在COVID-19期间探索苏格兰远程高血压管理的患者体验:一项定性研究
Sheona Mchale1, Mary Paterson2, Alice Pearsons2
1School of Health and Social Care, Edinburgh Napier University, Edinburgh, Midlothian, UK S.Mchale@napier.ac.uk.
BMJ open
|December 9, 2023
概括
虽然COVID-19大流行扰乱了高血压护理,但远程监控使许多患者能够继续管理和自我护理. 远程监测血压 (BP) 改善了远程监测和反的访问,这对未来的流行病准备有很大的价值.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- COVID-19大流行严重影响了日常医疗保健服务,特别是对于高血压等慢性疾病.
- 由于感染风险和服务适应,对高血压管理的个人初级保健的获取受到挑战.
研究的目的:
- 在COVID-19大流行期间探索患者在高血压管理方面的经验.
- 为了比较使用远程血压 (BP) 监测和不使用它的患者之间的经验.
主要方法:
- 这是一项定性研究,涉及到2022年4月至11月期间进行的43次半结构化电话采访.
- 从苏格兰的六个初级保健机构招募了参与者,他们对BP远程监控的经验各不相同.
主要成果:
- 患者面临着及时获得个人护理的挑战,并且由于COVID-19的恐惧,不愿意参加诊所.
- 远程监控促进了远程监控和反,减少了对面访问的需要.
- 许多患者,有或没有远程监测,参与了高血压的自我管理,包括药物调整.
结论:
- 远程监测血压允许在疫情期间继续进行例行高血压护理.
- 远程监测提供了一个有价值的模型,可以提高高血压医疗保健服务的抵御力,以应对未来的流行病.
- 许多患者采用了自我管理策略,但远程监控提供了增强的监控和反访问.
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