Fortuna János, Lukács Miklós, Busa Csilla
1 Háziorvosi Rendelő, Forti-Med Kft. Pécs Magyarország.
2 Pécsi Tudományegyetem, Egészségtudományi Kar, Egészségtudományi Doktori Iskola Pécs Magyarország.
Orv Hetil. 2024 Oct 6;165(40):1579-1586. doi: 10.1556/650.2024.32991.
Introduction: Telemedicine has become increasingly essential in home hospice care, especially during the COVID–19 pandemic, as it was used to substitute for or support face-to-face home visits. Objectives: This retrospective pilot study aimed to investigate the use of telemedicine in home hospice care in Hungary during the pandemic and to explore whether home hospice services still use telemedicine after the end of the restrictions. Methods: An online survey was conducted among hospice coordinators and hospice nurses who worked in home hospice care during the pandemic. Statistical analysis was undertaken using IBM SPSS Statistics for Windows software. Descriptive analysis was performed on the data. Results: Telephone contact was the most used method in home hospice care to reduce the number of face-to-face visits during the COVID–19 pandemic, and the pulse oximeter with an app was the only tool for monitoring the patients’ condition. Telephone consultation replaced face-to-face consultation with doctors for advice. Most respondents considered telemedicine helpful, mainly in reducing the staff workload. According to the respondents’ experience, half of the home hospice patients and their caregivers were welcomed to use telemedicine, and most had no problems using it. Some telemedicine-related solutions are still applied in home hospice care, and the staff would like to continue using them. Conclusion: Telemedicine was applied in home hospice care in Hungary during the COVID–19 pandemic, and there is still a demand for the use of it. Telemedicine could also be a solution to reduce differences in accessibility to home hospice care in Hungary. Orv Hetil. 2024; 165(40): 1579–1586.
远程医疗在居家临终关怀护理中变得越来越重要，尤其是在新冠疫情期间，因为它被用来替代或支持面对面的家访。目的：这项回顾性试点研究旨在调查疫情期间匈牙利居家临终关怀护理中远程医疗的使用情况，并探讨在限制措施结束后居家临终关怀服务是否仍使用远程医疗。方法：对在疫情期间从事居家临终关怀护理工作的临终关怀协调员和临终关怀护士进行了一项在线调查。使用IBM SPSS Statistics for Windows软件进行统计分析。对数据进行描述性分析。结果：在新冠疫情期间，电话联系是居家临终关怀护理中减少面对面探访次数最常用的方法，带有应用程序的脉搏血氧仪是监测患者病情的唯一工具。电话咨询取代了与医生的面对面咨询以获取建议。大多数受访者认为远程医疗有帮助，主要是在减轻工作人员工作量方面。根据受访者的经验，一半的居家临终关怀患者及其护理人员愿意使用远程医疗，而且大多数人使用起来没有问题。一些与远程医疗相关的解决方案仍在居家临终关怀护理中应用，工作人员希望继续使用它们。结论：在新冠疫情期间，匈牙利居家临终关怀护理中应用了远程医疗，并且对其使用仍有需求。远程医疗也可能是减少匈牙利居家临终关怀护理可及性差异的一种解决方案。《匈牙利医学周报》。2024年；165(40):1579–1586。
