以质量求发展,以服务铸品牌

护理学报 ›› 2023, Vol. 30 ›› Issue (12): 45-49.doi: 10.16460/j.issn1008-9969.2023.12.045

• 文献研究 • 上一篇    下一篇

智慧护理产品在瓣膜置换术后患者远程康复管理中的应用与展望

王晓辉1, 吴樱1, 文静1, 刘莉娟1,2, 周梦瑶1, 丛丽1   

  1. 1.湖南师范大学医学院,湖南 长沙 410013;
    2.中南大学湘雅医院 临床护理教研室,湖南 长沙 410000
  • 收稿日期:2023-01-19 出版日期:2023-06-25 发布日期:2023-07-10
  • 通讯作者: 丛丽(1984-),女,山东威海人,博士,副教授,E-mail:congli@hunnu.edu.cn
  • 作者简介:王晓辉(1996-),女,山东滨州人,本科学历,硕士研究生在读,护师。
  • 基金资助:
    国家级大学生创新创业训练计划项目(202110542025); 湖南师范大学大学生创新创业训练计划项目(2022263)

  • Received:2023-01-19 Online:2023-06-25 Published:2023-07-10

摘要: 目的 综述智慧护理产品在瓣膜置换术后患者远程康复管理的应用现状,为智慧医养健康体系的建设与发展提供参考。方法 检索相关文献,分析总结瓣膜置换术后患者应用智慧护理产品的功能分类、效果评价及实施方案,并讨论现存问题。结果 瓣膜置换术后患者应用智慧护理产品,在提高用药依从性、预防不良事件和促进心脏康复方面具有突出优势,但应进一步优化产品性能、完善管理体系,从而提高患者接受度。结论 瓣膜置换术后患者的全生命周期健康管理具有重要现实意义,智慧护理产品可打破地域限制,有效推动远程康复管理的发展,提高护理质量,改善患者预后。

关键词: 瓣膜置换术, 智慧护理, 远程康复, 康复管理, 综述

中图分类号: 

