver: Celkovo prevláda záujem o využitie metód telemedicíny krvného tlaku, pri jej implementácii na Slovensku bude však nutná spolupráca pacienta a lekára.
Introduction: Numerous studies and meta-analyses have demonstrated that telemonitoring of blood pressure and other factors of metabolic syndrome can improve their management. However, many patients do not use telemonitoring due to personal, technological, and healthcare barriers. The aim of this study was to identify the perspectives and barriers to telemonitoring of lipid levels in Slovakia from the patient’s point of view. Methods: This study was conducted as a questionnaire-based survey targeting 2,545 patients. The questionnaire consisted of sections focused on patients’ personal characteristics, habits regarding blood pressure measurement, the use of smart technologies, their perceived benefits and barriers, as well as the patients’ knowledge of their lipid profile and cardiovascular risk. Results: A total of 252 responses were obtained (9.9 % response rate). Among the respondents, 67.4 % had hypertension, while 7.9 % were on non-pharmacological therapy. Only 21.2 % of hypertensive patients measured their blood pressure daily, with a significantly higher proportion of men compared to women (p = 0.011), and the most frequent blood pressure monitoring was observed in the 31–45 age group. A total of 19.4 % used wearable devices, and 6.3 % used blood pressure monitors connected to an app. Smart technology use was significantly more common in the 31–45 age group (p = 0.01). No severe barriers to the use of smart technologies were identified; most patients required features such as remote consultations, medication adjustments, and user-friendly interfaces. The majority of patients were unaware of their LDL-C values, and 45.7 % of those who were aware had elevated levels. Conclusion: There is a prevailing interest in implementing telemedicine methods for blood pressure monitoring. However, collaboration between patients and physicians will be necessary for its successful implementation in Slovakia.
- MeSH
- digitální zdraví MeSH
- dyslipidemie prevence a kontrola MeSH
- hypertenze * epidemiologie prevence a kontrola MeSH
- lidé MeSH
- měření krevního tlaku metody MeSH
- průzkumy a dotazníky MeSH
- rizikové faktory kardiovaskulárních chorob MeSH
- statistika jako téma MeSH
- telemedicína * metody MeSH
- Check Tag
- lidé MeSH
- Geografické názvy
- Slovenská republika MeSH
Východiská: Teleošetrovateľstvo, ako moderná metó- da poskytovania ošetrovateľskej starostlivosti na diaľ- ku s využitím informačno-komunikačných technológií, predstavuje v našich podmienkach relatívne novú a neprebádanú oblasť. Hlavným cieľom práce preto bolo zmapovať názory sestier na teleošetrovateľstvo a využitie informačno-komunikačných technológií v ošetrovateľskej praxi. Zamerali sme sa aj na vplyv pandémie COVID-19 na poskytovanie teleošetrovateľ- ských služieb. Súbor a metódy: Pre získanie dát bol vytvorený ano- nymný neštandardizovaný dotazník vlastnej konštruk- cie. Do prieskumu bolo zaradených 182 responden- tov. Na analýzu údajov sme využili metódy deskriptívnej štatistiky a miery centrálnej tendencie. Výsledky: 56,04 % respondentov sa stretlo s pojmom teleošetrovateľstvo v praxi. Väčšina respondentov (70,33%) uviedlo častejšie využívanie informačno-ko- munikačných technológií v praxi počas pandémie, avšak táto pandémia nemala vplyv na ich záujem o dané technológie (AM = 2,91 %). V rámci ambulantnej starostlivosti respondenti telemonitoring väčšinou nevyužívajú (58,75 %). Respondenti vidia potenciál rozvinutia služieb teleošetrovateľstva najmä v edukácii a poradenstve na diaľku (68,68 %), tele- konzultáciách (63,19 %) a telemonitoringu pacienta (50,55 %) v rámci podmienok Slovenskej republiky. Záver: Teleošetrovateľstvo a využívanie informačno- -komunikačných technológií v ošetrovateľskej praxi v podmienkach Slovenskej republiky značne zaostáva. Respondenti väčšinou používajú vo svojej praxi infor- mačno-komunikačné technológie, ale služby teleošet- rovateľstva využívajú minimálne.
