痴呆症护理研究和心理社会因素
Pukovisa Prawiroharjo1,2, Irma Widyasari1, Iskandar Purba Geraldi1
1Department of Neurology, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia, Central Jakarta, Jakarta, Indonesia.
Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 25, 2025
概括
印度尼西亚患者越来越多地使用远程医疗来治疗认知问题. 医生的治疗和转诊决定受到患者人口统计学,投诉类型和病史的影响.
科学领域:
- 神经学 神经学
- 数字健康数字健康
- 公共卫生 公共卫生
背景情况:
- 印度尼西亚的患者越来越多地利用基于聊天的远程医疗服务来解决认知投诉,特别是在COVID-19大流行期间.
- 这一趋势凸显了数字健康解决方案在获得医疗咨询方面日益重要.
研究的目的:
- 通过印尼基于聊天的远程医疗服务进行咨询的认知投诉患者的特征.
- 分析患者特征与医生关于治疗和转诊的决定之间的相关性.
主要方法:
- 从2020年3月到2021年12月的匿名二次数据进行了回顾性横截面研究.
- 数据来源于印度尼西亚主要的基于聊天的远程医疗平台 (Halodoc,Alodokter,Good Doctor,Milvik).
- 对收集的数据进行了双变量和多变量分析.
主要成果:
- 确定了1016名患有认知问题的患者,主要是40岁以下的女性.
- 专家更有可能开处方药物治疗和转诊 (p < 0.01).
- 药物治疗与年龄较大 (≥60岁),女性性别,遗忘性投诉和先前认知障碍诊断有关. 转诊与先前的认知障碍诊断和护理人员发起的咨询有关.
结论:
- 医生在远程医疗环境中对治疗和转诊的决定受患者年龄,性别,投诉特点和诊断史的影响.
- 进一步的研究和开发对于优化基于聊天的远程医疗服务对于有认知障碍的人来说至关重要.
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