Bernocchi P, Comini L, Rocchi S, Bruletti G, Scalvini S
Servizio Autonomo di Telemedicina, IRCCS Fondazione Salvatore Maugeri, Lumezzane, BS, Italy.
G Ital Med Lav Ergon. 2008 Jul-Sep;30(3 Suppl B):B27-31.
During the last few years about the chronic patient assistance the tendency is to privilege the home care model, favouring the permanence of the patient in the familiar nucleus. This determines an always greater involvement in term of time and responsibility of the caregiver that is of the person who takes cure of the patient one worrying itself to answer to its physical needs, psychical and social. The burden of the family caregiver is in the consisting majority of the cases rather. The caregiver is therefore, with full rights, the other protagonist of the disease and it must be necessarily integrated in the assistance plan. The increase of the age associated to an increase of the prevalence of chronic pathologies, determines the necessity to plan new interventions on the territory. In chronic patients alternative assistance models, using telemedicine, seem to be effectives improving both clinical aspects and quality of the life. A new area of interest is delineated therefore that, through the new technologies of the ICT must define been involved the single roles of the operating ones in the participation program. The telemedicine seems to be a useful instrument in order to support patient and caregiver in facing the disease and reducing stress. In our model of domiciliary telesurveillance the patient, the caregiver, the family and all the sanitary figures are been involved. This model integrating the service dedicated to chronic pathology with telepsychology at home seems to give good result even if ulterior studies, above all in the long term, are need.
在过去几年中,关于慢性病患者援助,趋势是优先采用家庭护理模式,支持患者留在熟悉的环境中。这使得护理人员在时间和责任方面的参与度越来越高,护理人员即照顾患者、操心满足其身体、心理和社会需求的人。在大多数情况下,家庭护理人员的负担相当重。因此,护理人员完全有理由成为疾病的另一个主角,并且必须将其纳入援助计划。随着年龄增长以及慢性病患病率上升,有必要在当地规划新的干预措施。对于慢性病患者,使用远程医疗的替代援助模式似乎在改善临床状况和生活质量方面都很有效。因此,一个新的关注领域被勾勒出来,即必须通过信息通信技术的新技术来明确参与项目中各操作人员的单一角色。远程医疗似乎是一种有用的工具,可用于支持患者和护理人员应对疾病并减轻压力。在我们的家庭远程监测模式中,患者、护理人员、家人以及所有医疗人员都参与其中。这种将针对慢性病的服务与家庭远程心理学相结合的模式似乎产生了良好效果,不过还需要进一步研究,尤其是长期研究。