Shahrokhi Akram, Azimian Jalil, Amouzegar Atousa, Oveisi Sonia
Department of Critical Care Nursing (Mr Shahrokhi), Nursing & Midwifery Faculty (Dr Azimian), Critical Care Nursing Department, Nursing & Midwifery School (Ms Amouzegar), and School of Nursing and Midwifery (Dr Oveisi), Qazvin University of Medical Sciences, Qazvin, Iran.
J Trauma Nurs. 2018 Jan/Feb;25(1):21-25. doi: 10.1097/JTN.0000000000000338.
Telenursing is a suitable tool for increasing health-related awareness of the caregivers for a better home care. But its efficacy may be affected by several factors. Considering the important complications of head trauma injury and high rate of readmission, we aimed to assess the effect of telenursing on care provided by the family members of patients with head trauma.This randomized controlled trial investigated 72 patients with head trauma, who were randomly allocated to intervention and control groups (36 patients in each group). The caregivers in both groups were provided with 1-hr face-to-face training session on patients' home care and educational booklets. The patients in the intervention group were followed up every week through phone calls by the telenurse for 12 weeks, who recorded the patient's status, as well. Caregivers in the intervention group could call the telenurse any time they desired. The health status of the control group was followed once by a phone call after 12 weeks. Data on patients' readmission and pressure ulcer (based on Norton's scale) rate and time were compared between the groups and analyzed using SPSS software, version 19. Thirty-three patients with a mean ± SD age of 31.12 ± 10.83 years were studied in the control group and 35 patients with a mean ± SD age of 34.11 ± 12.34 years in the intervention group (p = .098). None of the patients in the intervention group were readmitted, whereas 2 patients in the control group were readmitted s(p = .139). Risk of pressure ulcer did not differ between the groups (p = .583). Telenursing had no significant effect in readmission and decubitus prevention for patients with head trauma. Considering the chronic nature of the illness, a longer follow-up period is deemed necessary for an accurate conclusion.
远程护理是提高护理人员健康相关意识以实现更好家庭护理的合适工具。但其效果可能受到多种因素影响。考虑到头部创伤的重要并发症和再入院率较高，我们旨在评估远程护理对头部创伤患者家属所提供护理的影响。这项随机对照试验研究了72例头部创伤患者，他们被随机分为干预组和对照组（每组36例患者）。两组的护理人员都接受了1小时关于患者家庭护理的面对面培训课程和教育手册。干预组的患者每周由远程护士通过电话随访12周，远程护士也记录患者的状况。干预组的护理人员可随时拨打远程护士的电话。对照组的健康状况在12周后通过一次电话进行随访。比较两组患者再入院、压疮（基于诺顿量表）发生率及发生时间的数据，并使用SPSS 19版软件进行分析。对照组研究了33例患者，平均年龄±标准差为31.12±10.83岁，干预组研究了35例患者，平均年龄±标准差为34.11±12.34岁（p = 0.098）。干预组无患者再入院，而对照组有2例患者再入院（p = 0.139）。两组间压疮风险无差异（p = 0.583）。远程护理对头部创伤患者的再入院和压疮预防没有显著效果。考虑到疾病的慢性性质，为得出准确结论需要更长的随访期。
