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探索使用虚拟护理的老年脑卒中患者的决定因素和体验。

Exploring the Determinants and Experiences of Senior Stroke Patients with Virtual Care.

机构信息

Division of Neurology, Department of Medicine, Kingston Health Sciences Centre, Kingston, ON, Canada.

Patient Family Advisory Council, Kingston Health Sciences Centre, Kingston, ON, Canada.

出版信息

Can J Neurol Sci. 2021 Jan;48(1):87-93. doi: 10.1017/cjn.2020.162. Epub 2020 Jul 27.

Abstract

OBJECTIVE

The study sought to explore the experiences of participants affected by stroke with home video visit (HVV) for follow-up visits in order to understand the determinants, barriers, and benefits associated with HVVs.

METHODS

Semi-structured interviews were conducted with (n = 23) participants to gather insight and descriptive information about patients' experiences with HVV. Specifically, we sought to collect descriptions about the (1) costs and time associated with in-person visits, (2) facilitators and barriers to in-person and virtual visits, and (3) their values attached to traditional and virtual forms of patient care.

RESULTS

HVVs were perceived to be a mode of healthcare that is time-saving and convenient for both participants and physicians. However, our study also found some participants felt uncomfortable using technology to conduct medical visits while others still supported a positive view of traditional forms of in-person visits because they valued the in-person interactions and safe environment of the hospital.

CONCLUSION

While HVVs were considered to be useful in addressing geographical barriers to health care, technological and digital health literacy may serve to impede seniors from using the service, with some of them opting to go to the hospital despite geographical barriers. Resultantly, HVVs may serve both to alleviate and exacerbate certain determinants to health care.

摘要

目的

本研究旨在探讨受卒中影响的参与者对家庭视频访视(HVV)进行随访的体验,以了解与 HVV 相关的决定因素、障碍和益处。

方法

对(n=23)名参与者进行半结构化访谈,以收集有关患者 HVV 体验的深入见解和描述性信息。具体而言,我们试图收集以下方面的描述:(1)面对面访视相关的成本和时间;(2)面对面和虚拟访视的促进因素和障碍;(3)他们对传统和虚拟形式的患者护理的重视。

结果

HVV 被认为是一种既节省时间又方便参与者和医生的医疗保健模式。然而,我们的研究还发现,一些参与者使用技术进行医疗访问感到不舒服,而另一些参与者仍然支持传统形式的面对面访视的积极观点,因为他们重视面对面的互动和医院的安全环境。

结论

虽然 HVV 被认为在解决医疗保健的地理障碍方面很有用,但技术和数字健康素养可能会阻碍老年人使用该服务,尽管存在地理障碍,他们中的一些人仍选择去医院。因此,HVV 既可以减轻也可以加剧某些医疗保健的决定因素。

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