TY - JOUR AU - Abdallah, Lama AU - Stolee, Paul AU - Lopez, Kimberly J AU - Whate, Alexandra AU - Boger, Jennifer AU - Tong, Catherine PY - 2022 DA - 2022/10/20 TI - COVID-19对老年人虚拟护理认知的影响:定性研究JO - JMIR老龄化SP - e38546 VL - 5 IS - 4kw -虚拟护理KW -老年人KW -定性KW - COVID-19 KW -老年人口KW -老龄化KW -远程医疗KW -数字护理KW -技术可用性KW -患者视角KW -技术访问AB -背景:为应对COVID-19大流行，世界各地的老年人越来越多地接受虚拟医疗服务，医疗保健组织和专业机构表示，虚拟医疗服务“将持续下去”。由于老年人是医疗保健系统的最高用户，虚拟医疗实施可能对他们产生重大影响，并可能需要额外的支持。目的:本研究旨在了解大流行期间老年人对虚拟护理的看法和经验。方法:作为一项关于大流行期间老年人技术使用的大型研究的一部分，我们在2020年夏季和2021年冬季/早春两个时间点对20名不同的加拿大老年人(平均年龄76.9岁，SD 6.5)进行了半结构化访谈。参与者被问及他们的技术技能，虚拟预约的经验，以及对这种类型的护理提供的看法。访谈被数字记录和转录。结合基于团队和框架的分析来解释数据。结果:参与者描述了他们在大流行期间获得面对面护理和虚拟护理的经历，包括获得护理的问题和长时间的预约间隔。 Overall, participants were generally satisfied with the virtual care they received during the pandemic. Participants described the benefits of virtual care (eg, increased convenience, efficiency, and safety), the limitations of virtual care (eg, need for physical examination and touch, lack of nonverbal communication, difficulties using technology, and systemic barriers in access), and their perspectives on the future of virtual care. Half of our participants preferred a return to in-person care after the COVID-19 pandemic, while the other half preferred a combination of in-person and virtual services. Many participants who preferred to access in-person services were not opposed to virtual care options, as needed; however, they wanted virtual care as an option alongside in-person care. Participants emphasized a need for training and support to be meaningfully implemented to support both older adults and providers in using virtual care. Conclusions: Overall, our research identified both perceived benefits and perceived limitations of virtual care, and older adult participants emphasized their wish for a hybrid model of virtual care, in which virtual care is viewed as an addendum, not a replacement for in-person care. We recognize the limitations of our sample (small, not representative of all older Canadians, and more likely to use technology); this body of literature would greatly benefit from more research with older adults who do not/cannot use technology to receive care. Findings from this study can be mobilized as part of broader efforts to support older patients and providers engaged in virtual and in-person care, particularly post–COVID-19. SN - 2561-7605 UR - https://aging.www.mybigtv.com/2022/4/e38546 UR - https://doi.org/10.2196/38546 UR - http://www.ncbi.nlm.nih.gov/pubmed/36054599 DO - 10.2196/38546 ID - info:doi/10.2196/38546 ER -