远程护理的应用与研究现状

介绍了远程医疗在护理中的应用现状,并结合文献阐述了远程护理的应用效果。提出远程护理在给病人及护理人员带来巨大方便的同时,在实际应用中还有一些局限性。因此,提高远程护理在临床护理中的实用性、可操作性等应是未来的发展方向。     

漫谈远程护理

随着社会的发展和人们生活水平的提高,护士除了完成传统的医院护理外,许多新的要求如家庭护理、长期护理、流动护理等也是他们所面临的问题。但是,就目前来看,护士数目的增长速度远不及需求速度增长。另一方面居住偏远或人口稀少地区的人们,医疗环境低劣,其健康护理水平远远达不到基本需求的水平。随着计算机和通信技术发展,利用远程     

远程胎儿监护技术在产科中的应用及护理

我国目前围产儿死亡的主要原因已从先天畸形转为围产期缺氧，同时这也是远期婴儿患病率及致残率的主要原因之一。孕妇与胎儿远程监护（maternal and feta ltelemonitoring）是将胎儿监护与远程通讯技术相结合的一项技术，使孕妇可以在有通讯网络的任何地方、任何时候，通过远程监护系统让医护人员实时地了解胎儿宫内储备情况，有无宫内缺氧等表现。其核心内容是把在家庭中监测到的胎心以声音或变化曲线图形传输到远程胎儿监护中心计算机上，通过人工和计算机分析做出准确判断，并结合病情提出合理建议，从而确保孕妇及胎儿平安的监护系统。我院较早引进了远程胎儿电子监护系统，对399例孕妇进行了远程胎儿监护，现就远程胎儿监护技术的临床应用及护理要点总结如下。     

卫星远程护理教育的组织与实施

卫星远程教育是构筑知识经济时代人们终身学习体系的一种新型教育途经,笔者介绍了卫星远程教育系统、卫星远程护理教育应用、组织与实施,提出要转变教育思想,创新教育观念,了解和研究信息时代教育教学的模式、方法、体系;进一步完善远程教育的质量保证体系,不断改革教学方法,提高课件制作水平,切实做好技术保障。     

依托远程医学网 开展远程会诊和远程教学

远程医学(Telemedicine)是指借助现代远程通信技术与计算机多媒体技术相结合提供医疗和医学信息服务[1].随着现代信息技术的高速发展,它已渗透到医学的各个领域,涵盖了三个方面的医学内容,包括远程医疗、远程教学、远程医学信息服务等.利用远程医学方式可以最大范围地共享国内乃至世界范围内的医疗卫生资源,它具有广阔的发展前景.2006年3月,我院建成了军队双向远程医学信息网,开始为临床提供远程会诊,为科研训练提供教学服务.具体做法如下.     

远程护理技术的应用

通过对近几年迅速发展的远程护理技术的介绍，提出了远程护理的定义，介绍了远程护理的作用，优势，并对国内外极具权威性的医学光盘数据库Medlline进行的有关远程护理（Telecare)文章进行了总结。     

脑卒中远程康复研究进展

综述了远程医学及远程康复的内涵,分析远程康复的必要性、服务模式、康复技术及国内外临床应用进展及存在的问题。     

脑卒中远程康复研究进展

综述了远程医学及远程康复的内涵,分析远程康复的必要性、服务模式、康复技术及国内外临床应用进展及存在的问题.     

远程信息护理对手外伤治疗的探讨

目的为护理对象提供准确、完整的信息知识,使护理对象有足够的方法处理、解决具体情况,提高病人的生活质量,增强医护患之间的信任度及责任感。方法对65例手损伤的患者进行了手术治疗,其中对34人实施了远程信息护理,把另外31人作为对照。结果实验组与对照组优良率差异有显著意义,X2=7．49,P<0．01。结论远程信息护理可应用于医学护理领域,具有先进性、实用性和可操作性,较其他护理有明显的优越性,值得在护理工作中推广。     

构建远程医疗护理系统的探讨

探讨了构建远程医疗护理系统的构想及其管理制度,具体描述视频教学系统、会诊指导系统、患者信息远程管理系统、急救系统、医学数据库和投稿系统等子系统的应用,分析了远程医疗护理系统存在的难题.     

Telenursing in Incidents and Disasters: A Systematic Review of the Literature

IntroductionDisasters of any kind can affect public health severely. A shortage of health care specialists, such as physicians and nurses, during a disaster is a challenge for health care systems. The use of technology is 1 emerging strategy for addressing the continually increasing demand for care. Moreover, nurses may use technology in their roles. Therefore, the purpose of this study was to identify the application of telehealth, and more specifically telenursing care, in incidents and disasters.MethodsThis systematic review study was conducted on the basis of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. English language international databases (PubMed, Scopus, Embase, Web of Science, and Google Scholar) were searched through November 2018. The quality of the studies was assessed using the International Narrative Systematic Assessment tool.ResultsOf the 5,759 titles identified in this search, 17 studies met the inclusion criteria. The important findings of this study were grouped into 3 main categories: clinical teams, disaster and communication types, and key outcomes of the telehealth programs used in disasters and incidents. We did not find any articles in the field of telenursing care during incidents.DiscussionProviding health care during a disaster is essential, and technology is of vital importance for such care. Because of the shortage of specialized nurses in disaster areas, the presence of such a group in the telehealth program will provide a new window for care. Thus, telenursing offers a means of improving health care response.     

