Department of Otolaryngology, Wuxi Huishan District People's Hospital, 2 Zhanqian North Road, Luoshe Town, Huishan District, Wuxi 214187, PR China.
Department of Otolaryngology, Wuxi Huishan District People's Hospital, 2 Zhanqian North Road, Luoshe Town, Huishan District, Wuxi 214187, PR China.
Am J Otolaryngol. 2021 Jul-Aug;42(4):102997. doi: 10.1016/j.amjoto.2021.102997. Epub 2021 Mar 22.
This study aimed to evaluate the outcomes and satisfaction of ear patients who participated in the smartphone otoscopes telemedicine via WeChat.
Patients in this study included newly diagnosed outpatients and online patients who did not undergo an outpatient diagnosis. Patients performed regular ear self-examinations, took pictures at home using their smartphone endoscopes, and submitted images to a WeChat community. Otolaryngologist gave timely online feedback. All of the following data were recorded: patients age and gender, disease duration, outpatient diagnosis, side, telemedicine duration, number of telemedicine visits, outcomes, satisfaction.
A total of 74 patients were included in the study, including 39 males and 35 females, with an average age of 31.1 ± 13.7 years (range 4-55 years). Of these patients, 68 were outpatients, and 6 directly participated in telemedicine online. The patient's disease duration ranged from 1 day to 15 days, with an average of 4.0 ± 3.0 days. The mean duration was 8.1 days (range: 3-21 days) for telemedicine. The mean number of visits was 2.7 times (range: 2-6 times) for telemedicine. 68 (91.9%) of the 74 patients were cured, 6 (8.1%) were improved, and 0 (0%) were ineffective. Almost all patients were pleased with the telemedicine service, 71.9 0% were very satisfied (n = 62), 28.10% were very satisfied (n = 11), and 0% were dissatisfied (n = 0).
Smartphone otoscopes telemedicine can decrease outpatient follow-up, reduce the risk of cross-infection, increase telemedicine accuracy, and improve patient satisfaction. It is worthy of clinical application in the COVID-19 era.
本研究旨在评估通过微信使用智能手机耳镜进行远程医疗的耳部患者的治疗效果和满意度。
本研究的患者包括新诊断的门诊患者和未进行门诊诊断的在线患者。患者在家中使用智能手机内窥镜进行定期耳部自我检查，并将图像上传至微信社区。耳鼻喉科医生会及时在线反馈。记录以下所有数据：患者年龄和性别、疾病持续时间、门诊诊断、侧别、远程医疗时间、远程医疗次数、治疗效果、满意度。
本研究共纳入 74 例患者，其中男 39 例，女 35 例，平均年龄 31.1±13.7 岁（4-55 岁）。其中 68 例为门诊患者，6 例直接在线参与远程医疗。患者疾病持续时间从 1 天至 15 天不等，平均 4.0±3.0 天。远程医疗平均持续时间为 8.1 天（3-21 天）。远程医疗平均就诊次数为 2.7 次（2-6 次）。74 例患者中 68 例（91.9%）治愈，6 例（8.1%）好转，0 例（0%）无效。几乎所有患者都对远程医疗服务感到满意，非常满意者占 71.9%（n=62），满意者占 28.1%（n=11），不满意者占 0%（n=0）。
智能手机耳镜远程医疗可减少门诊随访，降低交叉感染风险，提高远程医疗准确性，提高患者满意度。在 COVID-19 时代，值得临床应用。
