Feasibility and acceptance of telemedicine for wound care in patients with chronic leg ulcers
Feasibility and acceptance of telemedicine for wound care in patients with chronic leg ulcers
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DOI：
10.1258/135763306777978407
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发表时间：
2006-01-01
影响因子：
4.7
通讯作者：
Soyer, H. P.
中科院分区：
文献类型：
--
作者：
Hofmann-Wellenhof, R.;Salmhofer, W.;Soyer, H. P.
我们研究了远程皮肤病学用于家庭护理护士对慢性腿部溃疡患者进行伤口处理的可行性和接受度。包括 14 名患者的 41 例不同来源的慢性腿部溃疡。在对腿部溃疡进行了评估和分类并记录了潜在疾病的初次亲自访视后，家庭护理护士进行了后续访视。每周一次，伤口和周围皮肤的 1-4 个数字图像以及相关临床信息通过安全网站传输给伤口护理中心的专家。专家们对伤口状况进行了评估并提出了治疗建议。在 492 次远程会诊中，89% 的图像质量足够或非常好，专家们有信心给出治疗建议。三分之一的咨询改变或调整了治疗方式。去看普通医生或伤口护理中心的次数显着减少。患者、家庭护理护士和伤口专家对远程皮肤科的接受度很高。远程皮肤病学为慢性伤口护理提供了巨大的潜力，并且似乎被患者和医护人员所接受。
We examined the feasibility and acceptance of teledermatology for wound management of patients with chronic leg ulcers by home-care nurses. Forty-one chronic leg ulcers of different origin in 14 patients were included. After an initial in-person visit in which leg ulcers were assessed and classified, and underlying diseases noted, follow-up visits were done by home-care nurses. Once a week 1-4 digital images of the wound and surrounding skin and relevant clinical information were transmitted via a secure Website to an expert at the wound care centre. The experts provided an assessment of wound status and therapeutic recommendations. In 89% of the 492 teleconsultations, the quality of images was sufficient or excellent and the experts were confident giving therapeutic recommendations. Treatment modalities were changed or adapted in one-third of the consultations. There was a significant decrease in visits to a general physician or the wound care centre. The acceptance of teledermatology was high in patients, home-care nurses and wound experts. Teledermatology offers great potential for chronic wound care and seems to be accepted both by patients and health-care persons.