Examinando por Materia "Harm Reduction"

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    Effectiveness in the consultation of nursing in remote monitoring for the reduction of complications in patients with implantable devices in cardiology
    (Universidad Privada Norbert Wiener, 2019-07-14) Paredes Huamán, Clotilde Rosa; Torres Cabrera, Vanessa del Carmen; Avila Vargas Machuca, Jeannette Giselle
    Objective: To analyze and systematize the evidence on the effectiveness of remote monitoring in nursing consultations to reduce complications in patients with implantable cardiology devices. Materials and methods: Systematic review, using the GRADE evaluation system. Databases: Cochrane Library, Lilacs, Scielo, Medline Pubmed, Elsevier, Redalyc, Epistemonikos. Of the studies, 50% are systematic reviews, 20% clinical trials, 20% meta-analysis, and 10% cohort studies. 90% of the articles are of high quality and strong strength of evidence, 10% of moderate quality and strong strength of evidence. Of the 10 studies, 40% are from the USA, 20% from Spain, 20% from Mexico, 10% from Australia, and 10% from Uruguay. Results: All the articles systematically reviewed indicate the effectiveness of remote monitoring in nursing consultations to reduce complications in patients with implantable cardiology devices. Conclusions: The studies show that remote monitoring of implantable devices in patients with heart disease is an effective, reliable and safe system that allows the detection of arrhythmias or abnormalities in the device, optimizes patient monitoring and can prevent complications such as infections, device abnormalities, among others. Likewise, they have demonstrated a large number of benefits for the monitoring and care of the patient by the health team, where the specialized nurse trained in remote monitoring consultation has a transcendental management role.