Hishitani Takashi, Kawachi Fumie, Fujimoto Yoshitaka, Sugamoto Kenji, Hoshino Kenji, Ogawa Kiyoshi
Department of Cardiology, Saitama Children's Medical Center, Saitama, Japan.
Pediatr Int. 2014 Aug;56(4):644-6. doi: 10.1111/ped.12393.
Questionnaires were sent to 14 maternity hospital staff members for qualitative assessment at the start of fetal telediagnosis and at the end of the study using a five-point Likert scale: 5, I strongly think so; 4, I think so; 3, I can't decide; 2, I don't think so; 1, I never think so. Ten questionnaires were returned to us (71%). The results showed that the staff reported a significant increase in confidence in performing fetal cardiac screening (score 2.3 at start, 3.4 at study completion; P = 0.034), the rate of score increase rose with the number of telediagnoses (r = 0.72, P < 0.05), feedback from a specialist was very useful (4.4 and 4.9, respectively), and real-time image transmission was preferred over recorded images (score 3.7 vs 2.4, respectively; P = 0.042). The excellent educational effect of telemedicine is useful for staff members to improve their skills while nurturing their motivation, leading to the promotion of fetal cardiac screening in regional areas.
在胎儿远程诊断开始时和研究结束时，向14名妇产医院工作人员发放问卷进行定性评估，采用五点李克特量表：5表示“我强烈认同”；4表示“我认同”；3表示“我无法决定”；2表示“我不认同”；1表示“我从不认同”。共收回10份问卷（回收率71%）。结果显示，工作人员表示进行胎儿心脏筛查的信心显著增强（开始时得分为2.3，研究结束时为3.4；P = 0.034），得分增幅随远程诊断次数增加而上升（r = 0.72，P < 0.05），专家反馈非常有用（分别为4.4和4.9），且相比于录制图像，工作人员更倾向于实时图像传输（得分分别为3.7和2.4；P = 0.042）。远程医疗卓越的教育效果有助于工作人员提升技能并激发积极性，从而推动区域内胎儿心脏筛查工作的开展。
