People undertaking pulmonary rehabilitation are willing and able to provide accurate data via a remote pulse oximetry system: a multicentre observational study

被引:29
作者
Bonnevie, Tristan [1 ,2 ]
Gravier, Francis-Edouard [1 ,2 ]
Elkins, Mark [3 ,4 ]
Dupuis, Johan [1 ]
Prieur, Guillaume [2 ,5 ]
Combret, Yann [6 ,7 ]
Viacroze, Catherine [8 ]
Debeaumont, David [9 ]
Robleda-Quesada, Aurora [5 ]
Quieffin, Jean [5 ]
Lamia, Bouchra [2 ,5 ,8 ]
Patout, Maxime [2 ,8 ]
Cuvelier, Antoine [2 ,8 ]
Muir, Jean-Francois [1 ,2 ,8 ]
Medrinal, Clement [2 ,5 ]
Tardif, Catherine [1 ,2 ,9 ]
机构
[1] Rouen Univ Hosp, ADIR Assoc, Rouen, France
[2] Normandie Univ, UPRES EA Haute Normandie Res & Biomed Innovat 383, Rouen, France
[3] Univ Sydney, Sydney Med Sch, Sydney, NSW, Australia
[4] Sydney Local Hlth Dist, Ctr Educ & Workforce Dev, Sydney, NSW, Australia
[5] Hop Jacques Monod, Grp Hosp Havre, Serv Reanimat Medicochirurg, Montivilliers, France
[6] Hop Jacques Monod, Grp Hosp Havre, Serv Kinesitherapie, Montivilliers, France
[7] Catholic Univ Louvain, Pole Pneumol ORL & Dermatol, IREC, Brussels, Belgium
[8] Rouen Univ Hosp, Pulm Thorac Oncol & Resp Intens Care Dept, Rouen, France
[9] Rouen Univ Hosp, Dept Physiol, Rouen, France
关键词
Pulmonary rehabilitation; Telemonitoring; Telerehabilitation; Exercise; Physical therapy; MILD COGNITIVE IMPAIRMENT; HOME-BASED TELEREHABILITATION; TELEHEALTH TECHNOLOGY; EXERCISE CAPACITY; GLOBAL BURDEN; COPD PATIENTS; DISEASE; SATISFACTION; METAANALYSIS; PREVALENCE;
D O I
10.1016/j.jphys.2018.11.002
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Questions: Can people referred to pulmonary rehabilitation easily learn to use a system for remote transmission of oximetry data? Do they consider remote transmission of oximetry data to be satisfactory? Are the transmitted data valid compared with locally stored data? Design: Multicentre, prospective, observational study. Participants: One hundred and five adults with chronic respiratory disease who were referred to pulmonary rehabilitation. Intervention: At an initial session, participants were taught to record and transmit their oximetry data to a remote server. At subsequent testing session(s), participants were requested to independently activate and use the oximetry monitoring system for a period of exercise on a cycle ergometer, until autonomy with the system was demonstrated. A subgroup of five participants undertook five 45-minute training sessions to generate a dataset to assess whether the transmitted data were valid compared with the locally stored data. Outcome measures: Outcome measures included the number of sessions needed to become autonomous, participant satisfaction with the system, and measures of the validity of the transmitted data. Results: Participants became autonomous quickly: 86% at the first testing session and 100% within three testing sessions. At least 98% of participants agreed that the system was easy to use and they would be willing to use it throughout pulmonary rehabilitation. The system transmitted usable data from 98% (95% CI 96 to 100) of sessions and introduced minimal artefact. Mean absolute differences were 0.365 beats/minute for heart rate and 0.133% for oxyhaemoglobin saturation. For heart rate, exact agreement was 72% (SD 9) and similar agreement (within 3 beats/minute) was 99% (SD 1). For oxyhaemoglobin saturation, exact agreement was 87% (SD 3) and similar agreement (within 3%) was 100% (SD 0). Conclusion: The telemonitoring system used in this study was sufficiently valid and acceptable for use in at-home pulmonary rehabilitation by people with chronic respiratory disease. (C) 2018 Australian Physiotherapy Association. Published by Elsevier B.V.
引用
收藏
页码:28 / 36
页数:9
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