Telemed J E Health - Home telehealth: facilitators, barriers, and impact of nurse support among high-risk dialysis patients.

Tópicos

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Resumo

JECTIVE: The value of home telehealth self-monitoring with nurse oversight has been demonstrated; however, there is a dearth of objective documentation of patients' experiences with such a model. We used a mixed methods approach to examine the value of home telehealth monitoring with remote care nurse (RCN) support from the perspective of participants in our study.MATERIALS AND METHODS: Thirty-three patients who used remote technology to self-monitor their health at home participated in a semistructured interview. The instrument was designed to help identify facilitators and barriers and to evaluate patient satisfaction with and effectiveness of home telehealth self-monitoring.RESULTS: Overall, patients reported high levels of satisfaction with RCN support as they received efficient feedback, were better able to identify changes in their health status, and experienced enhanced accountability, self-efficacy, and motivation to make health behavior changes. The most frequently cited barriers related to malfunctioning equipment or trouble with Internet connections, forgetfulness, and feeling poorly.CONCLUSIONS: The results suggest that home telehealth self-monitoring with RCN support is effective in empowering patients to take a more active role in their healthcare and indirectly improve quality of life for those living with chronic illness.

Resumo Limpo

jectiv valu home telehealth selfmonitor nurs oversight demonstr howev dearth object document patient experi model use mix method approach examin valu home telehealth monitor remot care nurs rcn support perspect particip studymateri method thirtythre patient use remot technolog selfmonitor health home particip semistructur interview instrument design help identifi facilit barrier evalu patient satisfact effect home telehealth selfmonitoringresult overal patient report high level satisfact rcn support receiv effici feedback better abl identifi chang health status experienc enhanc account selfefficaci motiv make health behavior chang frequent cite barrier relat malfunct equip troubl internet connect forget feel poorlyconclus result suggest home telehealth selfmonitor rcn support effect empow patient take activ role healthcar indirect improv qualiti life live chronic ill

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