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开普敦都会区一个公共社区中心骨关节炎患者对在康复中使用数字技术的看法:一项定性研究

Perspectives of patients with osteoarthritis for using digital technology in rehabilitation at a public community centre in the Cape Metropole area: A qualitative study.

作者信息

Prins Gabriela B, Nizeyimana Eugene, Ernstzen Dawn V, Louw Quinette A

机构信息

Division of Physiotherapy, Department of Health and Rehabilitation Sciences, Stellenbosch University, Cape Town, South Africa.

出版信息

Digit Health. 2024 Oct 1;10:20552076241282230. doi: 10.1177/20552076241282230. eCollection 2024 Jan-Dec.

Abstract

OBJECTIVES

To explore the perspectives of people with osteoarthritis (OA) on the use of digital technology into their rehabilitation program, including their awareness, views on accessibility, affordability and willingness to accept digital modalities for rehabilitation delivery.

METHODS

A qualitative, descriptive design was conducted. Patients with OA who receive care at a public community rehabilitation centre in the Western Cape, South Africa were eligible to participants. Semi-structured interviewed were conducted and Atlas.ti 23 software was used for thematic analysis.

RESULTS

The findings showed that the participants had limited awareness and exposure to telerehabilitation (TR), along with minimal digital literacy and skills. They were sceptical about the effectiveness of TR and concerned about the inherent lack of physical interactions with health professionals. However, some acknowledged TR's potential benefits for accessibility, convenience, family involvement and long-term community health improvement. Participants were willing to learn more about TR.

CONCLUSION

Considering the benefits of TR in lower resource settings such as South Africa, investment to increase awareness and patient education and training in TR may assist in enhancing access and quality of care. Resources dedicated to TR and management buy-in in low-and-middle income countries (LMICs) is necessary to facilitate the fit-for-context roll-out of TR.

摘要

目的

探讨骨关节炎(OA)患者对将数字技术应用于其康复计划的看法,包括他们的认知、对可及性、可承受性的看法以及接受数字康复方式的意愿。

方法

采用定性描述性设计。在南非西开普省的一个公共社区康复中心接受治疗的OA患者有资格参与。进行了半结构化访谈,并使用Atlas.ti 23软件进行主题分析。

结果

研究结果表明,参与者对远程康复(TR)的认知和接触有限,数字素养和技能也很低。他们对TR的有效性表示怀疑,并担心与医疗专业人员缺乏面对面互动。然而,一些人认可TR在可及性、便利性、家庭参与和长期社区健康改善方面的潜在益处。参与者愿意更多地了解TR。

结论

考虑到TR在南非等资源匮乏地区的益处,投资提高对TR的认知以及对患者进行教育和培训,可能有助于提高医疗服务的可及性和质量。在低收入和中等收入国家(LMICs),为TR投入资源并获得管理层支持对于促进TR因地制宜的推广是必要的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b61/11450581/85441a6d742c/10.1177_20552076241282230-fig1.jpg

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