Assenza Carla, Catania Hilenia, Antenore Clementina, Gobbetti Tiziana, Gentili Paola, Paolucci Stefano, Morelli Daniela
Neurorehabilitation Outpatient Department, Santa Lucia Foundation (Scientific Institute for Research and Health Care), Rome, Italy.
Clinical Laboratory of Experimental Neurorehabilitation, Santa Lucia Foundation (Scientific Institute for Research and Health Care), Rome, Italy.
Front Neurol. 2021 Jan 13;11:617276. doi: 10.3389/fneur.2020.617276. eCollection 2020.
To explore professionals', adult patients', and children's caregivers' perception and satisfaction with telerehabilitation during COVID-19 lockdown. An observational transversal study on a web-based survey was conducted in order to explore participants' perception and satisfaction of telerehabilitation during COVID-19 lockdown. The study was conducted at our Outpatient Neurorehabilitation Service. All rehabilitation professionals, adult patients, and children's caregivers who accepted telerehabilitation were recruited. Participants had to respond to the Client Satisfaction Questionnaire-8 and to a purpose-built questionnaire on their perception and satisfaction of the service provided. Data were analyzed by qualitative statistics and logistic regression models. All 144 caregivers, 25 adult patients, and 50 professionals reported a medium-high level of perception and a high level of satisfaction. Results showed a correlation among caregivers of children aged 0-3 and feeling overwhelmed with remote care (OR = 3.27), a low perception of telerehabilitation for enhancing goals (OR = 6.51), and a high perception of feeling helped in organizing daily activity (OR = 2.96). For caregivers of children aged over 6 years, changes in the therapy plan were related to a low perception of feeling in line with the in-person therapy (OR = 2.61 and OR = 9.61) and a low satisfaction (OR = 5.54 and OR = 4.97). Changes in therapy were related to concern (OR = 4.20). Caregivers under 40 and professionals showed a high probability to perceive telerehabilitation as supportive (OR = 2.27 and OR = 5.68). Level of experience with remote media was shown to influence perception and satisfaction. Telerehabilitation can be a useful practice both during a health emergency and in addition to in-presence therapy.
探讨专业人员、成年患者以及儿童看护者在新冠疫情封锁期间对远程康复的认知和满意度。开展了一项基于网络调查的观察性横断面研究,以探究参与者在新冠疫情封锁期间对远程康复的认知和满意度。该研究在我们的门诊神经康复服务中心进行。招募了所有接受远程康复的康复专业人员、成年患者和儿童看护者。参与者必须回答客户满意度调查问卷-8以及一份关于他们对所提供服务的认知和满意度的特制问卷。数据采用定性统计和逻辑回归模型进行分析。所有144名看护者、25名成年患者和50名专业人员均报告了中高水平的认知和高水平的满意度。结果显示,0至3岁儿童的看护者与对远程护理感到不堪重负之间存在相关性(比值比=3.27),对通过远程康复实现目标的认知较低(比值比=6.51),而对在安排日常活动方面得到帮助的认知较高(比值比=2.96)。对于6岁以上儿童的看护者,治疗计划的改变与对与面对面治疗一致性的低认知相关(比值比=2.61和比值比=9.61)以及低满意度相关(比值比=5.54和比值比=4.97)。治疗的改变与担忧相关(比值比=4.20)。40岁以下的看护者和专业人员表现出较高的可能性将远程康复视为有帮助的(比值比=2.27和比值比=5.68)。远程媒体的使用经验水平显示会影响认知和满意度。远程康复在健康紧急情况期间以及作为面对面治疗的补充都可能是一种有用的做法。