与使用远程医疗用于上肢专科护理的舒适性相关的因素
Hasan Tinwala1, Niels Brinkman1, Sina Ramtin1
1Department of Surgery and Perioperative Care, Dell Medical School, The University of Texas at Austin, Austin, TX.
The Journal of hand surgery
|July 5, 2023
概括
当条件不那么严重,实践检查不至关重要时,专家更容易使用远程医疗来照顾上肢. 需要制定战略,以改善复杂或痛苦病例的远程医疗舒适性.
科学领域:
- 整形外科手术 整形外科手术
- 远程医疗远程医疗
- 肌肉骨护理 肌肉骨护理
背景情况:
- 远程医疗为医疗保健提供方便,可访问性和成本节省.
- 临床医生和患者之间的障碍阻碍了远程医疗的广泛采用,特别是在像上肢护理这样的专业领域.
- 了解影响专家舒适度的因素对于有效的远程医疗实施至关重要.
研究的目的:
- 通过远程医疗来调查患者,疾病和与提供上肢护理的专家舒适性相关的外科医生特定因素.
- 确定在骨科上肢实践中采用远程医疗的障碍和促进因素.
主要方法:
- 75名上肢肌肉骨专家完成了一项在线调查.
- 参与者在12个随机患者场景中对远程医疗 (0-10) 的舒适度进行了评分,这些场景因年龄,性别,诊断,疼痛强度和治疗偏好而有所不同.
- 记录的专家因素包括性别,实践地点,实践年限,子专业,学员监督以及身体检查的重要性.
主要成果:
- 外科医生对远程医疗的更大舒适性与非创伤性疾病,特定诊断和患者不太严重的疼痛有关.
- 较低的舒适度与更高的实际体检和监督学员的感知需求有关.
- 舒适的原因包括非手术治疗和易于诊断;不适源于对身体检查和手术安排的面对面讨论的需要.
结论:
- 对于上肢疾病的远程医疗的专家舒适度受到具体情况,疼痛严重程度和放弃实践检查的意愿的影响.
- 个人偏好和患者因素显著影响了在专业护理中对远程医疗的热情.
- 需要有针对性的策略来加强对需要体检或涉及严重疼痛的疾病的远程医疗的使用.
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