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虚拟与泌尿外科手术后实验室术后访问相比:一项随机对照试验
Lannah L Lua-Mailland1, Amy S Nowacki, Marie Fidela R Paraiso
1Center for Urogynecology and Pelvic Reconstructive Surgery, Obstetrics and Gynecology Institute, and the Department of Quantitative Health Sciences, Cleveland Clinic, Cleveland, Ohio.
Obstetrics and gynecology
|August 8, 2024
概括
视频视频视频视频视频视频视频视频视频视频视频视频视频视频视频视频视频视频视频视频视频视频视频视频视频视频视频视频视频视频视频视频视频视频视频视频视频视频视频视频视频视频视频视频视频视频视频视频视频视频视频视频视频视频视频. 这项研究发现类似的患者满意度,资源使用和不良事件,支持虚拟护理作为可行的替代方案.
科学领域:
- 泌尿和妇科 泌尿和妇科
- 数字健康数字健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 泌尿外科手术后的术后护理传统上涉及到办公室内访问.
- 远程医疗的整合为患者的随访提供了一个潜在的替代方案.
- 评估虚拟术后访问的有效性和安全性对于现代医疗保健提供至关重要.
研究的目的:
- 为了比较患者满意度,医疗资源利用率和虚拟视频和泌尿外科手术后手术后诊所访问之间的不良事件.
- 确定虚拟视频访问是否与手术后随访的传统办公室内访问相比没有劣势.
- 评估虚拟护理在治疗泌尿外科手术后患者的可行性.
主要方法:
- 进行了一项随机的非劣势性临床试验,涉及为骨盆器官衰退和尿失禁进行手术的患者.
- 参与者被随机分配到虚拟视频术后访问或标准的办公室内访问.
- 用患者满意度问卷-18 (PSQ-18) 测量患者满意度,其次要结果包括资源利用率和不良事件.
主要成果:
- 该研究包括100名参与者 (每组50人),平均年龄为57.0±13.2岁.
- 虚拟视频访问在总体患者满意度方面表现出与实验室访问相比的非劣势 (平均差异0.04分;95% CI,-2.75至2.83).
- 在虚拟组中,医疗保健资源利用率下降了14.0%,复合不良事件的发生率相似.
结论:
- 虚拟视频术后访问是一种安全有效的替代方案,用于泌尿后科手术后续的办公室内访问.
- 这些发现支持在术后护理中扩大远程医疗的使用,这可能会改善访问和效率.
- 虚拟和实验室术后护理模型之间的患者满意度和临床结果是可比的.
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