Implementing Remote Patient Monitoring of Physical Activity in Clinical Practice.

IF 1.1 4区 医学 Q3 NURSING Rehabilitation Nursing Pub Date : 2023-11-01 Epub Date: 2023-09-19 DOI:10.1097/RNJ.0000000000000435
Margaret McCarthy, David Jevotovsky, Devin Mann, Akhila Veerubhotla, Eleanor Muise, Jonathan Whiteson, John Ross Rizzo
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Abstract

Purpose: Remote patient monitoring (RPM) is a tool for patients to share data collected outside of office visits. RPM uses technology and the digital transmission of data to inform clinician decision-making in patient care. Using RPM to track routine physical activity is feasible to operationalize, given contemporary consumer-grade devices that can sync to the electronic health record. Objective monitoring through RPM can be more reliable than patient self-reporting for physical activity.

Design and methods: This article reports on four pilot studies that highlight the utility and practicality of RPM for physical activity monitoring in outpatient clinical care. Settings include endocrinology, cardiology, neurology, and pulmonology settings.

Results: The four pilot use cases discussed demonstrate how RPM is utilized to monitor physical activity, a shift that has broad implications for prediction, prevention, diagnosis, and management of chronic disease and rehabilitation progress.

Clinical relevance: If RPM for physical activity is to be expanded, it will be important to consider that certain populations may face challenges when accessing digital health services.

Conclusion: RPM technology provides an opportunity for clinicians to obtain objective feedback for monitoring progress of patients in rehabilitation settings. Nurses working in rehabilitation settings may need to provide additional patient education and support to improve uptake.

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在临床实践中实施患者身体活动远程监测。
目的:远程患者监测(RPM)是一种用于患者共享在办公室访问之外收集的数据的工具。RPM使用技术和数据的数字传输为临床医生在患者护理中的决策提供信息。考虑到可以与电子健康记录同步的当代消费级设备,使用RPM跟踪日常身体活动是可行的。通过RPM进行客观监测比患者自我报告身体活动更可靠。设计和方法:本文报告了四项试点研究,强调RPM在门诊临床护理中用于身体活动监测的实用性和实用性。设置包括内分泌学、心脏病学、神经病学和肺科设置。结果:讨论的四个试点用例展示了RPM如何用于监测身体活动,这一转变对慢性病的预测、预防、诊断和管理以及康复进展具有广泛意义。临床相关性:如果要扩大体育活动的RPM,重要的是要考虑到某些人群在获得数字健康服务时可能面临挑战。结论:RPM技术为临床医生在康复环境中监测患者的进展提供了一个获得客观反馈的机会。在康复环境中工作的护士可能需要提供额外的患者教育和支持,以提高接受率。
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来源期刊
Rehabilitation Nursing
Rehabilitation Nursing 医学-护理
CiteScore
1.90
自引率
7.70%
发文量
68
审稿时长
>12 weeks
期刊介绍: Rehabilitation Nursing is a refereed, award-winning publication and is the official journal of the Association of Rehabilitation Nurses. Its purpose is to provide rehabilitation professionals with high-quality articles with a primary focus on rehabilitation nursing. Topics range from administration and research to education and clinical topics, and nursing perspectives, with continuing education opportunities in every issue. Articles range from administration and research to education and clinical topics; nursing perspectives, resource reviews, and product information; and continuing education opportunities in every issue.
期刊最新文献
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