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        "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall">Durante nove meses avali&#225;mos um dispositivo port&#225;til para transfer&#234;ncia de dados pela Internet entre doentes e profissionais de sa&#250;de&#58; oximetria&#44; ECG&#44; respostas a question&#225;rios e mensagens&#46; Foram inclu&#237;dos 51 insuficientes respirat&#243;rios cr&#243;nicos &#40;IRC&#41; graves acompanhados no Hospital de Pulido Valente &#40;Lisboa&#41; e no Hospital do Esp&#237;rito Santo &#40;&#201;vora&#41; e 21 asm&#225;ticos deste &#250;ltimo hospital&#46; A utiliza&#231;&#227;o e a aceita&#231;&#227;o deste dispositivo foram avaliadas atrav&#233;s de question&#225;rios que registaram a opi-ni&#227;o dos doentes e dos profissionais de sa&#250;de&#46; Nos IRC de Lisboa avaliou-se a repercuss&#227;o deste programa sobre internamentos hospitalares e qualidade de vida dos doentes&#46;</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall">Aprender a utilizar o sistema foi mais dif&#237;cil para os doentes IRC&#59; a maioria &#40;80&#37;&#41; teve problemas com o equipamento&#44; qualificados como raros&#47;ocasionais em 62&#37; dos casos&#46;</p><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall">Para 31 doentes IRC seguidos no hospital de Lisboa&#44; a utiliza&#231;&#227;o do sistema foi classificada como correcta em12 doentes&#44; incorrecta em 7 e razo&#225;vel em12 doentes&#46; Os primeiros tiveram redu&#231;&#227;o do n&#250;mero e dura&#231;&#227;o dos internamentos em rela&#231;&#227;o a igual per&#237;odo anterior ao programa de telemonitoriza&#231;&#227;o e melhoria da qualidade de vida&#44; em particular no dom&#237;nio da actividade&#46; Com este sistema de telemonitoriza&#231;&#227;o 80&#37; dos doentes IRC sentiram-se mais&#47;muito mais apoiados e 33 &#40;75&#37;&#41; utilizariam este sistema no futuro&#44; se ele estivesse dispon&#237;vel&#46; No grupo de doentes asm&#225;ticos&#44; 81&#37; gostariam de manter este tipo de vigil&#226;ncia&#46; O servi&#231;o foi considerado &#250;til pelos investigadores&#46; Conclu&#237;mos que a telemonitoriza&#231;&#227;o domicili&#225;ria constitui uma contribui&#231;&#227;o positiva para a gest&#227;o dos doentes cr&#243;nicos e a sua divulga&#231;&#227;o dever&#225; ser considerada no futuro&#46;</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2009&#59; XV &#40;3&#41;&#58; 385-418</span></p></span>"
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        "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0025" class="elsevierStyleSimplePara elsevierViewall">For 9 months we evaluated a portable device to transfer patient-clinician data by Internet&#58; oximetry&#44; ECG&#44; clinical questionnaires and messages from the doctor&#46; Fifty-one patients with severe chronic respiratory insufficiency &#40;CRI&#41; were followed at the hospital Pulido Valente and Esp&#237;rito Santo and 21 asthmatics &#40;A&#41; were followed at the latter hospital&#46; The use and acceptance of this device was evaluated through questionnaires soliciting patients&#8217; and health professio-nals&#8217; opinions&#46; Patients with CRI followed in Lisbon were also asked about hospital admissions and quality of life compared with a nine month period before the monitoring programme&#46;</p><p id="sp0030" class="elsevierStyleSimplePara elsevierViewall">CRI patients found learning to use the system more difficult&#59; the majority &#40;80&#37;&#41; reported problems with the equipment&#44; qualified as rare&#47;occasional in 62&#37; of the cases&#46; For 31 CRI patients followed in Lisbon&#44; the use of the system was classified as correct in 12 patients&#44; incorrect in 7 and reasonable in 12 patients&#46; The first group had a reducded number and duration of hospital admissions and also improved quality of life&#46; With this remote monitoring system 80&#37; of CRI patients reported they were more&#47;much more supported and 33 patients &#40;75&#37;&#41; would use this system in the future&#46; 81&#37; of asthmatic patients would also like to maintain this type of monitoring&#46; The service was considered useful by the researchers&#46; We concluded that home telemonitoring was a positive contribution to the management of chronic patients and raised awareness of it should be considered in the future&#46;</p><p id="sp0035" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2009&#59; XV &#40;3&#41;&#58; 385-418</span></p></span>"
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Artigo Original/Original Article
Telemonitorização domiciliária de insuficientes respiratórios crónicos graves e de doentes asmáticos
Home telemonitoring of severe chronic respiratory insufficient and asthmatic patients
Manuela Zamith1, Teresa Cardoso2,**, Isabel Matias3, Maria João Marques Gomes4,*
1 Mestre em Patologia do Aparelho Respiratório pela Faculdade de Ciências Médicas da Universidade Nova de Lisboa. Assistente Hospitalar Graduada de Pneumologia. Unidade de Reabilitação Respiratória. Hospital de Pulido Valente, Lisboa / MA, Respiratory Apparatus Pathology, Lisbon University School of Medical Sciences. Consultant, Specialist, Pulmonology. Respiratory Rehabilitation Unit, Hospital Pulido Valente, Lisbon
2 Assistente Hospitalar Graduada de Pneumologia. Hospital do Espírito Santo. Évora / Consultant, Specialist, Pulmonology. Hospital do Espírito Santo. Évora
