Virtual consultations: are we missing anything?
Virtual consultations: are we missing anything?
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DOI：
10.1002/pdi.2288
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发表时间：
2020-07-01
影响因子：
0.6
通讯作者：
Fox, Charles
中科院分区：
文献类型：
--
作者：
Kilvert, Anne;Wilmot, Emma G.;Fox, Charles
COVID-19大流行导致大多数糖尿病护理从面对面诊所迅速转移到虚拟咨询，总体而言，糖尿病患者和卫生专业人员的反应是积极的。优点包括节省时间、旅行和下班时间。缺点主要与技术障碍有关，但也包括如果失去非语言线索，识别和处理情绪困扰的难度增加。人们报告说，他们更关注血糖水平，从这个意义上说，咨询更“有效”。然而，情感问题可能更难识别，特别是如果咨询是基于电话的。糖尿病痛苦和其他与糖尿病相关的心理问题是公认的，但人们可能会对与医疗保健专业人员远程讨论这些问题持谨慎态度。为了解决这个问题，咨询应该关注糖尿病患者的议程，特别是可能成为良好血糖控制障碍的生活事件或情感困难。虚拟咨询肯定会成为未来糖尿病护理的支柱，但并不适合所有人。第一次会议应尽可能面对面，以建立融洽关系；要保持这一点，护理的连续性至关重要。获取技术、保护问题和个人偏好都会影响虚拟跟踪的适用性。应向糖尿病专业人员提供培训，以帮助他们从虚拟咨询中获得最大收益。John Wiley & Sons版权所有
The COVID-19 pandemic has resulted in a rapid transfer of most diabetes care from face to face clinics to virtual consultations, and in general the response from people with diabetes and health professionals is positive. Advantages include saving time, travel and time off work. Disadvantages relate mainly to technological barriers but include increased difficulty in recognising and addressing emotional distress if non-verbal clues are lost.People report that there is more focus on glucose levels and in this sense the consultations are more 'efficient'. However, emotional issues may be more difficult to identify, particularly if the consultation is phone-based. Diabetes distress and other diabetes-related psychological issues are well recognised but people may be wary about discussing them remotely with a health care professional. To address this, the consultation should focus on the agenda of the person with diabetes, in particular life events or emotional difficulties that may be a barrier to good glucose control.Virtual consultations are certain to become a mainstay of future diabetes care but will not be suitable for everyone. First meetings should be face to face wherever possible to establish rapport; continuity of care is essential to maintain this. Access to technology, safeguarding issues and personal preference all influence suitability for virtual follow up. Training should be offered to diabetes professionals to help them get the most out of a virtual consultation. Copyright (c) 2020 John Wiley & Sons.