Study on effect of implementation of home remote monitoring for chronic pulmonary disease or heart failure patients

Hao Qiufeng; Wei Xiaoqin

doi:10.3969/j.issn.10096493.2014.19.010

Abstract：Obj ective:To observe the feasibility of implementation of home remote monitoring for chronic lung disease or heart failure patients.Meth-ods:A total of 5 8 cases of patients who met the conditions were taken in randomized controlled observation and they were diagnosed as heart failure (HF)or chronic lung disease(CLD),30 cases of patients in observation group received remote monitoring of followed up,clinical parameters of pa-tients’home self daily measurements were sent including respiratory rate,heart rate,blood pressure,oxygen saturation,body weight,body tem-perature and health questionnaire;28 cases of patients in control group re-ceived routine nursing.The primary outcomes were 1 2 months hospitaliza-tion times,length of stay,other medical resource utilization and mortality. Results:26 patients in observation group were followed up for 1 year and 17 cases hospitalized at least once;25 cases of patients in control group were followed up for 1 year,and 22 cases hospitalized at least once,the difference was statistically significant(P=0.033);hospitalization days in observation group was 9.0 d±4.3 d,11.2 d±10.7 d in control group,and the difference was not statistically significant(P=0.891);Calling in obser-vation group (22.6±16.1 times)was more than that in control group(8.6± 7.2 times),P=0.001,while the family nurse visits(15.3±11.6 times)in observation group was less than that (25.4±26.3 times)in control group (P=0.360).Conclusion:The implementation of home remote monitoring for HF or CLD patients can significantly reduce the number of hospitaliza-tion and the number of days of hospitalization;home remote monitoring might be a reasonable choice of elderly patients with chronic diseases in a stable condition.