Koc University School of Nursing, Department of Fundamental Nursing, İstanbul, Turkey.
J Tissue Viability. 2021 Nov;30(4):484-488. doi: 10.1016/j.jtv.2021.09.001. Epub 2021 Sep 10.
This study aimed to determine the problems faced by physicians and nurses dealing with chronic wound care during the COVID-19 pandemic and their views on telehealth.
A descriptive and cross-sectional design was used in this study. The sample comprised physicians (n = 74) and nurses (n = 271) interested in chronic wound care. Data were collected through a questionnaire form consisting of open- and closed-ended questions.
Of the participants, 21.4% (n = 74) were physicians and 78.6% (n = 271) were nurses. Of the physicians, 45.9% (n = 34) were obliged to work in another unit during the COVID-19 period, while 43.2% continued their service related to chronic wound care, and only 17.0% (n = 18) in the wound care service before the pandemic. These rates are 51.3% (n = 139), 51.6% (n = 157) and 36.8% (n = 128) for nurses, respectively. 40.7% of the physicians (n = 33) and 34.9% of the nurses (n = 106) stated that their time had been reduced for chronic wound care. When the telehealth experiences were examined, 32.4% (n = 24) of the physicians utilized telehealth, 29.7% (n = 22) used e-visit, 77.0% (n = 57) stated that they thought telehealth was a good option, 47.3% (n = 35) utilized it for wound evaluation and treatment, and 31.9% (n = 59) used smart phones. These rates for nurses were 16.6% (n = 45), 14.0% (n = 38), 72.7% (n = 197), 33.9% (n = 92), and 27.0% (n = 182), respectively.
The COVID-19 pandemic negatively affected the manner of delivery, duration, and quality of service regarding wound management. During this period, face-to-face contact times with patients were reduced, some diagnosis and treatment attempts were not performed, and wound care services were suspended temporarily or permanently. On the other hand, a positive result was achieved in that the physicians and nurses gave positive feedback for the telehealth experience.
本研究旨在确定在 COVID-19 大流行期间处理慢性伤口护理的医生和护士所面临的问题，以及他们对远程医疗的看法。
本研究采用描述性和横断面设计。样本包括对慢性伤口护理感兴趣的医生（n=74）和护士（n=271）。通过一份由开放式和封闭式问题组成的问卷收集数据。
参与者中，21.4%（n=74）为医生，78.6%（n=271）为护士。在医生中，45.9%（n=34）在 COVID-19 期间被迫在其他科室工作，而 43.2%继续从事与慢性伤口护理相关的工作，只有 17.0%（n=18）在大流行前在伤口护理服务中工作。这些比例分别为护士的 51.3%（n=139）、51.6%（n=157）和 36.8%（n=128）。40.7%的医生（n=33）和 34.9%的护士（n=106）表示，他们用于慢性伤口护理的时间减少了。当检查远程医疗体验时，32.4%的医生（n=24）使用了远程医疗，29.7%的医生（n=22）使用了电子就诊，77.0%的医生（n=57）认为远程医疗是一个不错的选择，47.3%的医生（n=35）将其用于伤口评估和治疗，31.9%的医生（n=59）使用智能手机。护士的这些比例分别为 16.6%（n=45）、14.0%（n=38）、72.7%（n=197）、33.9%（n=92）和 27.0%（n=182）。
COVID-19 大流行对伤口管理的服务方式、持续时间和服务质量产生了负面影响。在此期间，与患者的面对面接触时间减少，一些诊断和治疗尝试未进行，伤口护理服务暂时或永久暂停。另一方面，医生和护士对远程医疗体验给予了积极反馈，这是一个积极的结果。
