"检查你的阴道" - 一个患者教育和虚拟阴道护理试点项目
Amanda Selk, Praniya Elangainesan1, Evan Tannenbaum
1Temerty Faculty of Medicine, University of Toronto, Toronto, Canada.
Journal of lower genital tract disease
|September 20, 2023
概括
虚拟部护理显示,由于不适和隐私问题,患者参与有限,这表明对于大多数新的部疾病,亲自咨询仍然是必不可少的.
科学领域:
- 皮肤病学 皮肤病学
- 妇科 妇科医生 妇科
- 数字健康数字健康
背景情况:
- Vulvar自我检查教育对于早期发现病变至关重要.
- 远程医疗为远程患者护理提供了潜力,但其在瘤学中的可行性尚未得到充分探索.
研究的目的:
- 评估基于网络的部自我检查教育是否会导致部病变的自我识别.
- 用患者提交的照片来确定虚拟护的可行性.
主要方法:
- 在一所高等学术医院进行了为期一年的前性队列研究.
- 参与者通过一个安全的门户网站提交了部照片进行虚拟评估.
- 将自我推的患者与阴道诊所等候名单上的患者进行了比较.
主要成果:
- 患者对提交照片的兴趣较低;只有5%的等候名单患者参与.
- 虚拟评估比面对面的护理 (18个月) 更快 (7天).
- 大多数照片是可以评估的,但60%需要帮助;90%仍然需要亲自访问. 患者对拍照容易度的满意度很低.
结论:
- 通过照片/电话的虚拟护理显示出潜力,但面临着重大参与障碍.
- 患者的不适,隐私问题以及照片提交的困难限制了虚拟护理的采用.
- 面对面的咨询仍然是大多数新的状况的首选方法.
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