肝脏和脏移植患者的远程医疗体验:一种混合方法研究
Dami Ko1, Julia Dierker2, Rebecca Stouff2
1School of Nursing, Bouvé College of Health Sciences, Northeastern University, Boston, MA, United States.
概括
固体器官移植 (SOT) 接受者发现远程医疗是有效和方便的,但在系统可靠性方面面临挑战. 在移植护理中,个性化是成功的远程医疗的关键.
科学领域:
- 移植医学 移植医学 移植医学
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
背景情况:
- 在COVID-19大流行期间,对于固体器官移植 (SOT) 接受者而言,远程医疗的采用激增.
- 现有证据表明,远程医疗对大多数SOT受益者来说是一个可行的选择.
- 然而,接受者的满意度和影响其有效性的特定背景仍未得到充分研究.
研究的目的:
- 调查肝脏,脏和同时肝脏脏移植的接受者对远程医疗的好处和缺点的观点.
- 在实体器官移植的背景下,评估接受者对远程医疗服务的满意度.
- 确定影响远程医疗对SOT护理有效性和接受性的因素.
主要方法:
- 一种混合方法的方法,结合了定量在线调查和定性焦点小组/访谈.
- 252名成年SOT接受者完成了调查,评估了远程医疗体验和满意度.
- 15名参与者参与了重点小组或个人采访,以深入洞察.
主要成果:
- 大约70%的参与者之前有过用于移植护理的远程医疗经验.
- 受益人对远程医疗的有效性和方便性表示高度满意.
- 在导航远程医疗系统的可靠性方面,人们对远程医疗系统的满意度较低.
结论:
- 远程医疗对于临床/社会脆弱,需要紧急护理或对隐私有担忧的SOT受益者来说可能不那么有效.
- 个性化远程医疗战略是必不可少的,考虑到个人SOT接收者的需求和偏好.
- 未来的远程医疗在移植护理中的实施应优先考虑定制方法以获得最佳结果.
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