Brennan P F, Ripich S
Case Western Reserve University.
Int J Technol Assess Health Care. 1994 Spring;10(2):258-72. doi: 10.1017/s0266462300006218.
Computer networks serve as convenient, efficient, and enduring vehicles for delivering nursing services to patients at home. The ComputerLink, a specialized computer network, provided nurse-supervised information, decision support, and communication services to home-dwelling persons living with AIDS (PWAs). During a 26-week randomized field experiment, 26 PWAs accessed the ComputerLink on more than 8,664 occasions. The communications area was used most often; the public communication area functioned like a support group. Multiple behavioral measures of use provide a rich picture of how these PWAs, none of whom had had prior computer experience, adopted and adapted to this innovative nursing care delivery system. Meeting the needs of a rapidly growing and diverse population of home-care clients demands that nurses make effective use of existing technologies such as cable television and telephone triage systems. Computer networks combine the best features of cable television and telephone systems--broadcast distribution and interaction; therefore, computer networks represent an ideal technology for the delivery of certain nursing services to the home.
计算机网络是向居家患者提供护理服务便捷、高效且持久的载体。ComputerLink作为一种专门的计算机网络，为居家艾滋病患者（PWAs）提供护士监督的信息、决策支持及通信服务。在一项为期26周的随机现场试验中，26名艾滋病患者使用ComputerLink达8664多次。通信区域使用最为频繁；公共通信区域的功能类似一个支持小组。多项使用行为指标充分展现了这些此前均无计算机使用经验的艾滋病患者是如何采用并适应这一创新护理服务提供系统的。要满足快速增长且多样化的居家护理客户群体的需求，护士必须有效利用有线电视和电话分诊系统等现有技术。计算机网络融合了有线电视和电话系统的最佳特性——广播分发与交互；因此，计算机网络是向家庭提供某些护理服务的理想技术。
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