Doolittle G C, Yaezel A, Otto F, Clemens C
Division of Oncology, University of Kansas Medical Center, Kansas City 66160-7353, USA.
J Telemed Telecare. 1998;4 Suppl 1:58-9. doi: 10.1258/1357633981931470.
A pilot study of telenursing for terminally ill patients at home was launched as a collaborative effort between KUMC and the Kendallwood Hospice. The service used the public telephone network. Interactive video equipment was installed in the homes of three nurses who received after-hours calls and in the homes of six hospice patients living in either Kansas or Missouri. Data concerning the utilization patterns were gathered for two separate three-month periods. Patients and caregivers reported general satisfaction with the telehospice system. Both the nurses and social worker providers became comfortable about video-calls. Nurses conducted video-assessments to determine whether an 'in person' visit was necessary. This was particularly helpful for rural patients who were living a long way from the base station. In addition, Kendallwood serves an urban population and, in certain areas, night-time nursing visits raise safety concerns.
堪萨斯大学医学中心（KUMC）与肯德尔伍德临终关怀医院合作开展了一项针对在家中绝症患者的远程护理试点研究。该服务使用公共电话网络。互动视频设备安装在三名负责接听非工作时间电话的护士家中，以及六名居住在堪萨斯州或密苏里州的临终关怀患者家中。在两个不同的三个月期间收集了有关使用模式的数据。患者和护理人员对远程临终关怀系统总体满意。护士和社会工作者都对视频通话感到自在。护士进行视频评估以确定是否需要“亲自”探访。这对居住在离基站很远的农村患者特别有帮助。此外，肯德尔伍德服务城市人口，在某些地区，夜间护理探访会引发安全问题。
