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慢性伤口患者虚拟护理计划的实施要求:一项定性研究

The Implementation Requirements of a Virtual Care Program for Patients With Chronic Wounds: A Qualitative Study.

作者信息

Babaei Nasib, Zamanzadeh Vahid, Valizadeh Leila, Lotfi Mojgan, Avazeh Marziyeh

机构信息

Department of Medical Surgical Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.

Department of Nursing, School of Nursing and Midwifery, Ardabil University of Medical Sciences, Ardabil, Iran.

出版信息

Int Wound J. 2025 Jul;22(7):e70719. doi: 10.1111/iwj.70719.

Abstract

This study aimed to identify the requirements for implementing a virtual care programme for patients with chronic wounds. It was conducted in two consecutive phases: (1) scoping review, (2) descriptive qualitative study. In the first phase, texts published in English until 2024 were identified using international databases. Data analysis was carried out using textual content analysis. In the second phase, 12 participants from Iranian wound care clinics participated. Data were collected through focus group discussion and analysed using conventional content analysis. Integration of both phases was conducted in the data analysis stage. The most important requirements for the implementation of the virtual care programme for patients with chronic wounds were identified in five main categories, including providing a basic infrastructure for virtual care, changing users' views on acceptance, the presence of competent specialised wound therapists, the necessity of teamwork and interprofessional cooperation of specialists, and the existence of a suitable platform equipped with video conferencing software. The findings of this study provide good practical guidance for policymakers and health system decision-makers to develop and implement virtual care programmes in the wound and other health care domains.

摘要

本研究旨在确定为慢性伤口患者实施虚拟护理计划的要求。该研究分两个连续阶段进行:(1)范围审查,(2)描述性定性研究。在第一阶段,使用国际数据库识别截至2024年以英文发表的文献。采用文本内容分析法进行数据分析。在第二阶段,来自伊朗伤口护理诊所的12名参与者参与其中。通过焦点小组讨论收集数据,并采用常规内容分析法进行分析。两个阶段的整合在数据分析阶段进行。确定了为慢性伤口患者实施虚拟护理计划的五个主要类别中的最重要要求,包括为虚拟护理提供基本基础设施、改变用户对接受度的看法、有称职的专业伤口治疗师、专家团队合作和跨专业合作的必要性,以及存在配备视频会议软件的合适平台。本研究结果为政策制定者和卫生系统决策者在伤口及其他医疗领域制定和实施虚拟护理计划提供了良好的实践指导。

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Negative pressure wound therapy for open traumatic wounds.开放性创伤伤口的负压伤口治疗
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本文引用的文献

1
Virtual care in the health care system: A concept analysis.医疗体系中的虚拟护理:概念分析。
Scand J Caring Sci. 2024 Mar;38(1):35-46. doi: 10.1111/scs.13227. Epub 2023 Nov 27.
5
Outcomes of Telehealth for Wound Care: A Scoping Review.远程医疗在伤口护理中的应用效果:一项范围综述。
Adv Skin Wound Care. 2022 Jul 1;35(7):394-403. doi: 10.1097/01.ASW.0000821916.26355.fa. Epub 2022 Feb 14.

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