Flora Parminder, Tobia Angela, Verweel Lee, Lau Bernice, Campbell Janet, Eshraghi Arezoo, Dilkas Steven, Goldstein Roger, Raulino Patricia, MacKay Crystal
West Park Healthcare Centre, University Health Network, Toronto, ON, Canada.
KITE Research Institute, University Health Network, Toronto, ON, Canada.
JMIR Rehabil Assist Technol. 2025 May 22;12:e59157. doi: 10.2196/59157.
Virtually delivered health care services can offer numerous benefits, and the demand for virtual care continues to grow among subgroups facing mobility challenges. The experience of compassion in health care is linked to patient satisfaction and clinical outcomes; however, this link in virtual rehabilitation settings is underexplored.
The objectives of this study were to explore what compassionate care means to rehabilitation patients in a virtual rehabilitation context and explore patients' experiences of how the technology associated with virtual rehabilitation impacted their experience of care.
We conducted one-on-one semistructured qualitative interviews with patients with limb loss and chronic obstructive pulmonary disease. A reflexive thematic analysis approach was used to generate domain summaries and initial themes across the sample. Themes were generated following analytic work over a series of discussions within the research team.
Sixteen interviews were conducted. Four themes illustrating participants' perceptions of compassionate care were generated: (1) features of compassionate care include feeling valued, connected, and cared for by the health care provider; (2) threats to compassionate care in virtual rehabilitation; (3) facilitating compassion in virtual rehabilitation through preparation; and (4) benefits of virtual care.
Patient perceptions of compassionate care in a virtual rehabilitation setting may be impacted by the behaviors and communication of providers. Provider training and preparation and the personal connections formed with their patients may impact compassionate care experiences.
虚拟医疗服务能带来诸多益处，在面临行动不便挑战的亚群体中，对虚拟医疗的需求持续增长。医疗中的关怀体验与患者满意度及临床结果相关；然而，虚拟康复环境中的这种关联尚未得到充分探索。
本研究的目的是探讨在虚拟康复背景下，关怀护理对康复患者意味着什么，并探索患者对与虚拟康复相关的技术如何影响其护理体验的感受。
我们对肢体缺失和慢性阻塞性肺疾病患者进行了一对一的半结构化定性访谈。采用反思性主题分析方法来生成样本中的领域总结和初始主题。主题是在研究团队一系列讨论后的分析工作中产生的。
进行了16次访谈。生成了四个说明参与者对关怀护理看法的主题：（1）关怀护理的特征包括感到被医疗服务提供者重视、联系和关心；（2）虚拟康复中关怀护理面临的威胁；（3）通过准备工作促进虚拟康复中的关怀；（4）虚拟护理的益处。
在虚拟康复环境中，患者对关怀护理的认知可能会受到提供者行为和沟通的影响。提供者的培训和准备以及与患者建立的个人联系可能会影响关怀护理体验。
