Telemedicine consultations in non-communicable disease pre­vention: Main opportunities and challenges of implementation

Копылова, О. В.

doi:10.17116/profmed201518549-55

Cited by 3 publications

(2 citation statements)

References 26 publications

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“…Перспективным подходом в профилактике ССЗ является использование телемедицинских технологий [40]. В исследовании Еганян Р. А. и др.…”

Section: профилактика у взрослых среднего возрастаunclassified

“…Основные воздействия по профилактике ССЗ на каждом этапе жизни человекаПримечание: * -вмешательства в преконцепционном и пренатальном периодах, а также ряд вмешательств в грудном, детском и подростковом периодах, направлены на (будущих) родителей или на детей и на родителей, ** -вмешательства в периоде постмортем направлены на профилактику у родственников. АГ -артериальная гипертензия, ЗОЖ -здоровый образ жизни, ИБС -ишемическая болезнь сердца, ОНМК -острое нарушение мозгового кровообращения, СД -сахарный диабет, СМИ -средства массовой информации, ССЗ -сердечно-сосудистые заболевания, ССР -сердечно-сосудистый риск, ФА -физическая активность, ФР -факторы риска.вых ФР -своевременно реагировать, купируя их развитие[40]. В такой электронной базе медицинских данных может храниться информация о геноме человека, получаемая при секвенировании (так называемый "генетический паспорт", который возможно сделать уже при рождении); туда могут попадать данные, получаемые с устройств телемониторинга состояния здоровья, включая смартфоны, смарт-часы, весы, тонометры, глюкометры, шагомеры, приборы "умного дома".…”

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Lifetime prevention of cardiovascular disease. Part III: young, middle, elderly and senile age

Копылова¹,

Ершова²,

Мешков³

et al. 2021

Cardiovasc Ther Prev

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Intensive investigation of cardiovascular disease (CVD) risk factors (RFs), both traditional (smoking, dyslipidemia, diabetes, etc.) and non-traditional, which are a component of the so-called exposome, as well as their non-drug and drug correction provide wide prospects for effective cardiovascular prevention. Prevention becomes the dominant trend in cardiology and in medicine in general. The aim of the article was to describe cardiovascular prevention in young, middle, elderly and senile age. Due to the multifaceted nature of cardiovascular RFs, an integrated biopsychosocial approach, individual and population-based prevention, cumulative risk assessment of all CVDs, intersectoral collaboration and the involvement of decision-makers, are key to the success and effectiveness of prevention measures. It is important to note that, on the one hand, preventive measures should be started as early as possible due to cumulative effect of RFs, on the other hand, most of the preventive interventions for CVD are extremely relevant at all life stages.

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Section: профилактика у взрослых среднего возрастаunclassified

unclassified

Lifetime prevention of cardiovascular disease. Part III: young, middle, elderly and senile age

Копылова¹,

Ершова²,

Мешков³

et al. 2021

Cardiovasc Ther Prev

View full text Add to dashboard Cite

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On the topic of demand and usage of the telemedicine model «doctor-patient» for the prevention and control of chronic diseases: the view of a primary health care doctor

Калинина¹,

Kulikova²,

Gomova³

et al. 2021

Profil. med.

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Remote outpatient follow-up of patients with arterial hypertenson: the role of a nurse

Строкольская

Kilizhekova

Артамонова

2021

Kompleks. probl. serdečno-sosud. zabol.

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Highlights. Telehealth remote monitoring for patients with arterial hypertension has been developed and implemented. A nurse coaching approach has been reported.Aim. To develop and implement the technology of remote dispensary observation of patients with arterial hypertension (AH) using telemedicine, in which the main performer is a clinic nurse.Methods. The research object is patients with AH who are under dispensary observation at the territorial polyclinic. The study included 183 patients aged 53±12.5 years, of which 64.5% were women. The duration of observation is from 30 to 90 days. The effectiveness was evaluated on the basis of the achievement of target values of blood pressure (BP), number of visits to the doctor for hypertension decompensation, patient compliance. The program used data processing technology applying telemedicine devices for automatic BP measurement.Results. In 75.5% of cases, there was a decrease in the average level of systolic and diastolic BP in comparison with the initial levels. A decrease in the maximum systolic BP and in the frequency of decompensation episodes of BP above 160 mm Hg was recorded in 15.8% of patients. Achievement of the target BP level was identified in 64.2% of patients, in 11.3% there was a positive dynamic in the clinical condition without achieving the target figures, in 24.5% of cases, no dynamics was found. The majority of patients (84.2%) preferred remote forms of counseling while maintaining a stable level of indicators. Among 15.8% of patients, the number of visits to a doctor decreased from 2.0 to 0.75 visits per month. High adherence to preventive measures was observed in 88.7% of cases; 100% of patients in the observation group confirmed the use of prescribed antihypertensive drugs.Conclusion. The original technology of remote dispensary observation of patients with AH using telemedicine devices enhances the continuity in “doctor-nurse-patient” interactions, which contributes to the improvement of medical efficiency by increasing the proportion of patients in the dispensary group who have reached the target level of BP and increase the patients' adherence to preventive measures. Telemedicine technologies reduce the number of scheduled and urgent patient visits to a polyclinic, which is relevant in the context of the shortage of medical personnel and the transition to remote consultation due to the restrictions caused by the epidemic threat [17].

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Telemedicine consultations in non-communicable disease prevention: Main opportunities and challenges of implementation

Cited by 3 publications

References 26 publications

Lifetime prevention of cardiovascular disease. Part III: young, middle, elderly and senile age

Lifetime prevention of cardiovascular disease. Part III: young, middle, elderly and senile age

On the topic of demand and usage of the telemedicine model «doctor-patient» for the prevention and control of chronic diseases: the view of a primary health care doctor

Remote outpatient follow-up of patients with arterial hypertenson: the role of a nurse

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Telemedicine consultations in non-communicable disease pre­vention: Main opportunities and challenges of implementation

Cited by 3 publications

References 26 publications

Lifetime prevention of cardiovascular disease. Part III: young, middle, elderly and senile age

Lifetime prevention of cardiovascular disease. Part III: young, middle, elderly and senile age

On the topic of demand and usage of the telemedicine model «doctor-patient» for the prevention and control of chronic diseases: the view of a primary health care doctor

Remote outpatient follow-up of patients with arterial hypertenson: the role of a nurse

Contact Info

Product

Resources

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Telemedicine consultations in non-communicable disease prevention: Main opportunities and challenges of implementation