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新冠疫情期间老年人接受专科医疗远程护理的体验:一项描述性定性研究

Older Adults' Experiences with Remote Care for Specialized Health Service During the COVID-19 Pandemic: A Descriptive Qualitative Study.

作者信息

Gaudine Alice, Parsons Karen, Smith-Young Joanne

机构信息

Faculty of Nursing, Memorial University of Newfoundland, St. John's, NL, Canada.

出版信息

Can J Aging. 2024 Jun;43(2):257-265. doi: 10.1017/S0714980823000636. Epub 2023 Oct 23.

DOI:10.1017/S0714980823000636
PMID:37869900
Abstract

The coronavirus disease (COVID-19) pandemic necessitated a rapid uptake of remote health care services. This qualitative descriptive study was designed to gain an understanding of older adults' experiences of remote care (telephone or online video conference appointments) for specialized health services during the COVID-19 pandemic. Twenty-one older adults (ages 65 years and older; 8 men and 13 women) living in eastern Canada participated in a semi-structured telephone interview. Data were analysed using qualitative content analysis. The vast majority of older adults were overall satisfied with their remote experiences of specialist care. Advantages to remote care for specialized services included convenience, safety during the pandemic, comfort, efficiency, and ease of visit. Disadvantages included communication not as effective, feeling depersonalized or disembodied, missing the human relationship, and wanting reassurance of physical assessment. It is important that health professionals understand the disadvantages for older adults of remote care visits in order to mitigate them.

摘要

冠状病毒病(COVID-19)大流行使得远程医疗服务迅速得到采用。这项定性描述性研究旨在了解老年人在COVID-19大流行期间接受专科医疗服务的远程护理(电话或在线视频会议预约)的体验。居住在加拿大东部的21名老年人(65岁及以上;8名男性和13名女性)参与了半结构化电话访谈。采用定性内容分析法对数据进行分析。绝大多数老年人对他们的专科护理远程体验总体满意。专科服务远程护理的优点包括方便、疫情期间安全、舒适、高效和就诊便捷。缺点包括沟通效果不佳、感觉缺乏人情味或脱离实体、缺少人际关系以及希望得到身体评估的安心感。医疗专业人员了解远程护理就诊对老年人的不利之处以减轻这些不利影响非常重要。

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