Hoffmann Sascha, Hieber Rebekka, Walter Christina B, Engler Tobias
Department of Women's Health, University Women's Hospital Tübingen, Calwerstr. 7, 72076, Tübingen, Germany.
Arch Gynecol Obstet. 2025 May 27. doi: 10.1007/s00404-025-08067-7.
Telemedicine offers new opportunities in perioperative care, particularly for patients with female malignancies. This study investigated factors influencing patient acceptance of telemedical services during the preoperative phase.
Between May and November 2022, 145 patients with breast or gynecologic malignancies completed a structured questionnaire in a cross-sectional study during preoperative consultation. Sociodemographic factors, digital experience, and privacy concerns were assessed. Data were analyzed using descriptive statistics, t-tests, Chi-square, Mann-Whitney U-tests, and binary logistic regression.
Overall, 69% of patients expressed agreement with perioperative telemedicine. Younger age (mean 50.6 vs. 59.3 years; p = 0.001) and greater digital experience, especially video call usage (p = 0.005), significantly predicted approval. The most preferred modality was browser-based video consultation (47%; p = 0.007). No significant associations were found for distance to clinic (p = 0.672), EQ-VAS score (p = 0.597), or number of prior clinic visits (p = 0.331). Barriers included data protection concerns (p < 0.001) and discomfort with receiving sensitive information via telemedicine (p < 0.001).
Most patients view telemedicine as a valuable supplement to traditional care. Acceptance depends on age, digital literacy, and the perceived sensitivity of clinical communication. Tailored implementation respecting patient preferences is essential.
远程医疗为围手术期护理提供了新机会，尤其是对于患有女性恶性肿瘤的患者。本研究调查了术前阶段影响患者接受远程医疗服务的因素。
在2022年5月至11月期间，145例患有乳腺癌或妇科恶性肿瘤的患者在术前咨询的横断面研究中完成了一份结构化问卷。评估了社会人口统计学因素、数字体验和隐私担忧。使用描述性统计、t检验、卡方检验、曼-惠特尼U检验和二元逻辑回归分析数据。
总体而言，69%的患者对围手术期远程医疗表示认同。年龄较小（平均50.6岁对59.3岁；p = 0.001）和更多的数字体验，尤其是视频通话使用（p = 0.005），显著预测了认同度。最受欢迎的方式是基于浏览器的视频咨询（47%；p = 0.007）。未发现到诊所的距离（p = 0.672）、EQ-VAS评分（p = 0.597）或之前就诊次数（p = 0.331）有显著关联。障碍包括对数据保护的担忧（p < 0.001）以及对通过远程医疗接收敏感信息感到不适（p < 0.001）。
大多数患者将远程医疗视为传统护理的有价值补充。接受程度取决于年龄、数字素养以及临床沟通的感知敏感性。尊重患者偏好进行量身定制的实施至关重要。
