de Souza-Junior Valtuir Duarte, Mendes Isabel Amélia Costa, Mazzo Alessandra, de Godoy Simone, Dos Santos Cristiano Alves
Author Affiliation: College of Nursing/WHO Collaborating Centre for Nursing Research, University of Sao Paulo, Ribeirao Preto, Brazil.
Comput Inform Nurs. 2017 Dec;35(12):653-660. doi: 10.1097/CIN.0000000000000370.
Telenursing is a promising strategy to make nursing care feasible in different health situations, mainly to help patients with chronic illnesses. The aim in this study was to test the feasibility (acceptability and usability) of a telenursing intervention in care delivery to patients using clean intermittent urinary catheterization. This descriptive study focused on an intervention involving urology outpatients. The telenursing intervention was implemented synchronously by audio calls and chat and asynchronously by e-mail as part of a pilot study. The contact between nurse and patient was undertaken through an active search or on spontaneous demand, in which the patient contacted the nurse when necessary. During the 5 weeks of study, 21 telenursing care sessions took place, including 13 (61.9%) on spontaneous demand and eight (38.1%) on active demand. With regard to the technological resource used, 13 telenursing sessions (61.9%) took place by telephone call and eight (30.1%) by e-mail. The pilot study demonstrated the potential of the telenursing intervention to achieve important results, and as a complement to the patients' traditional health treatment. In addition, it revealed various barriers that need to be overcome for this type of care to take place effectively.
远程护理是一种很有前景的策略，可使护理服务在不同健康状况下切实可行，主要用于帮助慢性病患者。本研究的目的是测试远程护理干预在为使用清洁间歇性导尿术的患者提供护理服务中的可行性（可接受性和可用性）。这项描述性研究聚焦于一项涉及泌尿外科门诊患者的干预措施。作为一项试点研究的一部分，远程护理干预通过语音通话和聊天进行同步实施，并通过电子邮件进行异步实施。护士与患者之间的联系通过主动搜索或患者自发需求来进行，即患者在必要时联系护士。在为期5周的研究期间，共进行了21次远程护理服务，其中13次（61.9%）是基于患者自发需求，8次（38.1%）是基于主动搜索。关于所使用的技术资源，13次远程护理服务（61.9%）通过电话进行，8次（30.1%）通过电子邮件进行。该试点研究证明了远程护理干预取得重要成果的潜力，以及作为患者传统健康治疗补充的作用。此外，它还揭示了此类护理服务有效开展需要克服的各种障碍。
