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远程医疗视频随访在减重手术患者中的应用:患者更喜欢哪种方式?一项大流行前的随机临床试验。

Telemedicine Video Follow-Up for Bariatric Surgery Patients: What Do Patients Prefer? A Prepandemic Pilot Randomized Clinical Trial.

机构信息

Department of Surgery, Mayo Clinic, Rochester, MN, USA.

Department of Quantitative Health Sciences, Mayo Clinic, Rochester, MN, USA.

出版信息

Am Surg. 2023 Jun;89(6):2806-2809. doi: 10.1177/00031348211054547. Epub 2021 Nov 14.

DOI:10.1177/00031348211054547
PMID:34775810
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10372500/
Abstract

While the safety of video follow-up in bariatric surgery is established, patients' perception of telemedicine visits remained unknown. A randomized clinical trial evaluating patients' perception of video postoperative follow-up (F/U) visits was conducted in the pre COVID-19 era. 24 patients were randomized in the preoperative clinic to receive either in-person or video F/U, and then surveyed about their experience and preference. The majority reported that if they had to do it over, they would prefer a video visit. Among those who received video visits, 11/12 reported that the lack of physical contact was acceptable. 82% of the video group expressed that their visit was better or as good as an in-person visit, while 9% were not sure, and 9% reported that video was worse. This finding suggests that postoperative video follow-up visits are acceptable among bariatric surgery patients and should be offered as an alternative to traditional visits.

摘要

虽然视频随访在减重手术中的安全性已经得到证实,但患者对远程医疗就诊的看法仍不清楚。在 COVID-19 之前的时代,进行了一项评估患者对视频术后随访(F/U)就诊的看法的随机临床试验。24 名患者在术前诊所随机分为接受面对面或视频 F/U,并对他们的体验和偏好进行了调查。大多数人表示,如果让他们重新选择,他们会更倾向于视频就诊。在接受视频就诊的患者中,有 11/12 人表示缺乏身体接触是可以接受的。82%的视频组表示他们的就诊与面对面就诊一样好或更好,而 9%的人不确定,9%的人表示视频就诊更差。这一发现表明,减重手术后的视频随访就诊在减重手术患者中是可以接受的,应该作为传统就诊的一种替代方式提供。

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本文引用的文献

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Implications for Telemedicine for Surgery Patients After COVID-19: Survey of Patient and Provider Experiences.COVID-19 后远程医疗对外科手术患者的影响:患者与医护人员体验调查
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2
Surgical telemedicine here to stay: More support from a randomized controlled trial on postoperative surgery visits.外科远程医疗:更多支持来自术后手术访视的随机对照试验。
Am J Surg. 2020 Jun;219(6):880-881. doi: 10.1016/j.amjsurg.2020.03.033. Epub 2020 Apr 1.
3
Are In-Person Post-operative Clinic Visits Necessary to Detect Complications Among Bariatric Surgery Patients?实体术后诊所访视是否有必要发现减重手术患者的并发症?
Obes Surg. 2020 May;30(5):2062-2065. doi: 10.1007/s11695-019-04329-x.
4
Lack of adherence to follow-up visits after bariatric surgery: reasons and outcome.肥胖症手术后随访不依从:原因和结果。
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