在偏头痛护理中使用电子头痛日记和视频会诊的实践经验,来自一项纵向队列研究。

IF 2.8 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Telemedicine and e-Health Pub Date : 2024-11-01 Epub Date: 2024-07-15 DOI:10.1089/tmj.2024.0105
Britt W H van der Arend, Linde J Holwerda, Iris E Verhagen, Daphne S van Casteren, Thomas Timmers, Gisela M Terwindt
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引用次数: 0

摘要

背景:远程医疗为加强头痛护理的交付和个性化提供了一个前景广阔的解决方案。整合电子(e-)工具可对偏头痛进行客观监测。研究目的本研究旨在证明电子工具与个性化头痛护理的相关性,评估患者和护理人员的依从性和满意度,并介绍其在加强护理方面的应用。研究方法首先,我们对电子日记诊断偏头痛的准确性进行了系统回顾。其次,我们收集了莱顿头痛中心确诊的成年偏头痛患者的电子日记数据。最后,我们发放了调查问卷,以评估患者和医疗服务提供者对莱顿电子头痛日记和视频会诊的满意度。研究结果在系统回顾中,莱顿头痛中心的电子日记是唯一经过验证的工具。患者(n = 1,009)的随访时间中位数为 181 天(四分位数间距 [IQR] 84-240)。依从性为 96.4%(IQR 85.2 - 99.1%),缺失天数为 10.8%。年龄较大(p < 0.001)、女性(p < 0.001)、电子日记等级较高(p < 0.001)和临床使用(p = 0.04)与依从性呈正相关。电子日记的中位得分为 8/10,深受患者(535 人)和医疗服务提供者(23 人)的喜爱。76.9%的患者和 84.6%的医疗服务提供者认为,视频会诊是实际就诊的良好替代方式。结论经过验证的电子头痛日记和远程医疗视频会诊提高了头痛治疗的可及性,在首选的时间和地点提供了便捷的治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Practical Experience with the Use of Electronic Headache Diaries and Video Consultations in Migraine Care from a Longitudinal Cohort Study.

Background: Telemedicine offers a promising solution to enhance the delivery and personalization of headache care. Integrating electronic (e-)tools enables the objective monitoring of migraine. Objectives: This study aims to demonstrate the relevance of e-tools for personalized headache care, assess patient and caregiver compliance and satisfaction, and present their use in enhancing care. Methods: Firstly, a systematic review was performed to validate the diagnostic accuracy of e-diaries for diagnosing migraine. Secondly, we collected e-diary data prospectively from diagnosed adult migraine patients at the Leiden Headache Center. Finally, questionnaires were sent to evaluate satisfaction of patients and health care providers with the Leiden e-headache diary and video consultations. Results: In the systematic review, the Leiden Headache Center's e-diary was the only validated tool. Patients (n = 1,009) were followed for a median of 181 days (interquartile range [IQR] 84-240). Compliance was 96.4% (IQR 85.2 - 99.1%), with 10.8% of days missing. Factors positively associated with compliance were older age (p < 0.001), female sex (p < 0.001), higher e-diary grade (p < 0.001), and clinical use (p = 0.04). The e-diary received a median score of 8/10 and was well-liked by patients (n = 535) and providers (n = 23). Video consultations were a good alternative for physical visits according to 76.9% of patients and 84.6% of providers. Conclusion: Validated e-headache diaries and video consultations in telemedicine enhance headache care accessibility, providing convenient care at preferred times and locations.

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来源期刊
Telemedicine and e-Health
Telemedicine and e-Health 医学-卫生保健
CiteScore
8.80
自引率
6.40%
发文量
270
审稿时长
2.3 months
期刊介绍: Telemedicine and e-Health is the leading peer-reviewed journal for cutting-edge telemedicine applications for achieving optimal patient care and outcomes. It places special emphasis on the impact of telemedicine on the quality, cost effectiveness, and access to healthcare. Telemedicine applications play an increasingly important role in health care. They offer indispensable tools for home healthcare, remote patient monitoring, and disease management, not only for rural health and battlefield care, but also for nursing home, assisted living facilities, and maritime and aviation settings. Telemedicine and e-Health offers timely coverage of the advances in technology that offer practitioners, medical centers, and hospitals new and innovative options for managing patient care, electronic records, and medical billing.
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