CareConnect:在长期护理设施中实施参与式远程护理模型的实施试点研究
Miriam Hertwig1, Franziska Göttgens1, Susanne Rademacher1
1Center for Clinical Acute and Emergency Medicine, University Hospital RWTH Aachen, 52074 Aachen, Germany.
Healthcare (Basel, Switzerland)
|February 13, 2026
概括
这项研究表明,多专业远程护理系统在养老院中是可行的和可接受的,改善了沟通和效率. 对环境敏感,参与式的实施是可持续融入常规护理的关键.
科学领域:
- 医疗保健技术 医疗保健技术 医疗保健技术
- 实施科学 实施科学
- 老年人护理医院 老年人护理
背景情况:
- 医疗保健的数字化转型在医院和初级保健方面取得了快速进展,但在长期护理设施方面进展较少.
- 养老院面临的挑战是,要始终贯彻实施数字化工具来协调护理,并获得医疗专业知识.
- 在CareConnect研究中,开发和实施了一种针对养老院居民量身定制的多专业远程护理系统.
研究的目的:
- 检查多专业远程护理系统在养老院的可行性,可接受性和早期采用情况.
- 分析实施过程,上下文因素以及将远程护理整合到护理工作流程中的障碍/促进因素.
- 评估远程护理对长期护理机构的护理协调和居民管理的影响.
主要方法:
- 一个为期15个月的参与式实施设计,涉及一所大学医院,两所养老院和四家医疗机构.
- 干预包括计划的基于视频的远程咨询和与诊断设备的跨学科案例讨论.
- 通过远程护理文档,护士调查,观察和反讨论收集的数据,使用描述和三角化方法进行分析.
主要成果:
- 152个远程护理联系涉及69名居民,主要是与全科医生和皮肤科医生.
- 79%的远程护理联系人消除了对面访问或运输的需求.
- 医生发现适合数字化管理的病例 (平均4.09/5);护士报告说,沟通,节省时间和技能有所改善.
结论:
- 远程医疗可以在养老院推出并接受,使用情境敏感的参与策略.
- 实施科学方法对于理解远程护理在养老院实践中的可持续整合至关重要.
- 试点研究表明,远程护理有潜力提高长期护理机构的护理服务.
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