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新生儿重症监护病房中的远程医疗

Telemedicine in the neonatal intensive care unit.

作者信息

Phillips M

机构信息

Neonatal Intensive Care Unit, Beth Israel Deaconess Medical Center, Boston, MA, USA.

出版信息

Pediatr Nurs. 1999 Mar-Apr;25(2):185-6, 189.

PMID:10532014
Abstract

A program of telemedicine has been developed in the NICU at the Beth Israel Deaconess Medical Center (BIDMC), in Boston, Massachusetts. The telemedicine project, "Baby Care Link," allows families to have increased access to their infant, care team, and educational information during hospitalization and following discharge. The goal of this multidisciplinary project is to provide an approach to managing the care of the very low birth weight (VLBW) infant. Workstations in the families' homes provide education, care schedules, remote sensor links to clinical providers, and videoconferencing. The linkage of home, clinician, and community centers will allow for the episodic needs of high-risk infants while continuously monitoring progress and managing treatments systematically in the home rather than the NICU setting. It is believed that the use of this emerging technology might lead to shorter hospital stays as well as increased parental understanding and comfort, overall parental satisfaction with care, improvement in health status, improvement in clinician satisfaction, and lastly, a reduction in hospital associated costs.

摘要

马萨诸塞州波士顿市贝斯以色列女执事医疗中心(BIDMC)的新生儿重症监护病房(NICU)已开展了一项远程医疗项目。这个名为“婴儿护理连接”的远程医疗项目,能让家庭在婴儿住院期间及出院后,有更多机会接触到自己的婴儿、护理团队以及教育信息。这个多学科项目的目标是提供一种管理极低出生体重(VLBW)婴儿护理的方法。家庭中的工作站提供教育内容、护理时间表、与临床医护人员的远程传感器连接以及视频会议功能。家庭、临床医生和社区中心之间的联系,将满足高危婴儿的阶段性需求,同时在家中而非新生儿重症监护病房环境下持续监测进展并系统管理治疗。人们认为,使用这项新兴技术可能会缩短住院时间,增强父母的理解与舒适度,提高父母对护理的总体满意度,改善健康状况,提升临床医生的满意度,最后还能降低医院相关成本。

相似文献

1
Telemedicine in the neonatal intensive care unit.新生儿重症监护病房中的远程医疗
Pediatr Nurs. 1999 Mar-Apr;25(2):185-6, 189.
2
Telematics in the neonatal ICU and beyond: improving care, communication and information sharing.新生儿重症监护病房及其他领域的远程医疗:改善护理、沟通与信息共享
Stud Health Technol Inform. 1998;52 Pt 1:294-7.
3
Baby CareLink: using the internet and telemedicine to improve care for high-risk infants.婴儿护理连接:利用互联网和远程医疗改善对高危婴儿的护理。
Pediatrics. 2000 Dec;106(6):1318-24. doi: 10.1542/peds.106.6.1318.
4
Experience with videoconferencing between a neonatal unit and the families' home from the perspective of certified paediatric nurses.从认证儿科护士的角度来看新生儿病房与家庭之间的视频会议体验。
J Telemed Telecare. 2009;15(6):275-80. doi: 10.1258/jtt.2009.090112.
5
Development and dissemination of potentially better practices for the provision of family-centered care in neonatology: the family-centered care map.新生儿科以家庭为中心护理的潜在更佳实践方法的开发与传播:以家庭为中心护理图谱
Pediatrics. 2006 Nov;118 Suppl 2:S95-107. doi: 10.1542/peds.2006-0913F.
6
Neonatal integrated home care: nursing without walls.新生儿综合居家护理:无围墙护理。
Neonatal Netw. 1997 Oct;16(7):33-8.
7
Challenges of implementation of a web-camera system in the neonatal intensive care unit.在新生儿重症监护病房实施网络摄像头系统的挑战。
Neonatal Netw. 2012 Jul-Aug;31(4):223-8.
8
Assessment of family needs in neonatal intensive care units.新生儿重症监护病房家庭需求评估。
Am J Crit Care. 2010 Mar;19(2):156-63. doi: 10.4037/ajcc2010130.
9
Barriers to provision of developmental care in the neonatal intensive care unit: neonatal nursing perceptions.新生儿重症监护病房提供发育护理的障碍:新生儿护理人员的看法。
Am J Perinatol. 2007 Feb;24(2):71-7. doi: 10.1055/s-2006-958156. Epub 2007 Jan 29.
10
Psychiatry in the neonatal intensive care unit.
Clin Perinatol. 1980 Mar;7(1):33-46.

引用本文的文献

1
Barriers to, and facilitators of, eHealth utilisation by parents of high-risk newborn infants in the NICU: a scoping review protocol.高危新生儿父母在新生儿重症监护病房中使用电子健康的障碍和促进因素:系统评价方案。
BMJ Open. 2023 May 18;13(5):e068759. doi: 10.1136/bmjopen-2022-068759.
2
Interactive telemedicine: effects on professional practice and health care outcomes.交互式远程医疗:对专业实践和医疗保健结果的影响。
Cochrane Database Syst Rev. 2015 Sep 7;2015(9):CD002098. doi: 10.1002/14651858.CD002098.pub2.
3
Health information technology to facilitate communication involving health care providers, caregivers, and pediatric patients: a scoping review.
促进医疗保健提供者、护理人员和儿科患者之间沟通的健康信息技术:一项范围综述。
J Med Internet Res. 2010 Jun 18;12(2):e22. doi: 10.2196/jmir.1390.