Razi Journal of Medical Sciences
مجله علوم پزشکی رازی
RJMS
Medical Sciences
http://rjms.iums.ac.ir
39
journal39
2228-7043
2228-7051
en
jalali
1400
9
1
gregorian
2021
12
1
28
9
online
1
fulltext
fa
مروری بر تله مدیسین در حیطه نوزادان نارس درپاندمی کرونا
A review of telemedicine in preterm infants in the corona pandemic
نوزادان
Neonatology
مروري
review article
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="tab-stops:10.5pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:115%"><span sans-serif="" style="font-family:Calibri,"><b><span lang="FA" style="font-size:10.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:#0070c0">زمینه و هدف: </span></span></span></span></b><span lang="FA" style="font-size:9.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black">پاندمی بیماری نوظهور ویروس کرونا (کووید 19) در سال 2019 در سراسر جهان، مراقبتهای ارائه شده به نوزادان پرخطر را تحت تأثیر قرار داده است و به نظر میرسد شرایط کنونی همچنان برای طولانی مدت ادامه پیدا کند. تاثیرات کووید 19 بر نتایج والدی و نوزادی، همچنین لزوم ارائه مداخلات بهنگام به این جامعه و بهرهبری از زمان طلایی نوزادان پرخطر، موجب چارهاندیشی فعالان این حوزه در جهت یافتن راهی جایگزین برای ارائه خدمات شد. استفاده از تلهمدیسین در این حیطه میتواند راهگشای ارائه خدمات از راه دور در این دوران باشد. لذا با توجه به شرایط دوران پاندمی کرونا و مطالعات محدود انجام شده در حوزه درمان از راه دور، مطالعه حاضر مروری بر تاریخچه تلهمدیسین در حیطه نوزادان و موارد استفاده آن میباشد، تا با جمعآوری مستندات مربوط به این حوزه در یک مقاله واحد، به نتیجهگیری کلی و استفاده بالینی از این روش کمک شود.</span></span></span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="tab-stops:10.5pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:115%"><span sans-serif="" style="font-family:Calibri,"><b><span lang="FA" style="font-size:9.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:#0070c0">روش کار: </span></span></span></span></b><span lang="FA" style="font-size:9.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black">این مطالعه یک مطالعه مروری است که از بانکهای اطلاعاتی داخلی و خارجی بین سالهای 2015 تا2020 برای جمع آوری اطلاعات استفاده شده است.</span></span></span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="tab-stops:10.5pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:115%"><span sans-serif="" style="font-family:Calibri,"><b><span lang="FA" style="font-size:9.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:#0070c0">یافتهها:</span></span></span></span></b><span lang="FA" style="font-size:9.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black"> نوزادان نارس در مقایسه با نوزادان رسیده در خطر ابتلا به اختلالات مختلف در سیر تکامل حرکتی و شناختی خود میباشند. </span></span></span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="tab-stops:10.5pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:115%"><span sans-serif="" style="font-family:Calibri,"><b><span lang="FA" style="font-size:9.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:#0070c0">نتیجهگیری:</span></span></span></span></b><span lang="FA" style="font-size:9.0pt"><span style="line-height:115%"><span b="" mitra="" style="font-family:"><span style="color:black"> ازآنجاییکه مراقبان اصلی نوزادان والدین آنها میباشند در نتیجه آموزش والدین حائز اهمیت است. با توجه به گسترش و پیشرفت فناوریهای ارتباطی، استفاده از تلهمدیسین در حیطه نوزادان روز به روز درحال توسعه است. تجربه استفاده از تلهمدیسین نشان داده است که بهرهگیری از این امکان باعث افزایش دسترسی متخصصان به نوزادان، کاهش جابجاییهای غیرضروری نوزادان، کاهش مراجعات پس از ترخیص و در نتیجه کاهش هزینهها و همچنین جدایی مادر- نوزاد میشود. بهعلاوه بهرهگیری از این روش درمانی در شرایط کنونی موجب رعایت اصول قرنطینه و فاصلهگذاری اجتماعی است، همچنین خللی در استفاده از زمان طلایی درمان نوزادان وارد نمیکند.</span></span></span></span><span dir="LTR" style="font-size:9.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black"></span></span></span></span></span></span></span></span></span></span></span></span><br>
<span dir="LTR"></span>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="tab-stops:10.5pt"><span style="line-height:115%"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:#0070c0">Background & Aims:</span></span></span></span></b> <span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">Neonatal care have changed dramatically over the last year by coronavirus epidemic in the world .Besides, the current situation seems to continue for a long time .in addition premature infants are at risk for various disorders in their motor and cognitive development compared to adult infants. Therefore, in order to minimize the developmental problems caused by prematurity, this community needs to receive timely interventions in the golden time of hospitalization in neonatal intensive care units and after discharge. Researches are looking for an alternative way to provide services in case the coronavirus has affected the outcomes of the parents and neonates and the necessity of providing early intervention .Therefore using telemedicine for giving services from distance can be a helpful method .Consequently, by considering the corona pandemic and limited studies about telemedicine in this field, the present study is a review of the history of telemedicine in neonatal care and it's uses, to collect related documents in a single article, as a result it can be helpful for cilinical use of this method.</span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="tab-stops:10.5pt"><span style="line-height:115%"><span sans-serif="" style="font-family:Calibri,"><span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">The use of telemedicine in the field of infants dates back to 1998, when equipment was used to communicate live with the parents of premature infants admitted to the NICU to see their infants (2). After the outbreak of coronavirus, there has been a significant increase in the use of this method by therapist(3). The advantages of this method include the following: 1- Ease of providing medical services by doctors and therapists to clients at long distances without physical presence. 2. Improving the accessibility and usefulness of services 3- Ability to provide information in the form of multimedia and multidimensional (audio, text, photos, videos, etc.) 4. Cost-effectiveness and savings in resource use (4).