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老年糖尿病患者使用家庭远程医疗技术的经验

Experience of Home Telehealth Technology in Older Patients With Diabetes.

作者信息

Chang Chi-Ping, Lee Ting-Ting, Mills Mary Etta

机构信息

Author Affiliations: Department of Nursing, Tzu Chi University of Science and Technology (Dr Chang), Hualien; School of Nursing, National Yang-Ming University (Dr Lee), Taipei, Taiwan; and School of Nursing, University of Maryland (Dr Mills), Baltimore.

出版信息

Comput Inform Nurs. 2017 Oct;35(10):530-537. doi: 10.1097/CIN.0000000000000341.

Abstract

The incidence of diabetes, a common chronic disease among older adults, is increasing annually. The lack of blood glucose regulation can result in severe diabetes-related complications and substantial healthcare costs, making self-care programs specific to this population especially important. Combined with reduced numbers of healthcare professionals, the integration of healthcare and information technology and the older adults' adoption of telehealth services have become increasingly important. This study used a qualitative method to interview 18 older study participants who used a telehealth service. Subject perceptions and suggestions regarding using such a service for diabetes management were investigated. Content analysis was used to examine the interview data and determine the older patients' acceptance and perceived benefits of telehealth service. Four main themes emerged: (1) initial trial encouragement from the doctors, nurses, and financial incentives; (2) enhanced self-management capability through continuous device use for better outcomes; (3) ambivalent feelings regarding dependence on others for problem solving; and (4) consideration for continual technology use for an uncertain future. These results serve as a reference for promoting, assessing, and verifying telehealth models for older patients with diabetes.

摘要

糖尿病是老年人中常见的慢性疾病,其发病率逐年上升。血糖调节功能的缺失会导致严重的糖尿病相关并发症,并产生高昂的医疗费用,因此针对这一人群的自我护理计划尤为重要。随着医疗专业人员数量的减少,医疗保健与信息技术的整合以及老年人对远程医疗服务的采用变得越来越重要。本研究采用定性方法,对18名使用远程医疗服务的老年研究参与者进行了访谈。调查了受试者对使用此类服务进行糖尿病管理的看法和建议。采用内容分析法对访谈数据进行分析,以确定老年患者对远程医疗服务的接受程度和感知到的益处。出现了四个主要主题:(1)医生、护士的初步试用鼓励和经济激励;(2)通过持续使用设备提高自我管理能力以获得更好的效果;(3)对于在解决问题时依赖他人的矛盾情绪;(4)对在不确定的未来持续使用技术的考虑。这些结果为推广、评估和验证针对老年糖尿病患者的远程医疗模式提供了参考。

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