远程医疗在现代急救医学中的应用研究

远程医疗作为有利于偏远地区患者的一种诊疗方式,目前已应用于急救医学领域。它使得不同区域和机构问的医务人员交流更便捷,也实现了急危重症的诊断、户外抢救与信息服务的一体化,从而使抢救成功率和患者的生存质量得以提升,因此成为危重症领域新的急救模式。而在抢险救灾、紧急救援、反恐维稳、境外值勤等重大或突发事件中,远程医疗还承担着极端状态下的医疗保障任务。     

Universal Design and Assistive Technology in Communication and Information Technologies: Alternatives or Complements?

Universal design and assistive technology present advantages and disadvantages in accommodating the needs of people with disabilities. The best solution may be a combination of the two, using universal design wherever possible and commercially practical and using assistive technologies wherever it is necessary or provides sufficient additional advantage to the user. Three approaches are discussed for the individual who is unable to interact with their world: change the individual, provide them with tools they can use, or change the environment. Examples of each are illustrated using personal workstations and shared, public, and encountered systems. The final decision may rest on commercial practicality, and several new technologies are explored. Ultimately, we need to continue to move forward both on the universal design and the assistive technology fronts if we are to address the needs of people with disabilities and those who are aging.     

Telenursing and home healthcare. the many facets of technology

Telenursing was instituted as an effective mode for providing care to patients geographically distant from healthcare providers. Using telecommunications and information technology, nursing care is provided remotely to individuals. Nurses recognize the value of telecare and telehomecare as essential components of telenursing that give patients easy access to high-quality care and eliminate costs and difficulties associated with travel to healthcare facilities. Patient satisfaction with telenursing is related to prompt quality care from professional nurses. Telenursing continues to grow as a valuable method for providing nursing care, especially in home healthcare.     

Psychometric evaluation of the Telenursing Interaction and Satisfaction Scale

Aims and Objectives

Interaction between caller and telenurse in telenursing is important for caller satisfaction and subsequent compliance. Despite this, satisfaction measures with focus on interaction in telenursing are scarce and rarely anchored in nursing theory. The aim was to evaluate the psychometric properties of the Telenursing Interaction and Satisfaction Scale (TISS) with focus on data quality, factor structure, convergent validity, and reliability.

Methodological Design and Justification

This psychometric study was based on cross-sectional data.

Research Methods, Instruments, and/or Interventions

Callers to the National Medical Advisory Service in Sweden (n = 616) completed the 60-item Telenursing Interaction and Satisfaction Questionnaire based on Cox's Interaction Model of Client Health Behavior. Twenty-five of these items were selected to form the TISS in four subscales according to the model. Data quality was evaluated in terms of missing data patterns and score distributions. The factor structure was evaluated with confirmatory factor analysis for ordinal data, convergent validity with Spearman correlations, internal consistency with ordinal alpha, scale reliability with composite reliability coefficients, and test–retest reliability with intraclass correlations.

Results

The amount of missing data was acceptable and equally distributed. Data deviated significantly from a normal distribution. All response options were endorsed. The factor analysis confirmed the hypothesised four-factor structure; factor loadings ranged from 0.56 to 0.97 and factor correlations were high (0.88–0.96). Internal consistency (ordinal alpha = 0.82–0.97), scale reliability (0.88–0.99), and test–retest reliability (ICC = 0.77–0.86) were satisfactory for all scales.

Study Limitations

The study design did not allow drop-out analysis.

Conclusions

The TISS showed satisfactory psychometric properties in the study sample. It provides a measure that enables quantitative measurement of caller satisfaction with interaction in telenursing.     

The impact of telenursing on hope and perceived self-efficacy of the mothers of premature infants after discharge from the NICU

ObjectivesThis study aimed to investigate the impact of telenursing on the hope and perceived self-efficacy of the mothers of premature infants after discharge from the neonatal intensive care unit.MethodThe study method was a clinical trial. The research population consisted of all the mothers with premature infants whose neonates had recently been discharged from NICU. Seventy subjects were selected through convenience sampling and randomly assigned to intervention and control groups. The intervention group subjects received telenursing training for four weeks, while in the control group, no intervention was offered. The data collection tools included the Perceived Maternal Parenting Self-Efficacy Questionnaire (PMPS-Q) and the Hope Scale of Mothers of Premature Neonates Admitted to the Intensive Care Unit. Data analysis was performed using an independent t-test, two-way repeated-measures ANOVA, and one-way repeated measures ANOVA.ResultsThe results showed that telenursing improves hope (P < 0.05) and perceived self-efficacy (P < 0.05) in the mothers of premature infants after discharge from the NICU.ConclusionAccording to the obtained results, it is suggested that the necessary measures be taken to establish distance nursing in the neonatal intensive care unit. As a result, mothers of premature infants and the country's health system can benefit from the advantages as mentioned earlier.     

远程医学教育系统的研究与应用

按照＂保基本、强基层、建机制＂的新医改要求,为促进和提高基层医务人员的服务水平,研究设计了＂远程医学教育系统＂并在全国推广应用。本文对系统组成、软硬件标准、系统结构以及应用效果进行了阐述。迄今为止,已利用该系统对累计177800余人次医护人员提供了各类培训,在培训专业人才,提升医务人员业务技术水平方面发挥了重要作用。     

六步癌症告知模型的应用研究进展

阐述六步癌症告知模型的起源及内容,综述六步癌症告知模型在国内外医务人员培训和癌症患者病情告知中的应用现状,以期为六步癌症告知模型在我国的应用提供借鉴。