Telemedicine follow-up facilitates more comprehensive diabetes foot ulcer care: A qualitative study in home-based and specialist health care
Telemedicine follow-up facilitates more comprehensive diabetes foot ulcer care: A qualitative study in home-based and specialist health care
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DOI：
10.1111/jocn.14193
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发表时间：
2018-03-01
影响因子：
4.2
通讯作者：
Kirkevold, Marit
中科院分区：
文献类型：
--
作者：
Kolltveit, Beate-Christin Hope;Thorne, Sally;Kirkevold, Marit
目的探讨远程医疗干预在糖尿病足溃疡护理中的应用，和它的影响，为医疗保健专业人员在临床领域。BackgroundContextual因素被发现是重要的，当应用技术在医疗保健和应用远程医疗在家庭为基础的护理已被确定为特别复杂。设计和方法我们进行了实地观察和个人访谈的医疗保健专业人员在家里-2016年期间，糖尿病足部护理远程医疗RCT（www.example.com：NCT 01710774）中的基础护理和专科医疗Clin.Trial.gov。这项研究是由解释性描述，归纳定性methodology.ResultsOverall，我们确定了不平等的可能性，应用远程医疗在糖尿病足溃疡护理在医院和家庭护理环境。家庭护理的不同情况和可能性使得按预期应用远程医疗更加困难。在这两个护理环境中的医疗保健专业人员认为远程医疗的应用，以促进更全面的方法对病人，但有不同的可能性制定it.ConclusionsApplication远程医疗在家庭为基础的护理更具挑战性比在门诊诊所设置。引进更多更新的设备和轻微的结构调整咨询时间和资源可以使远程医疗在家庭为基础的careerrobust.Relevance到临床practiceApplication的远程医疗在糖尿病足溃疡后续可能会提高护理人员的能力进行全面评估和护理的足溃疡以及病人的总体情况。要充分利用这项新技术，就必须有足够的设备和时间，特别是在家庭护理方面。
Aims and objectivesTo investigate the application of a telemedicine intervention in diabetes foot ulcer care, and its implications for the healthcare professionals in the clinical field.BackgroundContextual factors are found to be important when applying technology in health care and applying telemedicine in home-based care has been identified as particularly complex.Design and methodsWe conducted field observations and individual interviews among healthcare professionals in home-based care and specialist health care in a diabetes foot care telemedicine RCT (Clin.Trial.gov: NCT01710774) during 2016. This study was guided by Interpretive Description, an inductive qualitative methodology.ResultsOverall, we identified unequal possibilities for applying telemedicine in diabetes foot ulcer care within the hospital and home care contexts. Different circumstances and possibilities in home-based care made the application of telemedicine as intended more difficult. The healthcare professionals in both care contexts perceived the application of telemedicine to facilitate a more comprehensive approach towards the patients, but with different possibilities to enact it.ConclusionsApplication of telemedicine in home-based care was more challenging than in the outpatient clinic setting. Introducing more updated equipment and minor structural adjustments in consultation time and resources could make the use of telemedicine in home-based care more robust.Relevance to clinical practiceApplication of telemedicine in diabetes foot ulcer follow-up may enhance the nursing staff's ability to conduct comprehensive assessment and care of the foot ulcer as well as the patient's total situation. Access to adequate equipment and time, particularly in home-based care, is necessary to capitalise on this new technology.