对患有慢性脏病的人使用远程医疗的信任和信心:一个横截面研究
Soraia de Camargo Catapan1,2, Helen M Haydon1,2, Ingrid J Hickman3,4,5
1Centre for Online Health, The University of Queensland, Brisbane, Australia.
Journal of telemedicine and telecare
|November 26, 2023
概括
患有慢性脏病的患者报告对远程医疗的信心很高,电话咨询比视频咨询更值得信赖. 远程医疗的经验显著影响了患者对这些服务的信任和信心.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
- 患者体验 患者体验
背景情况:
- 消费者信任对于远程医疗的采用和有效性至关重要.
- 了解患者对不同远程医疗模式的信任对于服务优化至关重要.
- 慢性病 (CKD) 患者是可以从远程医疗保健解决方案中受益的人群.
研究的目的:
- 测量和比较消费者对电话与视频远程医疗咨询的信任和信心.
- 调查远程医疗经验与慢性病患者的信任/信心水平之间的关联.
- 为加强远程医疗在慢性疾病管理中的实施策略提供信息.
主要方法:
- 在澳大利亚大都会医院对156名患有CKD的个体进行了横截面调查.
- 利用经过验证的尺度来评估对电话和视频咨询的信任和信心.
- 使用非参数统计测试 (Wilcoxon匹配对,曼-惠特尼) 来分析数据.
主要成果:
- 参与者报告说,他们对远程医疗的总体信任和信心很高.
- 电话咨询显示了显著更高的信心 (平均3.75) 比视频 (平均3.64),p=0.039.
- 与视频 (平均3.67) 相比,电话咨询也显示出明显更高的信任度 (平均3.93),p<0.001.
- 通过电话咨询的经验与信任和自信相关;视频经验与信任相关,但不是信心.
结论:
- 远程医疗,特别是电话咨询,通常受到CKD患者的信任.
- 患者在远程医疗模式上的更大体验似乎对信任和信心产生了积极的影响.
- 随着对视频咨询的接触越来越多,未来的远程医疗采用可能会增加信任和信心.
相关概念视频
01:17Factors Affecting Renal Clearance: Renal Impairment
99
Renal dysfunction significantly impairs the renal clearance of drugs, leading to potential complications in drug therapy. Renal failure, which can be caused by various factors, poses a significant challenge in the elimination of drugs from the body.
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
99
01:27Dialysis
322
Renal failure occurs when the kidneys lose their ability to filter waste products from the blood effectively. It can be classified into two types: acute renal failure (ARF) and chronic renal failure (CRF).
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
322
01:30Current Trends in Nursing II
1.2K
Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
1.2K
01:11Renal Failure: Dose Adjustments
95
In patients with renal impairment, drugs undergo significant changes in their pharmacokinetics, which require dosage adjustments to ensure safe and effective therapy.
Reduced renal clearance and elimination rate are common outcomes of renal impairment. These alterations lead to a prolonged elimination half-life and an altered apparent volume of distribution for drugs. As a result, dosage adjustments are typically necessary to maintain optimal drug levels in the body.
However, dosage adjustments...
Reduced renal clearance and elimination rate are common outcomes of renal impairment. These alterations lead to a prolonged elimination half-life and an altered apparent volume of distribution for drugs. As a result, dosage adjustments are typically necessary to maintain optimal drug levels in the body.
However, dosage adjustments...
95