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远程医疗在痴呆症患者监测中的应用:巴西护理人员的观点。

Telemedicine in the monitoring of patients with dementia: a Brazilians caregivers's perspective.

机构信息

Universidade Positivo, Curitiba, Brasil.

出版信息

Rev Neurol. 2022 May 1;74(9):285-290. doi: 10.33588/rn.7409.2021331.

Abstract

INTRODUCTION

The SARS-CoV-2 (COVID-19) pandemic warranted expanded care via telemedicine across a breath of medical specialties. The aim of the study is to analyze the preferences of caregivers of patients with dementia on the use of telemedicine in monitoring these patients.

SUBJECTS AND METHODS

Caregivers and family members responsible for patients with dementia completed an online self-applicable questionnaire, which was distributed in Facebook and WhatsApp groups between April and October 2020.

RESULTS

130 responses were obtained; most caregivers were women (83.8%), of whom 60% were daughters of patients. Most patients were also women (75.3%). Alzheimer's disease caused dementia in 73% of cases. The Internet was accessible to 98% of respondents, yet less than half (33.8%) had used telemedicine at least once. Although 66.9% of caregivers would be willing to use telemedicine if the doctor offered it, 63% believed that the cost of video consultations should be lower than those face-to-face. During the COVID-19 pandemic, 85.3% of caregivers needed to contact the physician: just over half of these consultations were face-to-face (52.2%), but telemedicine was preferred (62.3%) if possible.

CONCLUSION

Caregivers accepted and were interested in telemedicine as a tool for monitoring patients with dementia, especially those with walking difficulties.

摘要

简介

SARS-CoV-2(COVID-19)大流行需要通过远程医疗扩大对多种医学专业的护理。本研究旨在分析痴呆症患者的护理人员对使用远程医疗监测这些患者的偏好。

受试者和方法

痴呆症患者的护理人员和家属完成了一份在线自我适用问卷,该问卷于 2020 年 4 月至 10 月在 Facebook 和 WhatsApp 群组中分发。

结果

共获得 130 份回复;大多数护理人员是女性(83.8%),其中 60%是患者的女儿。大多数患者也是女性(75.3%)。阿尔茨海默病导致痴呆的占 73%。98%的受访者可以访问互联网,但只有不到一半(33.8%)至少使用过一次远程医疗。尽管 66.9%的护理人员如果医生提供,他们愿意使用远程医疗,但 63%的人认为视频咨询的费用应该低于面对面咨询。在 COVID-19 大流行期间,85.3%的护理人员需要联系医生:其中一半以上的咨询是面对面的(52.2%),但如果可能的话,他们更喜欢远程医疗(62.3%)。

结论

护理人员接受并对远程医疗作为监测痴呆症患者的工具感兴趣,尤其是那些行动不便的患者。

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本文引用的文献

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Telemedicine and Dementia Care: A Systematic Review of Barriers and Facilitators.远程医疗与痴呆症护理:障碍与促进因素的系统评价
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Factors associated with dementia in elderly.老年人痴呆相关因素。
Cien Saude Colet. 2020 Feb;25(2):603-611. doi: 10.1590/1413-81232020252.02042018. Epub 2018 May 18.
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Diagnosis and Management of Dementia: Review.痴呆的诊断与管理:综述。
JAMA. 2019 Oct 22;322(16):1589-1599. doi: 10.1001/jama.2019.4782.
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[Epidemiological research on dementia in developing countries].[发展中国家痴呆症的流行病学研究]
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