BACKGROUND: The COVID-19 pandemic had led to an increase in demand for remote care in patients with inflammatory bowel disease who require monitoring and frequent access to health services.
UNASSIGNED: A retrospective study of all activity (in person and by phone call or email) done on the unit during the acute phase of the pandemic at a reference hospital in Spain. Numbers of activities done by nurses, reasons for telehealth care and sociodemographic and clinical data were collected. Statistical analysis was performed using frequency, chi-squared and analysis of variance tests.
RESULTS: A total of 1095 activities for 561 patients who received care were reported. Among them, 1042 (95.2%) were telemedicine activities, amounting to a 47.3% increase over the prior year. COVID-19-related activities numbered 588 (59.5%). Consultations due to disease flare-up numbered 134 (13.7%), representing a 145% increase compared to 2019. Significant differences were found between reasons for using telemedicine and diagnosis, occupational status, contact week and treatment.
CONCLUSIONS: The acute phase of the pandemic has changed the activity managed by the nursing staff on the unit. Identifying and analysing these changes has yielded valuable information to achieve more efficient management and better care quality for patients in special situations.
背景:COVID-19大流行导致需要监测和经常获得医疗服务的炎症性肠病患者对远程护理的需求增加。
UNASSIGNED:一项回顾性研究,研究了西班牙一家参考医院在大流行急性期对病房进行的所有活动(亲自和通过电话或电子邮件)。护士完成的活动数量,收集了远程医疗保健的原因以及社会人口统计学和临床数据。使用频率进行统计分析,卡方检验和方差分析。
结果:共报告了561名接受护理的患者的1095项活动。其中,1042(95.2%)是远程医疗活动,比上年增长47.3%。与COVID-19相关的活动为588项(59.5%)。因疾病发作而进行的咨询数量为134(13.7%),与2019年相比增长了145%。使用远程医疗的原因和诊断之间存在显着差异,职业状况,接触周和治疗。
结论:大流行的急性期改变了单位护理人员管理的活动。识别和分析这些变化产生了有价值的信息,可以为特殊情况下的患者实现更有效的管理和更好的护理质量。