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在新冠疫情期间使用远程医疗视频会诊护理血管疾病患者的初步研究

Pilot Study Using Telemedicine Video Consultation for Vascular Patients' Care During the COVID-19 Period.

作者信息

Li Hai-Lei, Chan Yiu Che, Huang Jian-Xiong, Cheng Stephen W

机构信息

Division of Vascular Surgery, Department of Surgery, University of Hong Kong- Shenzhen Hospital, Shenzhen, China.

Division of Vascular Surgery, Department of Surgery, University of Hong Kong- Shenzhen Hospital, Shenzhen, China; Division of Vascular & Endovascular Surgery, Department of Surgery, University of Hong Kong Medical Centre, Queen Mary Hospital, Hong Kong, China.

出版信息

Ann Vasc Surg. 2020 Oct;68:76-82. doi: 10.1016/j.avsg.2020.06.023. Epub 2020 Jun 17.

DOI:10.1016/j.avsg.2020.06.023
PMID:32562832
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7836856/
Abstract

BACKGROUND

The aim of this pilot study was to evaluate the effectiveness and patients satisfaction of using telemedicine virtual communications to provide remote health care to vascular patients during the coronavirus disease 2019 (COVID-19) period in China.

METHODS

Video calls using WeChat software (Tencent, Shenzhen, China) between patients and vascular surgeons were conducted in a period when there were restrictions and limitations for people' travels in China. At the end of each video call, a short questionnaire was used to evaluate the patient satisfaction level.

RESULTS

During the COVID-19 period from 19 February to March 16, 2020, a sample of 114 from 165 (69%) patients was reached after one phone call attempt. One hundred forty-two telemedicine remote communications were made between the two vascular surgeons and 114 patients. The mean age of this cohort of patients were 60 ± 15.2 (range 25 to 90) years old, and 74 (65%) were men. Twenty-five patients (22%) were outside of our province when they received the video call. The mean duration of the video call was 11.0 ± 8.9 minutes. All of the patients thought telemedicine was a good substitute for coming to hospital, and 95% (108/114) of them preferred to have remote telemedicine rather than postpone the appointment. All the patients agreed with the advantages of telemedicine including no infection risks, no need to travel, and no need to wait for long time. All the patients were "satisfied" or "highly satisfied" with the video call and they would like to use telemedicine for follow-up in the future.

CONCLUSIONS

Telemedicine virtual communications was effective to provide remote health care with a high patient satisfaction during the COVID-19 period. Telemedicine offers support to vulnerable vascular patients without the need for travel and face-to-face hospital consultation, and so avoided transmission and infection.

摘要

背景

本试点研究的目的是评估在2019年冠状病毒病(COVID-19)期间,利用远程医疗虚拟通信为血管疾病患者提供远程医疗服务的有效性和患者满意度。

方法

在中国实施人员出行限制期间,患者与血管外科医生通过微信软件(腾讯,中国深圳)进行视频通话。每次视频通话结束时,使用简短问卷评估患者满意度。

结果

在2020年2月19日至3月16日的COVID-19期间,经过一次电话联系尝试后,成功联系到了165名患者中的114名(69%)。两位血管外科医生与114名患者进行了142次远程医疗远程通信。该组患者的平均年龄为60±15.2岁(范围25至90岁),男性74名(65%)。25名患者(22%)在接受视频通话时身处本省以外地区。视频通话的平均时长为11.0±8.9分钟。所有患者都认为远程医疗是来医院就诊的良好替代方式,其中95%(108/114)的患者更倾向于进行远程医疗而非推迟预约。所有患者都认同远程医疗的优点,包括无感染风险、无需出行以及无需长时间等待。所有患者对视频通话“满意”或“非常满意”,并且愿意在未来继续使用远程医疗进行随访。

结论

在COVID-19期间,远程医疗虚拟通信能够有效地提供远程医疗服务,患者满意度较高。远程医疗为脆弱的血管疾病患者提供了支持,无需出行和进行面对面的医院会诊,从而避免了传播和感染。