COVID-19大流行期间神经肌肉门诊远程医疗经验

Q3 Medicine
Mehdi Ghasemi, Kristy Poulliot, Kate M Daniello, Brian Silver
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引用次数: 1

摘要

目的:本研究的目的是评估远程医疗在COVID-19大流行期间护理神经肌肉患者的可行性和可接受性。方法:在大流行期间完成电视访问的神经肌肉患者或其护理人员以及卫生保健提供者(HCPs)接受在线调查,评估对访问的满意度、护理质量和对电视干扰的体验。结果:完成了对46例神经肌肉患者(包括18例运动神经元疾病[MND])/护理人员和7名HCPs的调查。电视的几个方面,包括良好的沟通、讨论关切的充足时间、提供平等护理和远程医疗干扰,在参与者中得到了好评。30例(65.22%)神经肌肉患者/护理人员对远程医疗非常满意,15例(32.61%)神经肌肉患者/护理人员对远程医疗感到满意。在18例MND患者中,分别为10例(55.56%)和7例(38.89%)。此外,24名(52.17%)神经肌肉患者/护理人员表示强烈同意,18名(39.13%)表示同意再次参加电视节目。MND分别为10例(55.56%)和4例(33.33%)。在电视访问期间,讨论了各种医疗问题,包括药物管理、订购测试/转诊、讨论护理目标和研究。预测的逐步逻辑模型发现,对于神经肌肉患者来说,年龄越小,对电视的满意度或再次参与程度越高,这是一个预测因素。肢体起病位置也是MND患者电视满意度的预测因素。结论:在2019冠状病毒病大流行期间,远程医疗在实现个性化护理方面是可行且高效的,大多数神经肌肉患者/护理人员和医务人员对其进行了满意的评价。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Experience with telemedicine in neuromuscular clinic during COVID-19 pandemic.

Experience with telemedicine in neuromuscular clinic during COVID-19 pandemic.

Experience with telemedicine in neuromuscular clinic during COVID-19 pandemic.

Objectives: The aim of the present study was to evaluate the feasibility and acceptability of telehealth for the care of neuromuscular patients during the COVID-19 pandemic.

Methods: Neuromuscular patients or their caregivers, as well as health care providers (HCPs), who completed a televisit during the pandemic received an online survey, assessing satisfaction with the visit, quality of care, and experience with the televisit interference.

Results: Surveys from 46 neuromuscular patients (including 18 with motor neuron disease [MND])/caregivers and 7 HCPs were completed. Several aspects of televisits including good communication, adequate time to discuss concern, provision of equal care, and telemedicine interference were rated favorably among participants. Telehealth was strongly satisfactory in 30 (65.22%) and satisfactory in 15 (32.61%) neuromuscular patients/caregivers. In 18 MND patients, this was 10 (55.56%) and 7 (38.89%), respectively. Moreover, 24 (52.17%) neuromuscular patients/caregivers would strongly agree and 18 (39.13%) would agree to participate again in televisits. This was 10 (55.56%) and 4 (33.33%) for MND cases, respectively. Various medical issues were addressed during the televisits including medication management, ordering tests/referrals, discussion of goals of care, and research. The predictive stepwise logistic model found younger age as a predicting factor for higher satisfaction from, or participation again in, televisits in neuromuscular patients. Limb onset location was also a predicting factor for strong satisfaction from televisits in MND cases.

Conclusions: Telemedicine is feasible and highly effective at achieving personalized care that was rated satisfactory by the majority of neuromuscular patients/caregivers and HCPs during the COVID-19 pandemic.

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来源期刊
Acta Myologica
Acta Myologica Medicine-Cardiology and Cardiovascular Medicine
CiteScore
3.70
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0.00%
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