  • R47
[1] Sapci AH, Sapci HA.Innovative assisted living tools, remote monitoring technologies, artificial intelligence-driven solutions, and robotic systems for aging societies: systematic review[J]. JMIR Aging, 2019, 2(2):e15429. DOI:10.2196/15429.
[2] Stavropoulos TG, Papastergiou A, Mpaltadoros L, et al.IoT wearable sensors and devices in elderly care: a literature review[J]. Sensors (Basel), 2020, 20(10): 2826 DOI:10.3390/s20102826.
[3] Derakhshandeh H, Kashaf SS, Aghabaglou F, et al.Smart bandages: the future of wound care[J]. Trends Biotechnol, 2018, 36(12):1259-1274.DOI:10.1016/j.tibtech.2018.07.007.
[4] Bentley CL, Powell L, Potter S, et al.The use of a smartphone app and an activity tracker to promote physical activity in the management of chronic obstructive pulmonary disease: randomized controlled feasibility study[J]. JMIR Mhealth Uhealth, 2020, 8(6): e16203. DOI: 10.2196/16203.
[5] Beg S, Handa M, Shukla R, et al.Wearable smart devices in cancer diagnosis and remote clinical trial monitoring: transforming the healthcare applications[J]. Drug Discov Today, 2022, 27(10):103314. DOI:10.1016/j.drudis.2022.06.014.
[6] Bayoumy K, Gaber M, Elshafeey A, et al.Smart wearable devices in cardiovascular care: where we are and how to move forward[J].Nat Rev Cardiol,2021,18(8):581-599.DOI: 10.1038/s41569-021-00522-7.
[7] 卢倩鸿,叶蕴青,汪芳,等.中国老年瓣膜性心脏病脂蛋白(a)水平的不同特点分析[J].中华老年心脑血管病杂志, 2023, 25(3):243-246. DOI:10.3969/j.issn.1009-0126.2023.03.005.
[8] Hermans MC, Van Mourik MS, Hermens HJ, et al.Remote monitoring of patients undergoing transcatheter aortic valve replacement: a framework for postprocedural telemonitoring[J]. JMIR Cardio, 2018, 2(1): e9. DOI: 10.2196/cardio.9075.
[9] Liu X, Fan J, Guo Y, et al.Wearable smartwatch facilitated remote health management for patients undergoing transcatheter aortic valve replacement[J]. J Am Heart Assoc, 2022, 11(7): e023219. DOI: 10.1161/jaha.121.023219.
[10] 李金泽,董一君,钱永军,等.心脏机械瓣膜置换术后抗凝治疗远程管理:前瞻性队列研究[J]. 中国胸心血管外科临床杂志,2019,26(4):343-347.DOI:10.7507/1007-4848.201811046.
[11] 郭卫婷,刘建萍,张晓雪,等. 远程心脏康复有效性及依从性的系统评价再评价[J].中华护理杂志, 2023, 58(4): 426-433. DOI:10.3761/j.issn.0254-1769.2023.04.006.
[12] Bashir A, Bastola DR.Perspectives of nurses toward telehealth efficacy and quality of health care: pilot study[J]. JMIR Med Inform, 2018, 6(2):e35. DOI:10.2196/medinform.9080.
[13] Ma QH,Fang JH.International normalized ratio for the guidance of warfarin treatment in elderly patients after cardiac valve replacement[J]. Exp Ther Med, 2019, 17(2):1486-1491. DOI: 10.3892/etm.2018.7078.
[14] Winter JL, Healey JS, Sheth TN, et al.Remote ambulatory cardiac monitoring before and after transcatheter aortic valve replacement[J]. CJC Open,2020,2(5):416-419.DOI: 10.1016/j.cjco.2020.04.006.
[15] Pressler A, Förschner L, Hummel J, et al.Long-term effect of exercise training in patients after transcatheter aortic valve implantation: follow-up of the SPORT:TAVI randomised pilot study[J]. Eur J Prev Cardiol, 2018, 25(8): 794-801. DOI: 10.1177/2047487318765233.
[16] Chatfield AG, Cheung A, Akodad M, et al.Transcatheter solutions for transcatheter aortic valve replacement dysfunction: is redo transcatheter aortic valve replacement a durable option?[J]. Ann Cardiothorac Surg, 2021, 10(5): 571-584. DOI: 10.21037/acs-2021-tviv-85.
[17] Cao H, Jiang S, Lv M, et al.Effectiveness of the alfalfa app in warfarin therapy management for patients undergoing venous thrombosis prevention and treatment: cohort study[J]. JMIR Mhealth Uhealth, 2021, 9(3): e23332. DOI: 10.2196/23332.
[18] 张永春, 李海琳, 李业涛, 等. 人工智能辅助华法林抗凝自我管理系统可靠性评价的前瞻性队列研究[J]. 中国胸心血管外科临床杂志, 2021,28(5):504-509. DOI:10.7507/1007-4848.202101008.
[19] Jiang S, He Q, Yan J, et al.Evaluation of a pharmacist-led remote warfarin management model using a smartphone application (Yixing) in improving patients' knowledge and outcomes of anticoagulation therapy[J]. Front Pharmacol, 2021, 12: 677943. DOI: 10.3389/fphar.2021.677943.
[20] Insulander P, Carnlöf C, Schenck-Gustafsson K, et al.Device profile of the Coala Heart Monitor for remote monitoring of the heart rhythm: overview of its efficacy[J]. Expert Rev Med Devices, 2020, 17(3):159-165. DOI:10.1080/17434440.2020.1732814.
