Coronary Artery Disease, eHealth, Quality of Life, Self-management
Conditions
Keywords
Coronary artery disease, Remote Care, artificial intelligence, self-management, Quality of Life
Brief summary
This article uses the smart medical case management tracking system, combined with various terminal devices to fully record the measured data (pulse, blood pressure) for case home care tracking to prevent the occurrence and deterioration of the disease. Therefore, with the promotion of the eHealth medical staff and members of the family can instantly grasp the health of the body and cultivate the habits of self-health management and enhance the quality of care. Therefore, we hope to use the Smart Health Cloud as an interventional measure to improve the care of patients with coronary artery disease, improve self-management ability and quality of life.
Detailed description
The World Health Organization points out that cardiovascular disease is the number one killer of global deaths, killing 17.1 million people worldwide each year, accounting for 31% of the world's total deaths. Heart disease is the second leading cause of death in China. Coronary artery disease (CAD) is the majority, and coronary artery disease is the most common cardiovascular disease. Good self-management can reduce disease risk factors and improve related prognosis. It is also an important issue in health promotion around the world. This article uses the smart medical case management tracking system, combined with various terminal devices to fully record the measured data (pulse, blood pressure) for case home care tracking to prevent the occurrence and deterioration of the disease. Therefore, with the promotion of the eHealth medical staff and members of the family can instantly grasp the health of the body and cultivate the habits of self-health management and enhance the quality of care. Therefore, we hope to use the Smart Health Cloud as an interventional measure to improve the care of patients with coronary artery disease, improve self-management ability and quality of life.
Interventions
COMBINATION_PRODUCTeHealth
The study was randomized (wait-list-control), and it was estimated that 60 subjects were randomly assigned to the immediate treatment group and the wait-list-control group. The two groups were tested for baseline before intervention in the eHealth. After the first questionnaire evaluation, the experimental group was involved in the eHealth for three months, and after three months, the experimental group and the waiting intervention control group were post-tested. To assess the effectiveness of the two groups before and after the eHealth . Control group that waits for intervention in the fourth month from the beginning of the fourth month to the end of the sixth month
Sponsors
National Defense Medical Center, Taiwan
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Intervention model description
wait list control group RCT
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* A patient who is 20 years of age or older and has a Coronary computed tomography angiography \>50% vascular stenosis, has been PTCA、stent or CABG * Taiwanese, understand Chinese
Exclusion criteria
* Those who can't express their wishes clearly (such as Azheimer's disease, mental dysfunction) * mental disorder * infectious diseases * Patients who participate in other research projects
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| physiological indicators-HbA1C(T2) | T2-three months later | HbA1C, the unit is % |
| physiological indicators-Triglyceride(T1) | T1-baseline | Triglyceride, the unit is mg/dL |
| physiological indicators-Triglyceride(T2) | T2-three months later | Triglyceride, the unit is mg/dL |
| physiological indicators-Triglyceride(T3) | T3-six months later | Triglyceride, the unit is mg/dL |
| physiological indicators-GLU(T1) | T1-baseline | GLU, the unit is mg/dL |
| physiological indicators-GLU(T2) | T2-three months later | GLU, the unit is mg/dL |
| physiological indicators-GLU(T3) | T3-six months later | GLU, the unit is mg/dL |
| physiological indicators-HbA1C(T1) | T1-baseline | HbA1C, the unit is % |
| physiological indicators-HbA1C(T3) | T3-six months later | HbA1C, the unit is % |
| physiological indicators-HDL-C(T1) | T1-baseline | HDL-C, the unit is mg/dL |
| physiological indicators-HDL-C(T2) | T2-three months later | HDL-C, the unit is mg/dL |
| physiological indicators-HDL-C(T3) | T3-six months later | HDL-C, the unit is mg/dL |
| physiological indicators-LDL-C(T1) | T1-baseline | LDL-C, the unit is mg/dL |
| physiological indicators-LDL-C(T2) | T2-three months later | LDL-C, the unit is mg/dL |
| physiological indicators-LDL-C(T3) | T3-six months later | LDL-C, the unit is mg/dL |
| physiological indicators-Total Cholesterol(T1) | T1-baseline | Total Cholesterol, the unit is mg/dL |
| physiological indicators-Total Cholesterol(T2) | T2-three months later | Total Cholesterol, the unit is mg/dL |
| physiological indicators-Total Cholesterol(T3) | T3-six months later | Total Cholesterol, the unit is mg/dL |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| self-management-T1 | T1-baseline | use The partners in Health scale. total of 12 questions,The scoring method uses the nine-point Likert Scales score. The score of 0 is divided into self-management performance, and the score of 8 indicates that self-management is good. The total score is 96 points. The higher the score, the better the self-management. |
| self-management-T2 | T2-three months later | use The partners in Health scale. total of 12 questions,The scoring method uses the nine-point Likert Scales score. The score of 0 is divided into self-management performance, and the score of 8 indicates that self-management is good. The total score is 96 points. The higher the score, the better the self-management. |
| self-management-T3 | T3-six months later | use The partners in Health scale. total of 12 questions,The scoring method uses the nine-point Likert Scales score. The score of 0 is divided into self-management performance, and the score of 8 indicates that self-management is good. The total score is 96 points. The higher the score, the better the self-management. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Quality of life scale-T2 | T2-three months later | use WHOQOL-BREF Taiwan Version. total of 28 questions,The scoring method uses the five-point Likert Scales score The questionnaire has a total of 28 questions, with at least one point for each question and a maximum of five points. The higher the score, the better the quality of life. |
| Quality of life scale-T1 | T1-baseline | use WHOQOL-BREF Taiwan Version. total of 28 questions,The scoring method uses the five-point Likert Scales score The questionnaire has a total of 28 questions, with at least one point for each question and a maximum of five points. The higher the score, the better the quality of life. |
| Quality of life scale-T3 | T3-six months later | use WHOQOL-BREF Taiwan Version. total of 28 questions,The scoring method uses the five-point Likert Scales score The questionnaire has a total of 28 questions, with at least one point for each question and a maximum of five points. The higher the score, the better the quality of life. |
| Modified Health care machine rating scale | T2-three months later | There are three questions in the satisfaction survey. Use category options to measure usage satisfaction |
Countries
Taiwan
Outcome results
None listed