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心衰竭居家照護效能-智能照護模式介入

Home Care In Patient With Heart Failure: Intervention For Smartphone Care Model

摘要


目的:心臟衰竭出院後再住院率約14~50%,5年死亡率高達50%。若能建置屬於病人健康照護記錄,掌握病人居家狀況,給予即時反應,預知病患心衰竭惡化,降低病患再入院及死亡率。方法:本院於2013年成立「心臟衰竭照護小組」,強調跨領域團隊的全人照護及個案追蹤。2018年1月完成建置心臟衰竭健康管理 APP應用程式系統平臺,使用智慧型手機掌握病人居家狀況包括藥物、飲食、運動等日常生活注意事項。結論:本次專案與資訊室合作建置便利及創新服務之雲端管理模式,更重要的是機構提供的後端專業跨團隊醫療服務,營造心衰竭的健康管理系統醫療服務,並更進一步優化醫療團隊的支持系統,建置後端管理及緊急聯絡網,讓心衰竭個案回家後無後顧之憂,更省時、省力及省醫療費用。

關鍵字

心衰竭 居家照護 智能照護

並列摘要


Objective: Heart Failure is the 3- month rehospitalization rate was14-50%, the 5-year mortality rate is as high as 50%. If can create a personal health record. Predict the worsening of Heart failure, reduce patient readmission and mortality. Method: We Emphasizes the whole-person care and case tracking of cross-disciplinary teams. In January 2018 the establishment of a Heart Failure health management APP application system platform was completed. Use smart phones to grasp the patient's home conditions. Conclusion: Establish background management and emergency contact network. Let the Heart Failure patients have no worries after returning home, and save time, effort and medical expenses.

並列關鍵字

Heart Failure Home Care Smartphone Care

參考文獻


許竹君、潘雪幸:心臟衰竭病人之自我管理;源 遠護理2015;9: 65-71。
蔡宗宏、莊碧焜、藍毓莉:遠距照護的發展與效 能評估之探討─技術、人性、管理的整合觀點。 護理雜誌2010;57:83-88。
Young, L., Hertzog, M., & Barnason, S. Effects of a home-based activation intervention on self-management adherence and readmission in rural heart failure patients: the PATCH randomized controlled trial. BMC cardiovascular disorders2016; 16: 176.
Orlowski, S., Bane, S., Hirschey, J., Kakarmath, S., Felsted, J., Brown, J., . . . Jethwani, K. Value and Acceptability of a Novel Machine Learning Technology for Heart Failure Readmission Reduction: Qualitative Analysis of Clinical Roles and Workflows (Preprint): JMIR Publications Inc2018; 4: 11895.
Celler, B., Argha, A., Varnfield, M., & Jayasena, R. Patient Adherence to Scheduled Vital Sign Measurements During Home Telemonitoring: Analysis of the Intervention Arm in a Before and After Trial. JMIR Med Inform 2018; 6: 15.

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