Jensen Charlotte M, Overgaard Soren, Wiil Uffe Kock, Clemensen Jane
Department of Clinical Research, University of Southern Denmark, Odense, Denmark.
Department of Orthopaedic Surgery and Traumatology, Odense University Hospital, Denmark.
SAGE Open Nurs. 2019 Feb 21;5:2377960819825752. doi: 10.1177/2377960819825752. eCollection 2019 Jan-Dec.
Telemedicine or tele-health is increasingly used to help meet challenges in health care linked to demographic changes and an aging population. This study aimed to investigate whether a tele-health solution, an "app" presented on a tablet, can assist patients in their recovery following a hip fracture and accommodate individual learning and health literacy needs to support them in self-care and empowerment. Twenty patients with a hip fracture were informed and educated using an app during hospital admission and for 3 to 4 weeks after discharge. A qualitative approach employed field observation and individual interviews with patients and their relatives. Data were analyzed using qualitative content analysis. Patients found that the app supported their ability to perform self-care and their desire for autonomy. They would not have downloaded the app by themselves but found the use of the app presented on a tablet very supportive in their everyday life while rehabilitating after a hip fracture. Findings indicate that health-care professionals can support information and education for patients with a hip fracture using an app that accommodates different learning styles. This demonstrates that apps used for the dissemination of health knowledge can be used by elderly hip fracture patients even if they are not used to technology.
远程医疗或远程健康越来越多地被用于应对与人口结构变化和人口老龄化相关的医疗保健挑战。本研究旨在调查一种远程健康解决方案，即平板电脑上呈现的一款“应用程序”，是否能够帮助髋部骨折患者康复，并满足他们的个性化学习和健康素养需求，以支持他们进行自我护理并增强自主能力。20名髋部骨折患者在住院期间以及出院后3至4周使用一款应用程序接受信息和教育。采用定性研究方法，对患者及其亲属进行实地观察和个人访谈。使用定性内容分析法对数据进行分析。患者发现该应用程序有助于他们进行自我护理，并满足了他们对自主的渴望。他们自己不会下载该应用程序，但发现在髋部骨折康复期间，平板电脑上呈现的这款应用程序在日常生活中对他们非常有帮助。研究结果表明，医疗保健专业人员可以使用一款适应不同学习方式的应用程序，为髋部骨折患者提供信息和教育。这表明，即使老年髋部骨折患者不习惯使用技术，用于传播健康知识的应用程序也可供他们使用。
