| Autor: |
Mossad NA; Geriatrics and Gerontology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.; Geriatric Palliative Care Unit, Ain Shams University Hospitals, Cairo, Egypt., Hamza SA; Geriatrics and Gerontology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt., Wahba HMF; Geriatrics and Gerontology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt., Youssif HY; Geriatrics and Gerontology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt., Tolba MF; Geriatrics and Gerontology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.; Geriatric Palliative Care Unit, Ain Shams University Hospitals, Cairo, Egypt. |
| Jazyk: |
angličtina |
| Zdroj: |
Telemedicine journal and e-health : the official journal of the American Telemedicine Association [Telemed J E Health] 2024 Jun; Vol. 30 (6), pp. e1757-e1768. Date of Electronic Publication: 2024 Mar 08. |
| DOI: |
10.1089/tmj.2023.0668 |
| Abstrakt: |
Background/Purpose: Older patients living with dementia and their caregivers are ideal beneficiaries of telemedicine, cost-effectiveness, caregiver satisfaction, and physician acceptance. The aim is to study the effect of a telemedicine dementia enabled program on the health outcome of dementia patients and their caregivers, as regard the patient outcome, caregiver stress, and caregiver satisfaction. Methods: Ninety-seven ( n = 97) elderly subjects were recruited from the outpatient clinics and inpatient ward of Geriatrics Hospital, Ain Shams University Hospitals. Seventy subjects completed 6 months of follow-up using a telegeriatrics model. Patient outcomes (delirium, behavioral and psychological symptoms of dementia [BPSD], and need for home consultations, emergency room [ER] visits, clinic visits, and hospital admissions) were assessed and followed. Caregiver stress was evaluated and monitored using the abridged Arabic version of the Zarit Burden Interview ZBI-A. Caregiver satisfaction was assessed using dedicated satisfaction questionnaire designed by Ain Shams Virtual Hospital. Results: elirium episodes, BPSD episodes, and the need for home consultations, clinic visits, ER visits, and hospital admissions. This was statistically significant after the second, fourth, and sixth months of follow-up ( p -value <0.001). In addition, the telegeriatrics follow-up model had a positive effect on both caregiver stress and caregiver satisfaction. Conclusions: The telegeriatrics follow-up model is a useful tool in the improvement of health outcomes of dementia patients, reduction of caregiver stress, and achievement of caregiver satisfaction. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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