Martin Elisabeth Moy, Coyle Mary Kathleen
Defense and Veterans Brain Injury Center, Henry M Jackson Foundation, Washington, DC, USA.
Rehabil Nurs. 2006 Mar-Apr;31(2):54-7, 62. doi: 10.1002/j.2048-7940.2006.tb00125.x.
Access to care, client vulnerabilities, technology, and health costs affect not only the delivery of health care but also the roles, responsibilities, and opportunities for nurses. Patients are often managed in the home or discharged from hospitals before they or their families are ready. To address some of these needs, nurses are utilizing telehealth opportunities. For many nurses, telehealth translates to telephonic nursing. This article provides an algorithm that nurses can utilize in order to safely monitor patients in their homes. This can be a cost-effective program, particularly for those who are homebound or for persons, such as the elderly or those with chronic illness, who have long-term needs that vary between relative health and acute illness. This algorithm serves as a guide in our nursing practice for the telephonic supervision of patients in the home environment.
获得医疗服务、患者的脆弱性、技术和医疗成本不仅影响医疗服务的提供，也影响护士的角色、职责和机会。患者常常在家中接受护理或在他们自己或其家人还未做好准备时就已出院。为满足其中一些需求，护士正在利用远程医疗机会。对许多护士而言，远程医疗意味着电话护理。本文提供了一种算法，护士可利用该算法在家中安全地监测患者。这可以是一个具有成本效益的方案，尤其适用于那些居家不出的人或有长期需求（在相对健康和急性疾病之间波动）的人群，如老年人或慢性病患者。该算法作为我们护理实践中对居家患者进行电话监督的指南。
