Sivertsson Bertil Christian Pløen, Gartner Alex Voss, Takahashi Tetsuya, Secher Pernille Heyckendorff
Department of Health Science and Technology, Aalborg University, Aalborg, Denmark.
Department of Physical Therapy, Faculty of Health Sciences, Juntendo University, Tokyo, Japan.
Telemed Rep. 2025 Jul 24;6(1):185-194. doi: 10.1177/26924366251362187. eCollection 2025.
Cardiovascular disease is a leading global cause of death, with coronary artery disease often requiring coronary artery bypass grafting (CABG). Inadequate rehabilitation increases health risks and costs, and low adherence to center-based rehabilitation has prompted interest in telerehabilitation. Despite technological advances, the global implementation of telerehabilitation for CABG patients remains underexplored. This study investigates factors influencing the implementation of a telerehabilitation device for CABG patients in the Faroe Islands.
A qualitative case study design was used to identify factors influencing the b-near® system implementation at Suðuroy Hospital in the Faroe Islands. Data collection involved document materials, direct nonparticipant observations, and semi-structured interviews with seven participants. Analysis with NVivo followed principles by Kvale and Brinkmann and the Normalization Process Theory.
The case study identified both opportunities and barriers. At Suðuroy Hospital, the b-near system enhances training and communication between health care providers and patients, is easy for patients to manage, and eliminates the need for hospital transportation. However, barriers such as reduced social interaction and potential difficulties in understanding training audio were also revealed.
Several factors were identified, highlighting the importance of integrating these findings into Suðuroy Hospital's implementation strategy. Overcoming barriers is crucial for the successful use of the b-near system and improved patient care. Further evaluation of the b-near system and similar devices in diverse health care settings is necessary to enhance patient outcomes and support broader implementation.
心血管疾病是全球主要的死亡原因，冠状动脉疾病常常需要进行冠状动脉旁路移植术（CABG）。康复不足会增加健康风险和成本，而对基于中心的康复治疗依从性低促使人们对远程康复产生兴趣。尽管技术有所进步，但针对冠状动脉旁路移植术患者的远程康复在全球范围内的实施情况仍未得到充分探索。本研究调查了影响法罗群岛一家医院为冠状动脉旁路移植术患者实施远程康复设备的因素。
采用定性案例研究设计来确定影响法罗群岛苏德罗伊医院实施b-near®系统的因素。数据收集包括文件资料、直接非参与观察以及对7名参与者进行的半结构化访谈。使用NVivo软件进行分析时遵循了克瓦尔和布林克曼的原则以及归一化过程理论。
该案例研究既发现了机遇也发现了障碍。在苏德罗伊医院，b-near系统增强了医护人员与患者之间的培训和沟通，患者易于操作，并且无需前往医院。然而，也发现了一些障碍，如社交互动减少以及理解培训音频可能存在困难。
确定了几个因素，强调了将这些研究结果纳入苏德罗伊医院实施策略的重要性。克服障碍对于成功使用b-near系统和改善患者护理至关重要。有必要在不同的医疗环境中对b-near系统及类似设备进行进一步评估，以改善患者预后并支持更广泛的实施。
