远程监测心肌梗死患者康复情况的效率

Dmitriy A. Elfimov, I. Elfimova, Mikhail D. Kosterin, Alyona A. Golubeva, Olga V. Andreeva
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摘要

引言心脏病患者的康复以一系列康复措施(医疗、身体、社会、心理和教学)为基础。这类活动的目的是在特定情况下尽可能恢复健康和心理状态。尽管城市化进程在不断推进,但农村居民所占的比例仍然很大,达到 25.1%。与城市居民相比,农村居民在获得医疗服务方面往往受到限制。偏远地区的居民尤其如此。目的评估在急性心肌梗死患者康复措施中使用远程技术的有效性。研究对象包括在秋明市第 17 医院接受门诊康复治疗的 200 名急性心肌梗塞患者。这些患者被平均分为两组,每组 100 人。两组患者的平均治疗时间均为 21 天。康复计划包括治疗和体能训练综合项目,其中治疗和体能训练综合项目作为联合课程的一部分在面对面的小组中进行,而远程小组则在家中使用先前通过电子邮件发送的视频指导。结果与讨论使用远程技术进行康复训练的效果与全日制课程不相上下。在两组中,兰金量表和康复路由量表的指标均有显著改善。不过,根据阿罗诺夫量表,只有远程组出现了积极的变化。结论。根据研究结果,得出了全日制组和远程组心脏康复效果相当的结论。这表明,生物医学技术可用于在远离大型居住区的偏远地区实施心脏康复计划。
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Efficiency of Remote Monitoring of Rehabilitation of Patients after Myocardial Infarction
INTRODUCTION. Rehabilitation of cardiac patients is based on a set of measures of a rehabilitation nature (medical, physical, social, psychological and pedagogical). The purpose of this type of activity is aimed at restoring health as much as possible in a particular case, as well as psychological status. Despite widespread urbanization, the share of rural residents still remains significant and amounts to 25.1 %. They face limited access to health care more often than urban populations. This is especially true for the population of remote areas. AIM. Evaluation of the effectiveness of the use of remote technologies during rehabilitation measures in patients who have suffered an acute myocardial infarction. MATERIALS AND METHODS. The study included 200 patients who had suffered acute myocardial infarction, receiving outpatient rehabilitation at the City Clinic No. 17, living in the city of Tyumen. The patients were divided into two equal groups of 100 people. The average duration of treatment in both groups was 21 days. The rehabilitation program included a therapeutic and physical training complex, which took place in a face-to-face group as part of joint classes, and in a remote group — at home using video instructions, previously sent by email. RESULTS AND DISCUSSION. Rehabilitation with the use of remote technologies showed a result comparable to the full-time program. In both groups, there is a statistically significant improvement in the indicators of the Rankin, and rehabilitation routing scales. However, according to the Aronov scale, positive changes are present only in the remote group. CONCLUSION. Based on the results of the study, a conclusion was made about the comparable effectiveness of cardiac rehabilitation in full-time and remote groups. This suggests that biomedical technologies can be used in the implementation of cardiac rehabilitation programs in areas remote from large settlements.
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