“But I’m not a professional” − How women with high-risk pregnancies voice the experiences of home-based telemonitoring; a qualitative interview study

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Jane M. Bendix , Mikala Heinsen , Mette G. Backhausen
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引用次数: 0

Abstract

Objectives

Telemonitoring of high-risk pregnancy complications is a new approach that offers remote obstetric caregiving using mobile and wireless technologies. New evidence shows that home-based obstetric telemonitoring is not only feasible but also a safe alternative to inpatient or frequent outpatient care. As little is known how performing obstetric telemonitoring is perceived, this study examined how women with pregnancy complications experienced performing home-based telemonitoring.

Methods

A qualitative, semi-structured interview study was conducted with women with ongoing experience in performing home-based telemonitoring procedures for high-risk pregnancy complications. Purposeful sampling strategy and data saturation were applied followed by verbatim transcription. The data were analyzed using systematic text condensation.

Results

Fifteen informants participated in the study and four major themes emerged. The study revealed that performing telemonitoring was overall positively experienced as an ‘Empowering yet challenging responsibility’ as well as an ‘Extended patient-clinician partnership.’ There were pros and cons as to the influence of telemonitoring in everyday life; ‘Tele-comfort yet ambivalence’ and that it could be accompanied by annoying practical issues; ‘Accompanying remote issues.’

Conclusions

Performing obstetric telemonitoring was experienced as an empowering yet challenging responsibility as well as an extended partnership between the clinician and the pregnant woman. Pros and cons were voiced as to the influence and ambivalence of telemonitoring in everyday life, and that it could be accompanied by annoying practical issues. Patient aspects and experiences of telemonitoring are important clinical knowledge that must be considered when a telemonitoring plan is tailored preferably in a shared decision-making process.

"但我不是专业人员"--高危妊娠妇女如何表达家庭远程监控的体验;定性访谈研究
目的远程监测高危妊娠并发症是一种新方法,它利用移动和无线技术提供远程产科护理。新的证据表明,基于家庭的产科远程监护不仅可行,而且是住院或频繁门诊护理的安全替代方案。由于人们对实施产科远程监护的看法知之甚少,本研究探讨了患有妊娠并发症的妇女在实施家庭远程监护过程中的体验。研究方法:本研究采用半结构式定性访谈的方式,采访了在实施高危妊娠并发症家庭远程监护过程中具有丰富经验的妇女。采用了有目的的抽样策略和数据饱和,然后进行逐字记录。结果15 位信息提供者参与了研究,并提出了四大主题。研究显示,进行远程监控总体上是一种积极的体验,被认为是一种 "赋权而又具有挑战性的责任 "以及一种 "病人与医生之间的扩展合作关系"。对于远程监护在日常生活中的影响;"远程舒适感与矛盾感",以及可能伴随着恼人的实际问题;"伴随着远程问题",既有优点也有缺点。人们对远程监护在日常生活中的影响和矛盾性提出了利弊意见,并认为远程监护可能伴随着恼人的实际问题。患者对远程监护的看法和体验是重要的临床知识,在制定远程监护计划时必须加以考虑,最好是在共同决策过程中加以考虑。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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