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从患者和医疗服务提供者的角度看远程康复:一项为期 3 年的随访研究。

Telerehabilitation from the perspective of patients and healthcare providers: A 3-year follow-up study.

机构信息

SARAH Network of Rehabilitation Hospitals, Brasilia, Brazil.

出版信息

NeuroRehabilitation. 2024;55(1):103-115. doi: 10.3233/NRE-230385.

DOI:10.3233/NRE-230385
PMID:39213097
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11380237/
Abstract

BACKGROUND

It is important to investigate satisfaction and perception of the effectiveness of telerehabilitation and its outcomes post-COVID-19 pandemic.

OBJECTIVE

Evaluate the patients' and healthcare providers' level of satisfaction with telerehabilitation and perception of its efficacy and describe how it became an established resource in a network of rehabilitation hospitals post-pandemic.

METHODS

The online survey about their experience with telerehabilitation was completed by 2,755 patients (322 new patients and 2,433 existing patients), and 668 providers from 26 different specialties.

RESULTS

Most patients and providers rated remote care as effective. There were no differences in scores between existing patients and new patients and the majority reported that their expectations were met. Most patients described their remote consults as good as or better than in-person, while providers mostly preferred in-person sessions. Despite most modalities having returned to in-person practice, there is still a significant percentage of telerehabilitation consults.

CONCLUSION

Three years after the start of the pandemic, despite a return to in-person treatment, we see a telerehabilitation culture being constructed as a resource to supplement the rehabilitation process, with potential for establishing this model in a network of rehabilitation hospitals.

摘要

背景

调查远程康复的满意度和有效性感知及其在 COVID-19 大流行后的结果非常重要。

目的

评估患者和医疗保健提供者对远程康复的满意度及其疗效的看法,并描述其如何在大流行后成为康复医院网络中的一种既定资源。

方法

对来自 26 个不同专业的 2,755 名患者(322 名新患者和 2,433 名现有患者)和 668 名提供者进行了远程康复体验的在线调查。

结果

大多数患者和提供者认为远程护理是有效的。新患者和现有患者的评分没有差异,大多数患者报告他们的期望得到了满足。大多数患者表示他们的远程咨询与面对面咨询一样好或更好,而提供者大多更喜欢面对面咨询。尽管大多数治疗模式已经恢复到面对面治疗,但仍有相当比例的远程康复咨询。

结论

大流行开始三年后,尽管已经恢复了面对面治疗,但我们看到远程康复文化正在被构建为补充康复过程的资源,有可能在康复医院网络中建立这种模式。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cba6/11380237/0743f049860a/nre-55-nre230385-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cba6/11380237/d027d987fc8d/nre-55-nre230385-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cba6/11380237/0743f049860a/nre-55-nre230385-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cba6/11380237/d027d987fc8d/nre-55-nre230385-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cba6/11380237/0743f049860a/nre-55-nre230385-g002.jpg

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2
Telerehabilitation service impact on physical function and adherence compared to face-to-face rehabilitation in patients with stroke: A systematic review and meta-analysis.远程康复服务对脑卒中患者的身体功能和依从性的影响与面对面康复相比:系统评价和荟萃分析。
PM R. 2023 Dec;15(12):1654-1672. doi: 10.1002/pmrj.12988. Epub 2023 Aug 16.
3
Telerehabilitation as a Therapeutic Exercise Tool versus Face-to-Face Physiotherapy: A Systematic Review.
一种用于跟踪肩部活动范围的仪器设备的可靠性和有效性。
Sensors (Basel). 2025 Jun 18;25(12):3818. doi: 10.3390/s25123818.
远程康复作为一种治疗性运动工具与面对面物理治疗的比较:系统评价。
Int J Environ Res Public Health. 2023 Feb 28;20(5):4358. doi: 10.3390/ijerph20054358.
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Telerehabilitation, A Viable Option in Patients with Persistent Post-COVID Syndrome: A Systematic Review.远程康复:持续性新冠后综合征患者的可行选择:一项系统综述
Healthcare (Basel). 2023 Jan 7;11(2):187. doi: 10.3390/healthcare11020187.
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Telerehabilitation for patients who have been hospitalised with covid-19: a qualitative study.因 COVID-19 住院的患者的远程康复:一项定性研究。
Disabil Rehabil. 2024 Jan;46(1):150-158. doi: 10.1080/09638288.2022.2159075. Epub 2023 Jan 11.
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J Clin Med. 2022 Dec 19;11(24):7521. doi: 10.3390/jcm11247521.
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Physical therapists and public perceptions of telerehabilitation: An online open survey on acceptability, preferences, and needs.物理治疗师和公众对远程康复的看法:一项关于可接受性、偏好和需求的在线开放式调查。
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