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2019年冠状病毒病大流行期间的远程康复,慢性病患者满意度的决定因素是什么?一项回顾性研究。

Telerehabilitation during the COVID-19 pandemic, what are the determinants of satisfaction for chronic diseases? a retrospective study.

作者信息

Roy Anne Laure, Duruflé Aurélie, Piette Patrice, Fraudet Bastien, Lofficial Vincent, Gallien Philippe

机构信息

Physical Medicine and Rehabilitation, Pôle MPR Saint-Hélier, Rennes, France.

出版信息

Front Rehabil Sci. 2023 Jan 26;4:1108087. doi: 10.3389/fresc.2023.1108087. eCollection 2023.

Abstract

BACKGROUND

During the Covid-19 health crisis, telerehabilitation provided a solution to ensure the continuity of care. Since then, it has been offered as an alternative to face-to-face rehabilitation in chronic conditions. Data measuring satisfaction are essential to adapt and increase the effectiveness of this type of programme.

AIM AND SCOPE

This research focused on determining the most significant determinants of participant satisfaction in a telerehabilitation programme.

METHODS

We conducted a retrospective study by analysing the satisfaction questionnaire used from the start of the programme.

RESULT

Two hundred and ten (210) participants completed the programme; 180 questionnaires were filled in and 175 analyzed of which 70 with chronic low back pain (CLBP), 59 for multiple sclerosis (MS) and 22 with parkinson's disease (PD). Satisfaction was high for all participants (scoring out of 10, mean = 8.22 sd = 1.53), but the determinants reported for the three main conditions involved in the programme differed. Main determinant was "benefice" for CLBP ( = 1.23e-05), "home exercises adapted" for MS ( = 0.000679) and "interest in staying at home" for PD ( = 1.84e-05).

CONCLUSION

Depending on the context of the condition/disease, the drivers of satisfaction were not identical. Knowledge of these determinants will allow us to further improve the programme. However, some unresolved questions remain regarding the place of therapists, their role and the skills required for a successful telerehabilitation programme. Further studies are required to understand the impact.

摘要

背景

在新冠疫情健康危机期间,远程康复为确保护理的连续性提供了一种解决方案。从那时起,它就被作为慢性病面对面康复的一种替代方案。衡量满意度的数据对于调整和提高这类项目的有效性至关重要。

目的和范围

本研究聚焦于确定远程康复项目中参与者满意度的最重要决定因素。

方法

我们通过分析项目开始时使用的满意度调查问卷进行了一项回顾性研究。

结果

210名参与者完成了该项目;共填写了180份问卷,分析了175份,其中70份针对慢性下腰痛(CLBP),59份针对多发性硬化症(MS),22份针对帕金森病(PD)。所有参与者的满意度都很高(满分10分,平均分 = 8.22,标准差 = 1.53),但该项目涉及的三种主要病症的报告决定因素有所不同。CLBP的主要决定因素是“益处”(= 1.23e - 05),MS是“适合在家进行的锻炼”(= 0.000679),PD是“对居家的兴趣”(= 1.84e - 05)。

结论

根据病症/疾病的情况,满意度的驱动因素并不相同。了解这些决定因素将使我们能够进一步改进该项目。然而,关于治疗师的地位、他们的角色以及成功的远程康复项目所需的技能,仍有一些未解决的问题。需要进一步研究以了解其影响。

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