Compliance and effectiveness of 1 year's home telemonitoring. The report of a pilot study of patients with chronic heart failure
Autor: | S Wells, Paul Johnson, K Meredith, S de Lusignan, E Leatham |
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Rok vydání: | 2001 |
Předmět: |
medicine.medical_specialty
Telemedicine Time Factors Home Nursing Blood Pressure Pilot Projects Medical Records law.invention Randomized controlled trial Quality of life law Surveys and Questionnaires medicine Humans Medical prescription Pulse Aged Heart Failure business.industry Medical record Body Weight medicine.disease United Kingdom Self Care Clinical trial Treatment Outcome Blood pressure Heart failure Chronic Disease Quality of Life Physical therapy Patient Compliance Equipment Failure Cardiology Service Hospital Cardiology and Cardiovascular Medicine business Follow-Up Studies |
Zdroj: | European Journal of Heart Failure. 3:723-730 |
ISSN: | 1388-9842 |
DOI: | 10.1016/s1388-9842(01)00190-8 |
Popis: | Patients with a diagnosis of heart failure, registered at the study practice, were recruited into the study. First, they had a cardiologist's assessment. They were then randomised into telemonitored patients who measured pulse, BP, weight and video consulted, and controls. Aim: To examine the acceptability, effectiveness and reliability of home telemonitoring. Results: A high proportion of those invited took part (n = 20/24). Compliance with measuring weight, pulse and BP remained high throughout the study. The data collection system and secure web-server were reliable. The telemonitoring group complied better with collecting prescriptions for their cardiac drugs. Video consulting started with enthusiasm, but became less useful. There were no significant differences in the quality of life (GHQ) and Chronic Heart Failure (Guyatt) questionnaire scores between the telemonitored group and the controls. Conclusions: Home telemonitoring is an acceptable reliable intervention. Baseline rates for compliance with self-monitoring are set out in this study. Benefit in terms of compliance with medication and self-monitoring is still seen after 1 year. Video consulting over ordinary telephone lines did not show sustained benefit, and was not complied with. © 2001 European Society of Cardiology. All rights reserved. |
Databáze: | OpenAIRE |
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