Background: Telenursing, as a modern method of providing nursing care with the use of information and communication technologies, represents a rela- tively new and unexplored area in our conditions. Therefore, the main goal of our survey was to map the nurses ́ views on telenursing and the use of in- formation and communication technologies in nur- sing practice. We also focused on the impact of the COVID-19 pandemic on providing telenursing servi- ces. File and methods: An anonymous non-standardized questionnaire of our own design was created to ob- tain data. 182 respondents were included in the sur- vey. We used methods of descriptive statistics and central tendency measures to analyze the data. Results: 56.04% respondents from our survey have encountered the term telenursing in some form in their practice. The majority of respondents (70.33%) reported more frequent use of information and com- munication technologies in practice during the COVID 19 pandemic, but this pandemic did not af- fect their interest in information and communication technologies (AM= 2.91%). Respondents usually do not use telemonitorng in outpatient care (58.75%). Respondents see the potential to develop telenursing services, expecially education and counselling (68.68%), teleconsultations (63.19%) and patient tele- monitoring (50.55%) within Slovakia. Conclusion: Telenursing and the use of information and communication technologies in nursing practice are lagging far behind in the conditions of the Slovak Republic. The respondents from our survey mostly use information and communication technologies in their practise, but they use telenursing services mini- mally.
Despite improvements over recent years, morbidity and mortality associated with heart failure (HF) are higher in countries in the Central and Eastern Europe and Baltic region than in Western Europe. With the goal of improving the standard of HF care and patient outcomes in the Central and Eastern Europe and Baltic region, this review aimed to identify the main barriers to optimal HF care and potential areas for improvement. This information was used to suggest methods to improve HF management and decrease the burden of HF in the region that can be implemented at the national and regional levels. We performed a literature search to collect information about HF epidemiology in 11 countries in the region (Bulgaria, Croatia, Czechia, Estonia, Hungary, Latvia, Lithuania, Poland, Romania, Serbia, and Slovenia). The prevalence of HF in the region was 1.6-4.7%, and incidence was 3.1-6.0 per 1000 person-years. Owing to the scarcity of published data on HF management in these countries, we also collected insights on local HF care and management practices via two surveys of 11 HF experts representing the 11 countries. Based on the combined results of the literature review and surveys, we created national HF care and management profiles for each country and developed a common patient pathway for HF for the region. We identified five main barriers to optimal HF care: (i) lack of epidemiological data, (ii) low awareness of HF, (iii) lack of national HF strategies, (iv) infrastructure and system gaps, and (v) poor access to novel HF treatments. To overcome these barriers, we propose the following routes to improvement: (i) establish regional and national prospective HF registries for the systematic collection of epidemiological data; (ii) establish education campaigns for the public, patients, caregivers, and healthcare professionals; (iii) establish formal HF strategies to set clear and measurable policy goals and support budget planning; (iv) improve access to quality-of-care centres, multidisciplinary care teams, diagnostic tests, and telemedicine/telemonitoring; and (v) establish national treatment monitoring programmes to develop policies that ensure that adequate proportions of healthcare budgets are reserved for novel therapies. These routes to improvement represent a first step towards improving outcomes in patients with HF in the Central and Eastern Europe and Baltic region by decreasing disparities in HF care within the region and between the region and Western Europe.
- MeSH
- lidé MeSH
- management nemoci MeSH
- morbidita trendy MeSH
- prevalence MeSH
- srdeční selhání * epidemiologie terapie MeSH
- zlepšení kvality MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- přehledy MeSH
- Geografické názvy
- Evropa MeSH
- pobaltské republiky MeSH
- východní Evropa MeSH
OBJECTIVE: To develop scientific consensus recommendations for the optimal design and functions of different types of blood pressure (BP) measuring devices used in clinical practice for the detection, management, and long-term follow-up of hypertension. METHODS: A scientific consensus meeting was performed by the European Society of Hypertension (ESH) Working Group on BP Monitoring and Cardiovascular Variability and STRIDE BP (Science and Technology for Regional Innovation and Development in Europe) during the 2022 Scientific Meeting of the ESH in Athens, Greece. Manufacturers were also invited to provide their feedback on BP device design and development. Thirty-one international experts in clinical hypertension and BP monitoring contributed to the development of consensus recommendations on the optimal design of BP devices. STATEMENT: International consensus was reached on the requirements for the design and features of five types of BP monitors, including office (or clinic) BP monitors, ambulatory BP monitors, home BP monitors, home BP telemonitors, and kiosk BP monitors for public spaces. For each device type "essential" requirements (must have), and "optional" ones (may have) are presented, as well as additional comments on the optimal device design and features. CONCLUSIONS: These consensus recommendations aim at providing manufacturers of BP devices with the requirements that are considered mandatory, or optional, by clinical experts involved in the detection and management of hypertension. They are also directed to administrative healthcare personnel involved in the provision and purchase of BP devices so that they can recommend the most appropriate ones.
