Nurgül ARPAG, Hamdiye Banu KATRAN, Sevgi GÜR

COVID-19 Pandemisinde riskli gruplarda tele-tıp ve tele–hemşirelik

Bu derlemede, COVID-19 pandemisinde özellikle riskli gruplarda tele-tıp ve tele-hemşirelik kullanımına ilişkin mevcut durumu değerlendirmek amaçlanmıştır. Son 20 yılda teknolojideki gelişmelere paralel olarak sağlık hizmetlerinin sunumu değişikliğe uğramış ve bu durum hem tıbbi tedavi hem de hemşirelik bakımı uygulamalarına yansımıştır. Hemşirelik süreci kapsamında ele alınan tanılama, planlama, uygulama ve değerlendirme süreçleri sanal bağlantılar aracılığıyla gerçekleştirebilir hale gelmiştir. Tele-hemşirelik, tele-tıp sisteminin bir alt bileşeni olup, bireyin bilgilerini kontrol etme, değerlendirme, yönlendirme ve iyilik haline katkıda bulunmak üzere bilgi ve iletişim teknolojilerinin kullanılmasını ifade etmektedir. COVID-19’a maruz kalma ve bulaş riski açısından yüksek riskli gruplar içerisinde yer alan onkoloji hastaları, gebeler, kronik hastalığı olanlar ve solid organ nakilli hastaların takip, tedavi, kontrol, eğitim ve danışmanlık hizmetlerinde tele-tıp ve tele-hemşirelik sisteminden faydalanılması önerilmekle birlikte, yapılmış çalışmalarda hasta sonuçlarına da olumlu etkisi olduğu görülmektedir. Ayrıca, Dünya Sağlık Örgütü de COVID-19 pandemisi ile mücadelede tele-tıp hizmetlerinin kullanımını desteklemektedir. Tüm dünyayı ve ülkemizi etkisi altına alan COVID-19 pandemisi sağlık bakım hizmetlerinin sunumunda iletişim teknolojilerinin ve medya araçlarının kullanılması gerekliliğini getirmiş, tele-tıp ve tele-hemşirelik kullanımına olan ihtiyacı artırmıştır. Pandemi sürecinde risk grubunda bulunan hastaların tedavi, bakım ve izleminin uzaktan yapılmasına olanak sağlayan tele-tıp ve tele-hemşirelik sisteminin geliştirilmesi yanı sıra kullanımının yaygınlaştırılması önerilmektedir.

Anahtar Kelimeler:

Covid-19, tele-hemşirelik, tele-tıp

Tele-medicine and tele-nursing in risky groups in the COVID-19 Pandemic

This review, it is aimed to evaluate the current situation regarding the use of tele-medicine and tele-nursing, especially in risky groups, in the COVID-19 pandemic. In the last 20 years, parallel to the developments in technology, the provision of health services has changed and this situation has been reflected in both medical treatment and nursing care practices. Diagnosis, planning, application and evaluation processes, which are handled within the scope of the nursing process, have become possible through virtual connections. Tele-nursing is a sub-component of the telemedicine system and refers to the use of information and communication technologies to control, evaluate, direct and contribute to the individual's information. It is recommended to use tele-medicine and tele-nursing systems in the follow-up, treatment, control, training and consultancy services of oncology patients, pregnant women, those with chronic diseases and solid organ transplant patients, who are among the high-risk groups in terms of exposure and transmission risk to COVID-19. However, studies have shown that it has a positive effect on patient outcomes. In addition, the World Health Organization (WHO) supports the use of telemedicine services in the fight against the COVID-19 pandemic. The COVID-19 pandemic, which affected the whole world and our country, brought the necessity of using communication technologies and media tools in the delivery of healthcare services and increased the need for the use of tele-medicine and tele-nursing. It is recommended that the tele-medicine and tele-nursing system, which allows the treatment, care, and monitoring of patients in the risk group during the pandemic process, to be carried out remotely, as well as to expand its use.

Keywords:

Covid-19, tele-medicine, tele-nursing,

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