Demiris George, Speedie Stuart, Finkelstein Stanley, Harris Ilene
Health Management and Informatics, University of Missouri-Columbia, USA.
J Telemed Telecare. 2003;9(4):210-5. doi: 10.1258/135763303322225535.
Ten patients in a home care study received virtual visits from nurses via analogue video-phones in their homes. They received standard home care services and two virtual visits per week. The visits were video-recorded and then reviewed. The study involved 10 patients and 10 nurses from one urban and three rural home care agencies. Six of the patients had congestive heart failure, three had chronic obstructive pulmonary disease and one required diabetes-related wound care. The average age of the patients was 78 years (SD 12). All but one lived in rural areas. One hundred and twenty-two virtual visits were reviewed for technical quality. Their mean duration was 21 min (range 5-60). The technical quality was given an average rating of 95% (range 57-100%). There were no technical problems in 78 visits (64%); in 10 cases (8%) there was difficulty establishing a connection. A content analysis of 30 of the visits identified 13 themes, such as assessing the patient's clinical status, promotion of compliance with medication and treatment, psychosocial issues, general informal talk and patient education. In general, the technical problems were minor and did not appear to interfere with care.
一项居家护理研究中的10名患者在家中通过模拟视频电话接受护士的虚拟问诊。他们接受标准的居家护理服务，每周进行两次虚拟问诊。问诊过程进行了录像，随后进行审查。该研究涉及来自一家城市和三家农村居家护理机构的10名患者和10名护士。其中6名患者患有充血性心力衰竭，3名患有慢性阻塞性肺疾病，1名需要糖尿病相关伤口护理。患者的平均年龄为78岁（标准差12）。除1人外，其他人都生活在农村地区。对122次虚拟问诊的技术质量进行了审查。其平均时长为21分钟（范围为5 - 60分钟）。技术质量的平均评分为95%（范围为57 - 100%）。78次问诊（64%）没有技术问题；10次问诊（8%）存在连接困难。对30次问诊的内容分析确定了13个主题，如评估患者的临床状况、促进患者遵医嘱用药和治疗、心理社会问题、一般性非正式交谈以及患者教育。总体而言，技术问题较小，似乎并未干扰护理工作。
