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远程医疗:妇科护理的新前沿
Nilanchali Singh1, Saumya Kulshrestha1, Nimisha Agrawal1
1Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi, New Delhi, IND.
电话咨询有效减少了亲临产前护理的次数,维持了母亲和胎儿的积极结果. 患者满意度很高, 证实其可持续远程产科护理的可行性.
科学领域:
- 产科和妇科
- 数字健康
- 产妇和胎儿医学
背景情况:
- 随着COVID-19大流行,医疗保健领域的远程医疗应用加快了.
- 远程医疗提供了面对面咨询的可行替代方案,提高了患者的满意度.
- 在疫情期间,尽量减少医院访问对患者和医生来说至关重要.
研究的目的:
- 描述为产前患者提供电话咨询服务的实施情况.
- 评估远程咨询对母亲和胎儿的结果的影响.
- 评估患者对远程产前护理的满意度.
主要方法:
- 从2020年4月开始, 设立了一个专门的远程咨询单位, 提供远程产前护理.
- 进行虚拟咨询,只有在临床上需要时安排面对面的访问.
- 收集关于远程咨询,孕产妇和胎儿的结果,患者满意度和提供者反的数据.
主要成果:
- 在一年内为1550名产前患者提供电话咨询服务.
- 每位患者平均进行3次虚拟和2次面对面的咨询.
- 报告的患者满意度为90%;18%需要亲自评估,3%建议入院,2%转诊为胎儿药物干预.
结论:
- 远程咨询有效地减少了产前护理的体检.
- 通过远程咨询维持了母亲和胎儿的良好结果.
- 很高的患者满意度表明远程咨询是产前护理的可持续模式.
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