投稿分類 其他

主委發表種類: 壁報

投稿標題(中): 在家照護慢性傳染病的遠距醫療

投稿標題(英): Telemedicine for chronic infection disease at home care

投稿摘要: Introduction
Home care for pulmonary tuberculosis and other chronic infection disease has many difficulties, such as acute exacerbations, eruptions of complications, side effects of medications, etc. But it may be improved by using a telemedicine care.

Material and methods
The present study involved 5 patients with pulmonary tuberculosis, 2 are bedridden and 3 walkable. They and their caregivers were equipped with a mobile video phone. A designed protocol for daily evaluation by a physician assistant include body temperature, pulse rate, respiratory rate, fatigue index, skin, visual color, joint, and phlegm. All data were uploaded to cloud and were read on mobile phone. The patients or his caregivers back to hospital 2 weeks periodically or when an unusual change was detected.

Results
A 2 months study, we performed 260 video visits and analyzed the trend of physical change. Three findings: 1. the average duration of physical stabilization was 18 days, 2. the detection of complications was ahead of 1 week for movable patients and 1 month for bedridden, and 3. reduced hospital in-person visit from 12 times to 7 times.

Conclusions
Our findings indicate that mobile telemedicine care was effective for home care with tuberculosis and other chronic infection diseases. It reduce the uncertainty hospital returning, early detected complications, cost-effectively doctor visits, and change the traditional care model for pulmonary tuberculosis at home.

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