Patients' Satisfaction of Healthcare Services and Perception with In-Home Telerehabilitation and Physiotherapists' Satisfaction Toward Technology for Post-Knee Arthroplasty: An Embedded Study in a Randomized Trial
Patients' Satisfaction of Healthcare Services and Perception with In-Home Telerehabilitation and Physiotherapists' Satisfaction Toward Technology for Post-Knee Arthroplasty: An Embedded Study in a Randomized Trial
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DOI：
10.1089/tmj.2010.0198
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发表时间：
2011-06-01
影响因子：
4.7
通讯作者：
Simard, Jessica
中科院分区：
文献类型：
--
作者：
Tousignant, Michel;Boissy, Patrick;Simard, Jessica
目的：我们测量了患者和医疗保健专业人员对全膝关节置换手术出院后作为传统康复替代方案的家庭远程康复期间提供的技术和服务的满意度。方法：这项研究纳入了一项更大规模的对照试验，其中招募了 48 名接受全膝关节置换术的社区老年人，他们在术后出院前接受了全膝关节置换术，并随机分配到治疗组（远程和比较）。在干预结束时，使用医疗保健满意度调查问卷评估参与者对服务的满意度。对于远程治疗组，在治疗前和远程治疗完成后评估患者对家庭远程医疗的看法。在每次治疗结束时，使用技术质量主观评价问卷记录医疗保健专业人员对远程康复服务期间技术的满意度。结果：两组患者（远程组和比较组）均对所接受的服务感到满意，并且没有观察到显着差异。此外，物理治疗师对目标实现、患者与治疗师关系、整体疗程满意度以及技术平台的质量和性能的满意度很高。结论：由于患者满意度对于保持积极性和治疗依从性非常重要，并且医疗保健专业人员的满意度必须很高才能使新治疗成为诊所的主流，因此结果表明，家庭远程康复似乎是传统面对面治疗的一种有前景的替代方案。
Objective: We measured the satisfaction of both patients and healthcare professionals with the technologies and services provided during in-home telerehabilitation as an alternative to conventional rehabilitation after discharge from total knee arthroplasty surgery. Methods: This study was embedded in a larger controlled trial where 48 community-living older adults who received total knee arthroplasty were recruited prior to discharge from acute care following surgery and randomly assigned to treatment arms (Tele and Comparison). The participants' satisfaction with the services was assessed at the end of the intervention for both groups using the Healthcare Satisfaction Questionnaire. For the Tele group, the patients' perception of in-home telehealth was assessed before treatment and after completion of teletreatments. The satisfaction of the healthcare professionals with the technology during the telerehabilitation services was noted at the end of each treatment session using a technical quality subjective appreciation questionnaire. Results: Both groups of patients (Tele and Comparison) were satisfied with the services received and no significant difference was observed between them. Moreover, the physiotherapists' satisfaction with regard to goal achievement, patient-therapist relationship, overall session satisfaction, and quality and performance of the technological platform was high. Conclusions: As patient satisfaction is important in maintaining motivation and treatment compliance and the satisfaction of healthcare professionals must be high in order for new treatments to become mainstream in clinics, the results show that in-home telerehabilitation seems to be a promising alternative to traditional face-to-face treatments.