</span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="tab-stops:10.5pt"><span style="line-height:115%"><span sans-serif="" style="font-family:Calibri,"><span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">Most of the published articles on telemedicine in the field of neonates are related to the diagnosis of premature retinopathy (2). As a result of this research, Isaac et al. Believe that depending on the location and number of premature infants, using telemedicine to diagnose ROP may be more cost-effective and a good economic choice compared to individual and face-to-face examinations (5).</span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="tab-stops:10.5pt"><span style="line-height:115%"><span sans-serif="" style="font-family:Calibri,"><span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">Another group of researchers preferred the video calling method to find the most effective way to provide information through telemedicine. (6, 7) Despite presenting the results of the effectiveness of telemedicine on parent-infant factors such as increasing mother-infant attachment, reducing maternal stress and parent-infant relationships, other researchers conducted clinical trials and compared the effectiveness of providing services on parental and neonatal factors through telemedicine. In contrast, the face-to-face approach encourages (8-10).</span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="tab-stops:10.5pt"><span style="line-height:115%"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:#0070c0">Methods:</span></span></span></span></b> <span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">This study is a review study that used domestic and foreign databases for collecting information between 2015 to 2020 . A total of 126 articles were found, which after reading the title and number of abstracts of 94 articles were excluded from the study due to lack of relevance or repetition of topics. Out of the remaining 32 articles, 15 were excluded from the study after reviewing their full text, which did not meet the inclusion criteria, and finally 17 articles were included in the present study.</span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="tab-stops:10.5pt"><span style="line-height:115%"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:#0070c0">Results: </span></span></span></span></b><span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">Preterm infants are at risk of various disorders in their motor and cognitive development compare to term infants. Therefore, parental education is important because the main caregivers of infants are their parents. Due to the recent improvment of communication technologies, the use of telemedicine in the field of infants is developing day by day. The evidence of using telemedicine has shown that using this method increases the access of specialists to infants, reduces unnecessary transfer of infants, reduces referrals after discharge and thus reduces costs and mother_infant separation. In addition, the use of this method of treatment in the current situation leads to the observance of the principles of quarantine and social distance and also does not interfere with the use of golden time in the treatment of infants.</span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="tab-stops:10.5pt"><span style="line-height:115%"><span sans-serif="" style="font-family:Calibri,"><span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">Considering the increasing use of telemedicine in the field of infants and the importance of leading issues for organizations and institutions for the practical implementation of this program, further studies in the field of laws and regulations governing it, examining its effectiveness compared to face-to-face method, how to present the program Remote evaluations in the field of neonates, funding, and how to determine the target group are suggested.</span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="tab-stops:10.5pt"><span style="line-height:115%"><span sans-serif="" style="font-family:Calibri,"><b><span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:#0070c0">Conclusion:</span></span></span></span></b> <span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">With the prevalence of coronavirus and emphasis on minimal interpersonal communication and avoidance of referrals to medical centers as much as possible and also considering the condition of premature infants and the importance of productivity of golden time in order to get the best results Health professionals are looking for an alternative way to provide services to parents of premature infants. It seems that one of these ways is to provide remote services by using new technologies. Telemedicine is a suitable platform for providing services and multi-purpose information This way makes it easier to work, increases access and reduces economic costs.</span></span></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="tab-stops:10.5pt"><span style="line-height:115%"><span sans-serif="" style="font-family:Calibri,"><span style="font-size:10.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black">So far, various specialists use this method in diagnosing neonatal retinopathy, parents education and home care training And other purposes. Therefore, due to the importance of this field and increasing use of it And the importance of leading issues for organizations and institutions to implement this program in practice, Further studies in the field of laws and regulations governing it, examining its effectiveness in comparison with the face-to-face method, How to provide programs and remote assessments in the field of infants, Funding and how to determine the target group is suggested.</span></span></span></span><span style="font-size:9.0pt"><span style="line-height:115%"><span new="" roman="" style="font-family:" times=""><span style="color:black"></span></span></span></span></span></span></span></span></span></span><br>
ویروس کرونا (کووید19) ,تله مدیسین , نوزادان نارس,آموزش والدین ,مداخلات بهنگام
coronavirus , telemedicine , premature infants , early intervention , parent education
135
145
http://rjms.iums.ac.ir/browse.php?a_code=A-10-5948-1&slc_lang=fa&sid=1
Zahra
Amini
زهرا
امینی
Zahra.mini75@gmail.com
3900319475328460062495
3900319475328460062495
Yes
Department of Occupational Therapy, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran
گروه کاردرمانی، دانشکده توانبخشی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران
Reihaneh
Askary kachoosangy
ریحانه
عسکری کچوسنگی
askary_OT@yahoo.com
3900319475328460062496
3900319475328460062496
No
Department of Occupational Therapy, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran
دانشکده توانبخشی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران