Kord Zeynab, Fereidouni Zhila, Mirzaee Mohammad Saeed, Alizadeh Zeinab, Behnammoghadam Mohammad, Rezaei Malihe, Abdi Naeem, Delfani Fatemeh, Zaj Parisa
Department of Anesthesiology, Dezful University of Medical Sciences, Dezful, Iran.
Department of Medical Surgical Nursing, Nursing School, Fasa University of Medical Sciences, Fasa, Fars, Iran.
BMJ Support Palliat Care. 2021 Jun 29. doi: 10.1136/bmjspcare-2021-003001.
The COVID-19 pandemic has led to many challenges such as increased number of patients and the risk of the disease progress in the world's healthcare systems, especially nursing. The capacity of technology can help nursing in such conditions. The aim of this study was to explore the lived experiences of patients with COVID-19 with home care by using telenursing.
The present study is a qualitative research conducted using the descriptive phenomenological method. The participants were selected using purposive sampling method and considering the inclusion and exclusion criteria. After obtaining ethical approval, data were collected through semistructured interviews. Open-ended questions and follow-up were used in the interviews. The interviews were conducted using Skype application and telephone. All data were recorded, and MAXQDA software was used to manage the data. Data analysis was performed using Colaizzi's seven-step method. Lincoln and Guba's criteria were used to evaluate the trustworthiness of the data.
The main themes and their subthemes included 'facilitators' (improvement of relationships, adequate education and counselling, adequate care and support, improvement and promotion of health) and 'barriers' (lack of previous knowledge and experience, infrastructure problems, confusion in hospital programmes and the pressure caused by the COVID-19 pandemic).
Given the potential capacity of telenursing, strong field studies are recommended to be conducted in this area. The results of such studies can contribute to the rapid and serious use of telenursing in the area of care, education, support, follow-up and counselling of patients.
新冠疫情给全球医疗系统带来了诸多挑战，比如患者数量增加以及疾病进展风险，护理领域尤甚。技术的能力能够在这种情况下助力护理工作。本研究旨在通过远程护理探索新冠患者居家护理的生活体验。
本研究是一项采用描述性现象学方法的定性研究。采用目的抽样法并依据纳入和排除标准选取参与者。获得伦理批准后，通过半结构化访谈收集数据。访谈中使用开放式问题并进行跟进。访谈通过Skype应用程序和电话进行。所有数据均被记录，并使用MAXQDA软件管理数据。数据分析采用科拉齐的七步法。运用林肯和古巴的标准评估数据的可信度。
主要主题及其子主题包括“促进因素”（改善关系、充分的教育与咨询、充分的护理与支持、健康改善与促进）和“障碍”（缺乏先前知识和经验、基础设施问题、医院项目混乱以及新冠疫情造成的压力）。
鉴于远程护理的潜在能力，建议在该领域开展强有力的实地研究。此类研究结果有助于在患者护理、教育、支持、随访和咨询领域迅速且认真地应用远程护理。
