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首页> 外文期刊>Clinical Interventions in Aging >Employment of Telemedicine in Nursing Homes: Clinical Requirement Analysis, System Development and First Test Results
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Employment of Telemedicine in Nursing Homes: Clinical Requirement Analysis, System Development and First Test Results

机译：在护理家庭中的远程医疗中的就业：临床要求分析，系统开发和第一次测试结果

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Purpose: Demographic change and lack of specialized workforces are challenging. Likewise, home visits by general practitioners (GPs) become rarer. If a nursing home resident develops acute symptoms, nurses are often inclined to call the rescue service. Besides patient-related consequences, this might lead to unnecessary hospitalization and far-reaching health economic costs. Due to legal restrictions of remote treatment in Germany, which were recently loosened, telemedicine is still in the early stages. The aim of this study was to employ a holistic telemedical system for nursing homes which facilitates the connection to a GP and thus avoids unnecessary hospitalizations in the case of ambulatory-sensitive illnesses. Materials and Methods: After an inter-professional requirement analysis, the iterative development was started. In addition to an audio-video connection, several point of care measurements were integrated. Finally, first field tests were performed in a nursing home in a rural area in Germany. Results: One nursing home was equipped with telemedical system based on the results of the requirement analysis and tele-medically connected to a GP. Over a period of seven months, 56 routine and emergency teleconsultations took place. Only one of those required a hospital admission. In addition to video telephony, electrocardiography and assessment of vitals such as pulse, blood pressure, oxygen saturation and auscultation of heart and lungs were applied frequently. Conclusion: A telemedical system including integrated medical devices was successfully developed and has turned out to be helpful and even necessary for careful and reliable decision-making by the GP. First test results show high acceptance for elderly care. Involved patients, nurses, and the GP itemize various specific benefits, including economic, personal, and altruistic issues. Another issue that the current COVID-19 crisis brought to light is lowering the risk of contagion; GPs can replace their home visits by using telepresence combined with point of care measures.
机译：目的：人口变化，缺乏专业劳动力是具有挑战性的。同样，全科医生（GPS）的家庭访问变得罕见。如果养老院居民患上急性症状，护士往往倾向于呼吁救援服务。除了与患者相关的后果外，这可能导致不必要的住院和达到的健康经济成本。由于德国遥控的法律限制，最近松动，远程医疗仍处于早期阶段。本研究的目的是采用全面远程医院，促进与GP的联系，从而避免在静态敏感疾病的情况下避免不必要的住院治疗。材料和方法：经过专业间的需求分析，启动了迭代开发。除了音视频连接外，还集成了几个护理点测量。最后，首先在德国农村地区的养老院进行了第一个现场测试。结果：一家养老院配备了远程化系统，基于需求分析的结果和远程医学连接到GP。在七个月内，56个例行和紧急电话进行了。只有其中一个所需的一份入住。除了视频电话，经常施用脉搏，脉搏，血压，氧饱和度和心脏和肺部的脉搏，血压，氧饱和度和肺的血管造影和血液的评估。结论：成功开发了一个包括综合医疗器械的远程信息系统，并已向GP仔细可靠的决策有所帮助。第一次测试结果表明对老年人护理的验收。涉及患者，护士和GP逐项列出各种特定福利，包括经济，个人和利他问题。当前Covid-19危机带来光线的另一个问题降低了传染的风险; GPS可以通过使用Telepresence结合护理措施来取代他们的家庭访问。

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