背景:COVID-19大流行给住院护理带来了许多挑战,包括患者隔离和住院限制。虽然通信技术,比如视频通话或发短信,可以减少社会孤立,实施存在挑战,特别是对于老年人。
目的:本研究采用混合方法了解住院患者面临的挑战,并探讨患者的观点,家庭成员,和医疗保健提供者(HCP)关于通信技术的使用。使用调查和焦点小组。
结果:使用通信技术的患者认为COVID-19大流行对他们的健康产生了更多的不利影响,但对住院结局的影响较小,相比那些没有。大多数HCP认为技术可以改善所提供的计划,患者与他人的联系,以及获得护理支持的过渡。焦点小组强调了医院技术基础设施的挑战。
结论:我们的研究结果可能有助于适当采用通信技术来提高住院和过渡护理的质量。
BACKGROUND: The COVID-19 pandemic created many challenges for in-patient care including patient isolation and limitations on hospital visitation. Although communication technology, such as video calling or texting, can reduce social isolation, there are challenges for implementation, particularly for older adults.
OBJECTIVE: This study used a mixed methodology to understand the challenges faced by in-patients and to explore the perspectives of patients, family members, and health care providers (HCPs) regarding the use of communication technology. Surveys and focus groups were used.
RESULTS: Patients who had access to communication technology perceived the COVID-19 pandemic to have more adverse impact on their well-beings but less on hospitalization outcomes, compared to those without. Most HCPs perceived that technology could improve programs offered, connectedness of patients to others, and access to transitions of care supports. Focus groups highlighted challenges with technology infrastructure in hospitals.
CONCLUSIONS: Our study findings may assist efforts in appropriately adopting communication technology to improve the quality of in-patient and transition care.