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COVID-19 隔离期间住院和机构内体弱老年人的通信技术偏好:横断面调查研究。

Communication Technology Preferences of Hospitalized and Institutionalized Frail Older Adults During COVID-19 Confinement: Cross-Sectional Survey Study.

机构信息

Department of Geriatric Medicine and Memory Clinic, University Hospital of Angers, Angers, France.

Laboratoire de Psychologie des Pays de la Loire (LPPL - EA 4638), SFR Confluences, Université Nantes-Angers-Le Mans, Nantes, France.

出版信息

JMIR Mhealth Uhealth. 2020 Sep 18;8(9):e21845. doi: 10.2196/21845.

DOI:10.2196/21845
PMID:32896832
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7518882/
Abstract

BACKGROUND

Technological communication methods such as telephone calls and video calls can help prevent social isolation and loneliness in frail older adults during confinement.

OBJECTIVE

Our objectives were to determine which virtual communication method (ie, telephone call or video call) was preferred by confined older hospital patients and nursing home residents and the variables influencing this preference.

METHODS

The TOVID (Telephony Or Videophony for Isolated elDerly) study was a cross-sectional study that was designed to examine the preference between telephone calls and video calls among frail older adults who were either hospitalized in a geriatric acute care unit or institutionalized in a long-term care and nursing home during the COVID-19 confinement period.

RESULTS

A total of 132 older people were surveyed between March 25 and May 11, 2020 (mean age 88.2 years, SD 6.2); 79 (59.8%) were women. Patients hospitalized in the geriatric acute care unit were more able to establish communication independently than residents institutionalized in the long-term care and nursing home (P=.03) and were more satisfied with their communication experiences (P=.02). Overall, older people tended to favor telephone calls (73/132, 55.3%) over video calls (59/132, 44.7%); however, their satisfaction degree was similar regardless of the chosen method (P=.1), with no effect of age (P=.97) or gender (P=.2). In the geriatric acute care unit, the satisfaction degrees were similar for telephone calls (40/41, 98%) and video calls (33/38, 87%) in older patients (P=.10). Conversely, in the long-term care and nursing home, residents were more satisfied with the use of video calls to communicate with their relatives (14/15, 93%) versus the use of telephone calls (6/12, 50%; P=.02).

CONCLUSIONS

Older people confined to health care settings were able to complete telephone calls more independently than video calls, and they tended to use telephone calls more often than video calls. The satisfaction degrees were similar with both modalities and even greater with video calls among long-term care and nursing home residents when they were given assistance to establish communication.

TRIAL REGISTRATION

ClinicalTrials.gov NCT04333849: https://www.clinicaltrials.gov/ct2/show/NCT04333849.

摘要

背景

电话和视频通话等技术交流方式可以帮助脆弱的老年人在隔离期间预防社交孤立和孤独。

目的

我们的目的是确定哪种虚拟交流方式(即电话或视频通话)更受被隔离的老年住院患者和养老院居民的欢迎,并确定影响这种偏好的变量。

方法

TOVID(用于隔离老年人的电话或视频)研究是一项横断面研究,旨在研究在 COVID-19 隔离期间,住在老年急性护理病房的体弱老年人和住在长期护理和养老院的居民更喜欢电话还是视频通话。

结果

共有 132 名老年人于 2020 年 3 月 25 日至 5 月 11 日接受调查(平均年龄 88.2 岁,SD 6.2);79 名(59.8%)为女性。与住在长期护理和养老院的居民相比,住在老年急性护理病房的患者能够更独立地进行沟通(P=.03),并且对他们的沟通体验更满意(P=.02)。总体而言,老年人更倾向于选择电话通话(73/132,55.3%)而不是视频通话(59/132,44.7%);然而,无论选择哪种方式,他们的满意度都相似(P=.1),年龄(P=.97)或性别(P=.2)没有影响。在老年急性护理病房中,对电话通话(40/41,98%)和视频通话(33/38,87%)的满意度相似(P=.10)。相反,在长期护理和养老院中,与使用电话通话相比,居民更满意使用视频通话与亲人交流(14/15,93%)(P=.02)。

结论

被限制在医疗保健环境中的老年人能够更独立地完成电话通话,而不是视频通话,并且他们更倾向于经常使用电话通话而不是视频通话。两种方式的满意度相似,在长期护理和养老院居民获得帮助建立联系时,视频通话的满意度甚至更高。

临床试验注册

ClinicalTrials.gov NCT04333849:https://www.clinicaltrials.gov/ct2/show/NCT04333849。

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