远程医疗在伤口护理中的实施:护士和患者经验的定性研究
Kjersti Marie Blytt1, Beate-Christin Hope Kolltveit2, Marit Graue2
1Department of Health and Caring Sciences, Western Norway University of Applied Sciences, P.O. Box 7030, Bergen, 5020, Norway. Kjersti.blytt@hvl.no.
BMC health services research
|September 29, 2024
概括
远程医疗 (TM) 用于腿部的护理增强了护士的信心,但需要更好的技术整合和以患者为中心的方法,以获得最佳的结果. 实施的挑战包括重新设计TM技术,并专注于预防性护理.
科学领域:
- 医疗保健技术 技术 医疗保健 技术
- 护理实践 护理实践
- 伤口护理管理管理
背景情况:
- 随着远程医疗 (TM) 的日益普及,需要了解其在医疗保健中的应用.
- 在对腿/脚患者进行随机对照试验的同时,进行了定性过程评估.
- 专注于患者和医疗保健专业人员在初级保健中对TM随访的经验.
研究的目的:
- 探索医疗保健专业人员和患者在实施TM后续治疗腿部和脚部方面的经验.
- 确定在初级保健机构中使用TM治疗伤口护理的促进者和障碍.
主要方法:
- 使用主题分析进行定性过程评估.
- 与14名患者和12名初级护理护士进行个人采访.
- 干预涉及一个互动的TM平台,用于初级护理护士和专业护理护士之间的伤口护理指导.
主要成果:
- 护士报告说,在伤口护理方面提高了专业的自我效能.
- 患者在使用TM时感到安全,但注意到对用户参与的个人需求尚未得到满足.
- 实施挑战包括重新设计TM技术,促进预防性护理的行为变化;观察到对预防复发的关注有限.
结论:
- 远程医疗在伤口护理中提供了机遇和挑战.
- 未来TM的实施需要改善护士的技术设备,并更好地融入常规实践.
- 肌痛管理干预措施应量身定制信息,并系统地纳入预防性策略,防止再发.
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