BACKGROUND: Several technological advances and digital solutions have been proposed in the recent years to face the emerging need for tele-monitoring older adults with Chronic Obstructive Pulmonary Disease (COPD). However, several challenges have negatively influenced an evidence-based approach to improve Health-Related Quality of Life (HR-QoL) in these patients. AIM: To assess the effects of tele-monitoring devices on HR-QoL in older adults with COPD. METHODS: On November 11, 2022, PubMed, Scopus, Web of Science, and Cochrane were systematically searched for randomized controlled trials (RCTs) consistent with the following PICO model: older people with COPD as participants, tele-monitoring devices as intervention, any comparator, and HR-QoL as the primary outcome. Functional outcomes, sanitary costs, safety, and feasibility were considered secondary outcomes. The quality assessment was performed in accordance with the Jadad scale. RESULTS: A total of 1845 records were identified and screened for eligibility. As a result, 5 RCTs assessing 584 patients (423 males and 161 females) were included in the systematic review. Tele-monitoring devices were ASTRI telecare system, WeChat social media, Pedometer, SweetAge monitoring system, and CHROMED monitoring platform. No significant improvements in terms of HR-QoL were reported in the included studies. However, positive effects were shown in terms of the number of respiratory events and hospitalization in patients telemonitored by SweetAge system and CHROMED platform. DISCUSSION: Although a little evidence supports the role of tele-monitoring devices in improving HR-QoL in older patients, positive effects were reported in COPD exacerbation consequences and functional outcomes. CONCLUSION: Tele-monitoring solutions might be considered as sustainable strategies to implement HR-QoL in the long-term management of older patients with COPD.
Telemonitoring is a great tool for vital signs monitoring in patients at high risk of severe life-threatening infections, such as haemato-oncological patients. As it can detect early symptoms of an infection, it allows early reaction and, therefore, can help prevent the progression of the infection into severe sepsis. We present a case report of a 69-year-old patient with aggressive non-Hodgkin lymphoma undergoing intensive immunochemotherapy. The treatment was complicated by two episodes of Gram-negative bacterial (G-) infection. During the first episode, the patient was admitted to the hospital only after developing septic shock with multiorgan dysfunction syndrome, which required vasopressor support and multiple broad-spectrum antibiotics and other antimicrobial therapy. Following this episode, the patient was enrolled in our telemonitoring project focusing on early detection of infections in high-risk haemato-oncological patients. The patient later developed another infection with G- bacteremia; however, thanks to the telemonitoring, he was admitted to the hospital within a few hours after developing (and detecting) fever. The therapy was initiated immediately, and the infection was successfully managed with first-choice antibiotics without any further complications. This case illustrates the importance of early detection of infection in high-risk patients, as well as the benefits of telemonitoring. Moreover, avoidance of septic shock and the consequent need for intensive care can significantly reduce healthcare costs.
- Publikační typ
- kazuistiky MeSH
Home-based exercises have been on the rise recently. This pilot study aimed to assess the adherence and effect of a home-based rehabilitation programme using telemonitoring in patients with chronic non-specific low back pain (CNLBP). Twenty-seven patients with CNLBP were enrolled in the study, each of whom underwent a neurological assessment, including patient-oriented measures and a functional assessment-a battery of tests that comprehensively evaluated trunk muscle function. The rehabilitation programme lasted 18 weeks and included daily home-based exercises. A mobile application or an exercise diary was used to monitor compliance. Adherence to the programme was excellent for both the diary and mobile application groups, with 82.3% in the diary group exercising at least once a day and 72.9% twice a day, and 94.8% in the mobile application group exercising at least once a day and 86.6% twice a day. Both patient-oriented and functional outcomes improved significantly; however, the relative changes of the parameters in these two groups did not correlate, which supports the idea that trunk muscle function does not directly relate to patient complaints and that CNLBP is a multifactorial issue. This model of rehabilitation programme should be used in clinical practice, as its adherence and effectiveness seem noticeable.
- MeSH
- chronická bolest * MeSH
- lidé MeSH
- lumbalgie * rehabilitace MeSH
- pilotní projekty MeSH
- techniky fyzikální terapie MeSH
- terapie cvičením MeSH
- trup MeSH
- výsledek terapie MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
... telemedicíny 314 -- 16.1.1 Rozdíly mezi wellness a fitness aplikacemi a telemedicínou 317 -- 16.1.2 Telemonitoring ...
1. elektronické vydání 1 online zdroj (552 stran)
Základní ideou této odborné monografie je snaha doplnit dosavadní publikace věnované psychologii zdraví o koncept reflektující tradiční pojetí, ale také přinést aktuální témata a poznatky zaměřené primárně na celostní pojetí zdraví.; Hlavní osou knihy jsou psychologické, biologické, psychosociální a spirituální aspekty zdraví, včetně reflexe současných vlivů digitálních technologií.Texty jsou nabízeny multidisciplinární perspektivou se zapojením odborníků z oblasti akademického výzkumu i aplikované praxe. Autoři se věnují tématům zdraví napříč různými obory, jako je psychologie, medicína, psychoterapie, adiktologie, filozofie, fyzioterapie, digitální technologie a mnoho dalších.
