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COVID-19 大流行期间慢性伤口护理的改良远程医疗:替代护理方式的快速文献回顾。

Modified telehealth for care of chronic wounds during the Coronavirus disease 2019 pandemic: A rapid literature review of alternative care modalities.

机构信息

Chronic Wound Service/Wound CNC team, The Royal Melbourne Hospital, Melbourne, Victoria, Australia.

出版信息

Int Wound J. 2020 Dec;17(6):1960-1967. doi: 10.1111/iwj.13488. Epub 2020 Sep 9.

Abstract

Due to the changes in delivering medical care during the Coronavirus disease 2019 (COVID-19) pandemic, such as the heavy reliance on telehealth, it is worth exploring if this is suitable when treating complex wounds. A literature rapid review was performed to explore the existing evidence around alternative service delivery modalities. While there are organisations that have successful telehealth systems and infrastructure, for services that do not already widely use telehealth it is difficult to implement a standardised system in the current state of emergency. The evidence reviewed demonstrates that telehealth appears to currently have a limited place in chronic wound management; therefore, standardisation on determining suitability in conjunction with evaluation of telehealth during this period is needed to shape implementation of telehealth systems in the future.

摘要

由于 2019 年冠状病毒病(COVID-19)大流行期间医疗服务方式的改变,如过度依赖远程医疗,因此值得探讨在治疗复杂伤口时这种方式是否合适。进行了文献快速回顾,以探讨替代服务提供模式的现有证据。虽然有些组织已经拥有成功的远程医疗系统和基础设施,但对于那些尚未广泛使用远程医疗的服务来说,在当前紧急状态下很难实施标准化系统。回顾的证据表明,远程医疗目前在慢性伤口管理中的应用似乎有限;因此,需要在这一时期对远程医疗的适用性进行标准化确定和评估,以塑造未来远程医疗系统的实施。

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本文引用的文献

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The Utility of Smartphone Applications and Technology in Wound Healing.智能手机应用程序和技术在伤口愈合中的效用。
Int J Low Extrem Wounds. 2019 Sep;18(3):228-235. doi: 10.1177/1534734619853916. Epub 2019 Jun 14.
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4
COSTS OF HOME-BASED TELEMEDICINE PROGRAMS: A SYSTEMATIC REVIEW.基于家庭的远程医疗项目成本:系统评价。
Int J Technol Assess Health Care. 2018 Jan;34(4):410-418. doi: 10.1017/S0266462318000454. Epub 2018 Jul 30.
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eHealth in Wound Care: from conception to implementation.伤口护理中的电子健康:从概念到实施。
J Wound Care. 2015 May 1;24(Sup5):S1-S44. doi: 10.12968/jowc.2015.24.Sup5.S1.
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Psychological factors and delayed healing in chronic wounds.心理因素与慢性伤口的愈合延迟
Psychosom Med. 2001 Mar-Apr;63(2):216-20. doi: 10.1097/00006842-200103000-00004.

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