在远程医疗访问中增强耳鼻科评估
Andre Shomorony1, Rachel Weitzman1, Hannah Chen2
1Department of Otolaryngology-Head and Neck Surgery, Weill Cornell Medicine, New York, NY, USA.
American journal of otolaryngology
|October 13, 2023
概括
使用内镜进行远程患者自我检查对耳朵和鼻子的评估是有效的,证明与远程医疗耳鼻喉科的面对面访问无差.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 远程医疗远程医疗
- 医疗技术 医疗技术 医学技术
背景情况:
- 远程医疗提供远程医疗解决方案.
- 远程耳科和鼻科检查具有独特的挑战.
- 评估患者远程检查的有效性至关重要.
研究的目的:
- 评估患者进行的内镜耳鼻检查是否与人体检查不逊色.
- 确定该系统对远程医疗耳鼻喉科咨询的可行性.
主要方法:
- 20名健康受试者通过Zoom与耳鼻喉科医生的远程指导进行了耳朵和鼻子的自我检查.
- 为了比较,两位耳鼻喉科医生进行了个人检查.
- 分析了骨架间的可靠性和解剖结构的检测能力.
主要成果:
- 在虚拟 (kappa=0.72) 和实体 (kappa=0.81) 考试中观察到优异的评分器间可靠性.
- 耳朵结构的检测能力没有显著差异;12个鼻腔结构中的9个没有显示差异.
- 报告了高受试者满意度 (8.65/10的推概率).
结论:
- 患者耳朵和鼻子的自我内镜是远程医疗耳鼻喉科的一个可行的方法.
- 这种方法可以有效地远程收集有价值的诊断数据.
- 它支持扩大耳鼻喉科的远程医疗服务.
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