探索癌症患者、护理人员和临床医生在新冠疫情期间对远程医疗服务的使用情况及体验：一项定性研究。
Exploring cancer patients', caregivers', and clinicians' utilisation and experiences of telehealth services during COVID-19: A qualitative study.
作者信息
Smith Sarah J, Smith Allan Ben, Kennett William, Vinod Shalini K
机构信息
Port Macquarie Rural Clinical School, University of New South Wales, Port Macquarie, Australia.
South West Sydney Clinical Campuses, University of New South Wales, Sydney, Australia; Ingham Institute for Applied Medical Research, Sydney, Australia.
出版信息
Patient Educ Couns. 2022 Oct;105(10):3134-3142. doi: 10.1016/j.pec.2022.06.001. Epub 2022 Jun 6.
OBJECTIVES
The COVID-19 pandemic has significantly impacted oncology. With pandemic restrictions limiting close contact between individuals, telehealth (the use of teleconferencing/videoconferencing to conduct real-time medical consultations) has been increasingly utilised. This qualitative study aimed to explore adult cancer patient, caregiver, and clinician (doctor, nurse, allied health) telehealth experiences during COVID-19 in urban and rural Australian settings and identify potential enablers and barriers to sustained telehealth implementation.
METHODS
English-speaking participants completed semi-structured interviews regarding their telehealth experiences since March 2020. Interviews ceased when data saturation occurred. Iterative thematic analysis was conducted using NVivo 12 Pro.
RESULTS
Thirty-four interviews (clinician=14, patient=13, caregiver=7) were conducted from April to August 2021. Analysis generated seven themes relating to telehealth use: 1) Acceptability as a form of consultation, 2) Impacts on healthcare provision, 3) Communication & relationships, 4) Efficient form of consultation, 5) Comfort of conducting telehealth in different environments, 6) Technological barriers and 7) Future preferences.
CONCLUSIONS
The rapid uptake of telehealth during the pandemic has mostly been well-received, and telehealth can be appropriately used in oncology.
PRACTICE IMPLICATIONS
Barriers including providing appropriate facilities, technology, and telehealth training; and selecting appropriate patients must be addressed to enable sustained telehealth use in future cancer care.
目的
新冠疫情对肿瘤学产生了重大影响。由于疫情限制了人与人之间的密切接触，远程医疗（使用电话会议/视频会议进行实时医疗咨询）的使用越来越多。这项定性研究旨在探索澳大利亚城市和农村地区成年癌症患者、护理人员以及临床医生（医生、护士、专职医疗人员）在新冠疫情期间的远程医疗体验，并确定持续实施远程医疗的潜在促进因素和障碍。
方法
讲英语的参与者就其自2020年3月以来的远程医疗体验完成了半结构化访谈。当数据饱和时停止访谈。使用NVivo 12 Pro进行迭代主题分析。
结果
2021年4月至8月进行了34次访谈（临床医生=14，患者=13，护理人员=7）。分析产生了与远程医疗使用相关的七个主题：1）作为一种咨询形式的可接受性，2）对医疗服务提供的影响，3）沟通与关系，4）高效的咨询形式，5）在不同环境中进行远程医疗的舒适度，6）技术障碍，7）未来偏好。
结论
疫情期间远程医疗的迅速采用大多受到好评，远程医疗可在肿瘤学中适当使用。
实践意义
为使远程医疗在未来癌症护理中持续使用，必须解决包括提供适当设施、技术和远程医疗培训，以及选择合适患者等障碍。
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