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慢性阻塞性肺疾病患者在新冠疫情封锁期间接受综合远程健康护理服务的经历

Experiences of patients with chronic obstructive pulmonary disease receiving integrated telehealth nursing services during COVID-19 lockdown.

作者信息

Arnaert Antonia, Ahmad Hamza, Mohamed Shameera, Hudson Emilie, Craciunas Stephanie, Girard Alice, Debe Zoumanan, Dantica Joséphine Lemy, Denoncourt Candice, Côté-Leblanc Geneviève

机构信息

Ingram School of Nursing, McGill University, 680 Sherbrooke West, Montreal, Quebec, H3A 2M7, Canada.

Montreal West Island Integrated University Health and Social Service Centre, Montreal, Canada.

出版信息

BMC Nurs. 2022 Aug 1;21(1):205. doi: 10.1186/s12912-022-00967-2.

Abstract

OBJECTIVE

Even though telemonitoring existed prior to COVID-19, the need was accelerated for patients with COPD due to the limited medical consultations and the anxiety for being infected. To our knowledge, no qualitative study has explored the experiences of COPD patients and the potential benefits of receiving integrated telehealth nursing services during the lockdown.

METHODS

Ten participants were interviewed after receiving telehealth nursing services for 3 months; data was analyzed thematically.

RESULTS

Irrespective of COPD severity, all participants expressed that the existing fragmented follow-up care was intensified during COVID. The telenursing services provided them with the comfort and reassurance that a clinician is available for support, advice, and care during the times of isolation. Despite diverse opinions regarding the respiratory-related questions for follow-up, all were enthusiastic about the use of the oximeter in their daily lives. None perceived sharing data as an issue, instead they encouraged the exchange across levels of care.

CONCLUSION

Despite an appreciation for the service, it is imperative for sustainability reasons that standardized protocols are developed to balance patient preferences in terms of response frequency and the clinical data needed for a telenurse to provide appropriate interventions.

摘要

目的

尽管远程监测在2019冠状病毒病之前就已存在,但由于医疗咨询有限以及对感染的担忧,慢性阻塞性肺疾病(COPD)患者对其需求加速增长。据我们所知,尚无定性研究探讨过COPD患者在封锁期间接受综合远程健康护理服务的经历和潜在益处。

方法

在接受3个月的远程健康护理服务后,对10名参与者进行了访谈;对数据进行了主题分析。

结果

无论COPD严重程度如何,所有参与者都表示,在新冠疫情期间,现有的分散式后续护理得到了加强。远程护理服务为他们提供了一种安慰,即隔离期间有临床医生随时提供支持、建议和护理。尽管对于后续的呼吸相关问题存在不同意见,但所有人都对在日常生活中使用血氧仪很感兴趣。没有人认为分享数据是一个问题,相反,他们鼓励在不同护理层面之间进行数据交换。

结论

尽管对这项服务表示赞赏,但出于可持续性考虑,制定标准化方案以平衡患者在响应频率方面的偏好以及远程护士提供适当干预所需的临床数据至关重要。

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