难民远程医疗利用高血压管理在COVID-19大流行期间的高血压管理
Zaid Salameh1, Dahlia A Kaki2, Dania Abu Baker3
1Mailman School of Public Health, Columbia University, New York City, NY, United States.
International journal of public health
|August 24, 2023
概括
由于社会隔离和远程医疗障碍,难民在COVID-19大流行期间面临高血压管理的挑战. 改善对血压监测器和文化敏感的远程医疗的准入对于慢性疾病管理至关重要.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 慢性疾病管理 慢性疾病管理
背景情况:
- 随着COVID-19大流行,难民群体的医疗保健获得受到严重干扰.
- 远程医疗的采用增加了,为护理连续性提供了机会,也为管理诸如高血压等慢性疾病带来了潜在障碍.
研究的目的:
- 在COVID-19大流行期间探索难民在远程医疗和高血压管理方面的经验.
- 确定在难民中利用远程医疗为慢性疾病护理所面临的挑战和促进者.
主要方法:
- 一项定性研究涉及109名被诊断患有高血压的难民参与者的半结构面试.
- 数据分析包括采访成绩单的转录,翻译和诱导性主题分析.
主要成果:
- 86%的参与者在疫情期间使用了远程医疗.
- 关键主题包括社会隔离导致心理健康恶化,远程医疗缓解但也创造了后勤/文化障碍,以及缺乏公共血压监测器.
- 这些因素对高血压管理产生了负面影响.
结论:
- 在疫情期间,难民在管理高血压方面遇到了重大障碍.
- 调整远程医疗以解决语言,文化和技术障碍至关重要.
- 建议采取基于社区的干预措施,包括虚拟支持和更多地获得血压监测工具.
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