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患者对使用远程医疗进行 2 型糖尿病管理的看法:一项现象学研究。

Patients' perception of using telehealth for type 2 diabetes management: a phenomenological study.

机构信息

Department of Primary Care and Public Health, School of Public Health, Imperial College London, London, UK.

Institute for Health Research, University of Bedfordshire, Luton, UK.

出版信息

BMC Health Serv Res. 2018 Jul 13;18(1):549. doi: 10.1186/s12913-018-3353-x.

Abstract

BACKGROUND

There is a growing body of evidence that supports the uses of telehealth to monitor and manage people with diabetes at a distance. Despite this, the uptake of telehealth has been low. The objective of this study is to explore patients' perceptions of using telehealth for type 2 diabetes management.

METHODS

Semi-structured interviews were undertaken with 10 patients from the NHS Newham area in London, UK. Data were collected using recorded semi-structured interviews. The interviews were transcribed verbatim and the analysis was guided by the phenomenological analysis approach.

RESULTS

We identified three main themes for facilitating positive patient experience or acceptance of telehealth and these included: technology consideration, service perceptions and empowerment. All patients asserted that they were pleased with the technology and many also proclaimed that they could not see themselves being without it. Moreover, very few negative views were reported with respect to the use of telehealth.

CONCLUSION

The patients' perceived telehealth as a potential to enhance their quality of life, allow them to live independently at home as well as help them take and be in more control over their own health state. The findings of this study therefore supports the use of telehealth for the routine care of people with type 2 diabetes. However, one must interpret the results with caution due to limitations identified in the sample.

摘要

背景

越来越多的证据支持使用远程医疗来监测和管理糖尿病患者。尽管如此,远程医疗的采用率仍然很低。本研究的目的是探讨患者对使用远程医疗管理 2 型糖尿病的看法。

方法

在英国伦敦纽汉区的 NHS 中,对 10 名患者进行了半结构化访谈。使用记录的半结构化访谈收集数据。访谈逐字转录,分析遵循现象学分析方法。

结果

我们确定了促进积极的患者体验或接受远程医疗的三个主要主题,包括:技术考虑、服务认知和赋权。所有患者都表示对技术感到满意,许多人还宣称他们无法想象没有它的生活。此外,很少有关于使用远程医疗的负面意见。

结论

患者认为远程医疗有可能提高他们的生活质量,使他们能够在家中独立生活,并帮助他们更好地控制自己的健康状况。因此,本研究的结果支持将远程医疗用于 2 型糖尿病的常规护理。然而,由于样本中存在的局限性,必须谨慎解释结果。

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