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卫生工作者对长期护理机构中神经精神症状的远程医疗管理的看法:两年随访。

Health workers perception on telemedicine in management of neuropsychiatric symptoms in long-term care facilities: Two years follow-up.

机构信息

Gérontopôle, CHU Toulouse, F-31400 Toulouse, France; UMR 1027, INSERM, F-31400 Toulouse, France.

Université des Sciences Sociales-Toulouse 1, Manufacture des Tabacs 2, rue du Doyen Gabriel Marty, 31042 Toulouse, France.

出版信息

Geriatr Nurs. 2020 Nov-Dec;41(6):1000-1005. doi: 10.1016/j.gerinurse.2020.07.009. Epub 2020 Aug 6.

Abstract

The management of neuropsychiatric symptoms is a challenge in long-term care facilities. Our objective was to assess the perception of telemedicine, as a useful tool to connect staff to specialized units. In this multicenter prospective study, 90 patients from ten facilities benefited from 180 sessions over two years. The primary outcome was the perception of telemedicine evaluated through semi-structured interviews at baseline and two years later. Our results revealed positive perceptions of telemedicine, confirmed after two years of real-life experience with its use. Not only do staff members believe that telemedicine is not a downgraded version of medicine, but they also believe that it could improve the quality of care. They expressed a very positive sense of recognition of their professional qualifications and indicated their need to be involved in change processes to ensure successful implementation and better adherence to telemedicine as a service.

摘要

神经精神症状的管理是长期护理机构面临的一项挑战。我们的目的是评估远程医疗的认知,作为将工作人员与专业单位联系起来的有用工具。在这项多中心前瞻性研究中,来自十个设施的 90 名患者在两年内接受了 180 次治疗。主要结果是通过基线和两年后的半结构化访谈评估对远程医疗的认知。我们的结果显示,经过两年的实际使用经验,对远程医疗的认知是积极的。工作人员不仅认为远程医疗不是医学的降级版本,而且还认为它可以提高护理质量。他们非常积极地认可自己的专业资格,并表示需要参与变革过程,以确保远程医疗服务的成功实施和更好的依从性。

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