3 Enfermeira Graduada. Unidade de Reabilitação Respiratória. Hospital de Pulido Valente, Lisboa / Consultant Nurse, Respiratory Rehabilitation Unit, Hospital Pulido Valente, Lisbon
4 Professora Catedrática da Faculdade de Ciências Médicas da Universidade Nova de Lisboa. Coordenadora do Centro de Estudos de Doenças Crónicas da Fundação para a Ciência e Tecnologia. Chefe de Serviço de Pneumologia. Hospital de Pulido Valente, Lisboa / Cathedratic Professor, Lisbon Nova University School of Medical Sciences. Coordinator, Centre for the Study of Chronic Diseases, Science and Technology Foundation. Head, Pulmonology Service, Hospital Pulido Valente, Lisbon
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        "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall">Durante nove meses avali&#225;mos um dispositivo port&#225;til para transfer&#234;ncia de dados pela Internet entre doentes e profissionais de sa&#250;de&#58; oximetria&#44; ECG&#44; respostas a question&#225;rios e mensagens&#46; Foram inclu&#237;dos 51 insuficientes respirat&#243;rios cr&#243;nicos &#40;IRC&#41; graves acompanhados no Hospital de Pulido Valente &#40;Lisboa&#41; e no Hospital do Esp&#237;rito Santo &#40;&#201;vora&#41; e 21 asm&#225;ticos deste &#250;ltimo hospital&#46; A utiliza&#231;&#227;o e a aceita&#231;&#227;o deste dispositivo foram avaliadas atrav&#233;s de question&#225;rios que registaram a opi-ni&#227;o dos doentes e dos profissionais de sa&#250;de&#46; Nos IRC de Lisboa avaliou-se a repercuss&#227;o deste programa sobre internamentos hospitalares e qualidade de vida dos doentes&#46;</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall">Aprender a utilizar o sistema foi mais dif&#237;cil para os doentes IRC&#59; a maioria &#40;80&#37;&#41; teve problemas com o equipamento&#44; qualificados como raros&#47;ocasionais em 62&#37; dos casos&#46;</p><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall">Para 31 doentes IRC seguidos no hospital de Lisboa&#44; a utiliza&#231;&#227;o do sistema foi classificada como correcta em12 doentes&#44; incorrecta em 7 e razo&#225;vel em12 doentes&#46; Os primeiros tiveram redu&#231;&#227;o do n&#250;mero e dura&#231;&#227;o dos internamentos em rela&#231;&#227;o a igual per&#237;odo anterior ao programa de telemonitoriza&#231;&#227;o e melhoria da qualidade de vida&#44; em particular no dom&#237;nio da actividade&#46; Com este sistema de telemonitoriza&#231;&#227;o 80&#37; dos doentes IRC sentiram-se mais&#47;muito mais apoiados e 33 &#40;75&#37;&#41; utilizariam este sistema no futuro&#44; se ele estivesse dispon&#237;vel&#46; No grupo de doentes asm&#225;ticos&#44; 81&#37; gostariam de manter este tipo de vigil&#226;ncia&#46; O servi&#231;o foi considerado &#250;til pelos investigadores&#46; Conclu&#237;mos que a telemonitoriza&#231;&#227;o domicili&#225;ria constitui uma contribui&#231;&#227;o positiva para a gest&#227;o dos doentes cr&#243;nicos e a sua divulga&#231;&#227;o dever&#225; ser considerada no futuro&#46;</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2009&#59; XV &#40;3&#41;&#58; 385-418</span></p></span>"
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        "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0025" class="elsevierStyleSimplePara elsevierViewall">For 9 months we evaluated a portable device to transfer patient-clinician data by Internet&#58; oximetry&#44; ECG&#44; clinical questionnaires and messages from the doctor&#46; Fifty-one patients with severe chronic respiratory insufficiency &#40;CRI&#41; were followed at the hospital Pulido Valente and Esp&#237;rito Santo and 21 asthmatics &#40;A&#41; were followed at the latter hospital&#46; The use and acceptance of this device was evaluated through questionnaires soliciting patients&#8217; and health professio-nals&#8217; opinions&#46; Patients with CRI followed in Lisbon were also asked about hospital admissions and quality of life compared with a nine month period before the monitoring programme&#46;</p><p id="sp0030" class="elsevierStyleSimplePara elsevierViewall">CRI patients found learning to use the system more difficult&#59; the majority &#40;80&#37;&#41; reported problems with the equipment&#44; qualified as rare&#47;occasional in 62&#37; of the cases&#46; For 31 CRI patients followed in Lisbon&#44; the use of the system was classified as correct in 12 patients&#44; incorrect in 7 and reasonable in 12 patients&#46; The first group had a reducded number and duration of hospital admissions and also improved quality of life&#46; With this remote monitoring system 80&#37; of CRI patients reported they were more&#47;much more supported and 33 patients &#40;75&#37;&#41; would use this system in the future&#46; 81&#37; of asthmatic patients would also like to maintain this type of monitoring&#46; The service was considered useful by the researchers&#46; We concluded that home telemonitoring was a positive contribution to the management of chronic patients and raised awareness of it should be considered in the future&#46;</p><p id="sp0035" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2009&#59; XV &#40;3&#41;&#58; 385-418</span></p></span>"
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Article information
ISSN: 08732159
Original language: Portuguese
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