Kimmel Barbara, Walder Annette, Ovalle Anette, Venkatasubba Rao Chethan P, Savitz Sean I, Goldberg Mark, Warach Steven, Cruz-Flores Salvador, Olson DaiWai M, Anderson Jane A
Houston VA HSR&D Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX, USA.
Department of Neurology, Baylor College of Medicine, Houston, TX, USA.
Digit Health. 2024 Oct 7;10:20552076241281464. doi: 10.1177/20552076241281464. eCollection 2024 Jan-Dec.
This study aimed to describe stroke survivors' experiences receiving telemedicine visits at the Lone Star Stroke Consortium during the COVID-19 pandemic.
A qualitative descriptive phenomenological design was applied to gather patients' telemedicine experiences through in-depth interviews, using a study guide. Audio-recorded interviews were conducted via ZOOM and transcribed verbatim. Two independent reviewers used the Giorgi descriptive method to analyze the data and search for the essence of stroke survivors' follow-up telemedicine experiences during the COVID-19 pandemic.
Fifteen underserved patients were recruited: mean age, 51.8 (15.7), and 9 (60%) females. Three themes emerged: (1) vivid memory of the stroke acute phase, (2) poststroke care experiences, and (3) perceived telemedicine experiences.
The phenomenon of follow-up telemedicine visits during COVID-19 pandemic, as experienced by the stroke survivors, was positive. It showed patients' improved care access for poststroke visits. Telemedicine was satisfactory, except where the full medical exam was needed. Study findings highlight the individual approach was important, as well as the need for reliable internet and training to improve patients' technological skills. A hybrid approach for post-pandemic follow-up visits (in-person and telemedicine) was recommended by stroke survivors. These findings suggest that telemedicine is feasible and effective for poststroke care. Additional strategies are needed to improve future telemedicine integration into the continuum of care.
本研究旨在描述新冠疫情期间，中风幸存者在孤星中风联盟接受远程医疗问诊的经历。
采用定性描述现象学设计，通过深入访谈，使用研究指南收集患者的远程医疗经历。通过ZOOM进行访谈录音，并逐字转录。两名独立评审员使用 Giorgi 描述法分析数据，探寻新冠疫情期间中风幸存者后续远程医疗经历的本质。
招募了15名医疗服务不足的患者，平均年龄51.8岁（标准差15.7），9名女性（占60%）。出现了三个主题：（1）对中风急性期的清晰记忆，（2）中风后护理经历，（3）对远程医疗的体验。
中风幸存者所经历的新冠疫情期间后续远程医疗问诊现象是积极的。它表明患者中风后问诊的护理可及性得到改善。远程医疗令人满意，但在需要全面体检的情况下除外。研究结果强调个性化方法很重要，以及需要可靠的互联网和培训来提高患者的技术技能。中风幸存者建议采用大流行后随访问诊的混合方法（面对面和远程医疗）。这些发现表明远程医疗在中风后护理中是可行且有效的。需要额外的策略来改善未来远程医疗融入连续护理的情况。