[21] Yenikomshian M, Jarvis J, Patton C, et al.Cardiac arrhythmia detection outcomes among patients monitored with the Zio patch system: a systematic literature review[J]. Curr Med Res Opin, 2019, 35(10):1659-1670. DOI:10.1080/03007995.2019.1610370.
[22] Saghir N, Aggarwal A, Soneji N, et al.A comparison of manual electrocardiographic interval and waveform analysis in lead 1 of 12-lead ECG and Apple Watch ECG: a validation study[J]. Cardiovasc Digit Health J, 2020, 1(1):30-36. DOI: 10.1016/j.cvdhj.2020.07.002.
[23] 于天卓, 高瑞桐, 许林琪, 等. 可穿戴设备用于家庭心脏康复运动的研究进展[J]. 护理学杂志, 2022, 37(2):18-21. DOI:10.3870/j.issn.1001-4152.2022.02.018.
[24] Düking P, Giessing L, Frenkel MO, et al.Wrist-worn wearables for monitoring heart rate and energy expenditure while sitting or performing light-to-vigorous physical activity: validation study[J]. JMIR Mhealth Uhealth, 2020, 8(5): e16716. DOI: 10.2196/16716.
[25] Rens N, Gandhi N, Mak J, et al.Activity data from wearables as an indicator of functional capacity in patients with cardiovascular disease[J].PLoS One,2021,16(3): e0247834. DOI: 10.1371/journal.pone.0247834.
[26] Senapati A, Faza NN, Mahmarian J, et al.Cardiac computed tomography for structural heart disease assessment and therapeutic planning: focus on prosthetic valve dysfunction[J]. Methodist Debakey Cardiovasc J, 2020, 16(2): 86-96. DOI: 10.14797/mdcj-16-2-86.
[27] Vennemann B, Obrist D, Rösgen T.A smartphone-enabled wireless and batteryless implantable blood flow sensor for remote monitoring of prosthetic heart valve function[J]. PLoS One, 2020, 15(1): e0227372. DOI: 10.1371/journal.pone.0227372.
[28] Park S, Jang I.Factors affecting medication adherence in patients with mechanical heart valves taking warfarin: the role of knowledge on warfarin, medication belief, depression, and self-efficacy[J].Int J Environ Res Public Health, 2021, 18(10): 5214. DOI: 10.3390/ijerph18105214.
[29] Jiang S, Lv M, Zeng Z, et al.Efficacy and safety of app-based remote warfarin management during COVID-19-related lockdown: a retrospective cohort study[J]. J Thromb Thrombolysis, 2022, 54(1):20-28. DOI:10.1007/s11239-021-02630-0.
[30] Liu XB, Fan JQ, Xu YM, et al.Myocardial infarction detected by a smartwatch after transcatheter aortic valve replacement during the COVID-19 pandemic[J]. World J Emerg Med, 2021, 12(3):247-248. DOI:10.5847/wjem.j.1920-8642.2021.03.018.
[31] Laustsen S, Oestergaard LG, Van Tulder M, et al.Telemonitored exercise-based cardiac rehabilitation improves physical capacity and health-related quality of life[J]. J Telemed Telecare, 2020, 26(1/2):36-44. DOI:10.1177/1357633x18792808.
[32] Knudsen MV, Petersen AK, Angel S, et al.Tele-rehabilitation and hospital-based cardiac rehabilitation are comparable in increasing patient activation and health literacy: a pilot study[J]. Eur J Cardiovasc Nurs, 2020, 19(5):376-385. DOI: 10.1177/1474515119885325.
[33] Tisch A, Meyer SC.Risks and opportunities of digitisation in the professional fields of nursing, care and healing[J]. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz, 2020, 63(6):690-697. DOI:10.1007/s00103-020-03160-5.
[1] 李海琳, 封亚萍, 张晶, 李鑫. 叙事护理在孕产保健领域中的应用进展[J]. 护理学报, 2023, 30(8): 48-51.
[2] 毛赛璐, 曾莉. ICU患者代理决策者决策冲突的研究进展[J]. 护理学报, 2023, 30(7): 33-37.
[3] 陶娟, 潘红英, 陈慧颖, 蓝莹, 鲜雪梅. 医务人员手卫生评估工具的研究进展[J]. 护理学报, 2023, 30(6): 26-30.
[4] 余雅琪, 余艮珍, 熊晓菊, 刘倩汝, 宋文帅, 罗颖, 代坤, 范歆颀. 行为改变轮理论概述及临床护理应用进展[J]. 护理学报, 2023, 30(4): 38-42.
[5] 陈子怡, 付洁, 林慧菁, 倪平. 终末期成人患者死亡质量的研究进展[J]. 护理学报, 2023, 30(11): 31-35.
[6] 苏孟宇, 王真, 吴金凤, 李晓燕, 张玉玺. 临床护士开展哀伤辅导的现状及研究进展[J]. 护理学报, 2022, 29(9): 26-30.
[7] 邹自玉, 唐红梅, 吴丽, 陈荣凤, 梅花. 乳腺癌相关健康教育材料可读性评估的范围综述[J]. 护理学报, 2022, 29(9): 42-46.
[8] 刘天贶, 龙玉娟, 刘欢, 刘逸文. ICU患者不同部位黏膜压力性损伤的特征及护理研究进展[J]. 护理学报, 2022, 29(8): 35-39.
[9] 李珂, 韩舒羽, 杨振楠, 麦智德. 急诊给药安全护理干预策略的研究进展[J]. 护理学报, 2022, 29(7): 36-39.
[10] 朱展慧, 林征, 周美景, 王咪, 孙彩云, 顾珺怡. 决策辅助工具在炎症性肠病患者中应用的范围综述[J]. 护理学报, 2022, 29(7): 44-49.
[11] 张娜, 朱丽辉, 罗听薇, 向玉琼, 熊月娥, 陈牡花, 唐倩. 儿童安宁疗护应用研究进展[J]. 护理学报, 2022, 29(4): 12-16.
[12] 鹿笑寒, 宋洁, 王晋芳, 刘霖, 陈海雯, 姜倩倩. 置信职业行为在护理教育中的研究现状[J]. 护理学报, 2022, 29(3): 35-39.
[13] 杨晓霞, 吕利明, 陈美旭, 任燕语. 癌症幸存者社会比较及相关研究进展[J]. 护理学报, 2022, 29(23): 28-32.
[14] 蔡婷婷, 倪飞霞, 黄青梅, 吴傅蕾, 袁长蓉. 移动医疗应用程序在药物治疗依从性管理中的研究进展[J]. 护理学报, 2022, 29(2): 25-29.
[15] 李婕, 马航霞, 龚丽娜, 段应龙, 张秋香, 谢建飞. 信息化技术在老年人压疮管理中的应用进展[J]. 护理学报, 2022, 29(18): 43-46.
Viewed
Full text


