Active Remote Monitoring of Cardiac Surgical Patients Using Digital Telemedicine Technologies Improves Patient Adherence in The Distant Period

Objective — to study the dynamics of data on adherence to treatment according to the Morisky-Green questionnaire in patients participating in an active remote monitoring program, before and after participation in the program. Material and methods — Fifty patients, mean age 60±12 years, were initially enrolled in the remote monitoring programme. The median follow-up in the study was 29 months (28; 31). Twelve months after the end of the study, we administered a questionnaire to patients (n=42) who were followed up until the end of the programme. We used the same questionnaires as at baseline (SF-36, Morisky-Green, HADS and UCLA (University of California, Los Angeles) questionnaire) to determine the dynamics of their parameters. Results — On the Morisky-Green questionnaire, scores increased from 2 (2; 3) to 4 (3; 4) points, p<0.001. Statistically significant differences in dynamics were also revealed for the other questionnaires (except for the SF scale of the SF-36 general health questionnaire). The dynamics in all cases was positive: the quality of life increased compared to the initial value, the level of anxiety and depression decreased, the level of loneliness expression decreased. Conclusions — Patient participation in an active remote monitoring program had significant long-term value in improving treatment adherence. Patient adherence improved from baseline on the Morisky-Green questionnaire: one year after program termination, the level of adherence in this cohort of patients was close to the maximum.