Abstract

Cited

  Shared   
[1] 赵旭, 赵雅宁, 李建民, 刘瑶, 赵大业, 陈长香. 基于炎症及营养指标构建老年急性缺血性脑卒中预后模型[J]. 护理学报, 2023, 30(11): 1 -6 .
[2] 张程婕, 井坤娟, 刘冬雪. 列线图与CART决策树模型对老年脑卒中患者病耻感预测效能的比较[J]. 护理学报, 2023, 30(11): 7 -12 .
[3] 刘冠琳, 陈健鹏, 宋开兰, 栾奕, 张迪, 王鑫源, 周婷, 孔颖. 三级联动联合家属赋能模式在7例居家安宁疗护患者突发症状中的应用[J]. 护理学报, 2023, 30(11): 13 -16 .
[4] 宫淑萍, 王晓敏, 姜玉晓, 孙晓莹, 赵晓敏. 实习初期护生共情能力潜在剖面及影响因素的研究[J]. 护理学报, 2023, 30(11): 17 -21 .
[5] 葛文杰, 徐军霞, 储爱琴, 曹庆荣, 潘雪丽, 贾畅, 陈彦. 基于素质洋葱模型静脉治疗专科护士培训基地师资培训内容体系的构建[J]. 护理学报, 2023, 30(11): 22 -26 .
[6] 陈羽保, 周璐, 廖艳芳, 郭飏, 付雪连, 肖敏. 高职涉老专业学生数字反哺机构养老人群的研究[J]. 护理学报, 2023, 30(11): 27 -30 .
[7] 陈子怡, 付洁, 林慧菁, 倪平. 终末期成人患者死亡质量的研究进展[J]. 护理学报, 2023, 30(11): 31 -35 .
[8] 李娜, 熊晓云, 郑青玉, 涂萍, 黎丽兰. 医疗失效模式与效应分析在规范护理工作流程中的应用进展[J]. 护理学报, 2023, 30(11): 36 -40 .
[9] 涂英, 杜丹阳, 舒严, 曾涛. 缺血性脑卒中复发预防的最佳证据总结[J]. 护理学报, 2023, 30(11): 41 -46 .
[10] 张兰萍, 吕森森, 何文俊, 陈江芸, 蔡毅媛, 李春萍, 刘思源, 钟冬梅, 李嘉琪, 谢昀筠, 黄婉晴, 陈晓珊, 徐东. 实施性研究综合框架(CFIR)更新版的解析和应用[J]. 护理学报, 2023, 30(11): 47 -52 .