1,721,192 research outputs found
Denken, doen en durven: onderwijs op het snijvlak van zorg en technologie.
No full textGeen samenvatting beschikbaa
Zorgen voor jezelf : zelfmanagement met behulp van e-health voor mensen met een langdurige zorgvraag
No full textDankzij internet kunnen mensen met een chronisch ziekte tegenwoordig gebruik maken van allerlei handige websites. Geholpen door deze online diensten kunnen ze zelf de nodige zorg beheren, plannen, coördineren en afstemmen op hun persoonlijke situatie. Niet alleen internet, maar ook de mobiele telefoon kan goede diensten bewijzen aan de chronisch zieke. Een sms-bericht op de juiste tijd verhoogt de therapietrouw en het uitvoeren van leefregels. Zorgprofessionals kunnen hun cliënten helpen door te signaleren waar en hoe zij nog verder kunnen komen in hun zelfzorg. De brochure 'Zorgen voor jezelf' laat zien welke concrete instrumenten of diensten hiervoor beschikbaar zijn
Schermzorg : zorg op afstand via camera en beeldscherm
No full textInleiding voor verpleegkundigen in de thuiszorg over telezorg, zorgverlening aan cliënten met gebruik van ict en telecommunicatie
eHealth to stimulate physical activity in patients with chronic obstructive pulmonary disease
No full textPersons with Chronic Obstructive Pulmonary Disease (COPD) demonstrate reduced physical activity (PA) levels compared to healthy age-matched controls. Regular PA is associated with positive health outcomes. Inactivity leads to deconditioning, which leads to increased symptoms and a further reduction of PA. This results in a downward spiral of deconditioning and inactivity.
Pulmonary rehabilitation (PR) is known to improve exercise capacity; however, these benefits decline to pre-rehabilitation values after 1-2 years when patients do not continue to exercise after completing the programme. Furthermore, the effect of PR on PA is less consistent, and positive effects disappear rather quickly.
The overall aim of the thesis was to improve and/or maintain PA in patients with COPD after PR.
In chapter 1 a literature review was performed showing that suffering from COPD has a substantial negative effect on the duration and amount of PA but less on the intensity. There seems to be a relation between PA and the severity of the disease (as classified by the GOLD criteria), but this correlation is moderate at most.
In chapter 2 the barriers and enablers to physical activity according to patients were studied. Fatigue, lack of motivation and weather conditions greatly influence engagement in PA in patients with COPD.
The thesis continues in chapter 3 with a study that looks at older adults in general and their ICT use. A computer and e-mail are often used by older adults, whereas the use of a smartphone or a tablet is conceivably lower. Increased age, a lower degree of education, being a non-Western immigrant, a lower income, less arthrosis of the hands, and a lower physical functioning significantly predicted lower ICT use in older adults. It appears that it is not the degree of physical restrictions but rather the degree of adaptability to these restrictions that influence the use of ICT.
Chapter 4 describes the development of an eHealth intervention to address the overall aim of this thesis. Several pilot studies were conducted to ensure usability and accuracy of the measurement. The final product consists of two components: 1) a smartphone application and 2) a website for the healthcare professional (HCP). The application provides feedback on PA measured by the accelerometer embedded in the smartphone. Patients are persuaded to obtain their personalized PA goal. The HCP can monitor their patients’ PA via the website and is able to adjust each patient’s PA goal and send motivating group or individual text messages.
In chapters 5 and 6 this intervention was evaluated through efficacy testing in a randomized controlled trial and by examining the experiences of those who received the intervention.
The eHealth intervention did not affect PA, physical capacity, health related quality of life, or BMI. PA, lung function, and mastery significantly decreased over time. Surprisingly, exercise capacity remained unchanged over the one-year duration of the study.
Not all prerequisites were met to ensure the usability and successful implementation of the intervention in practice. The thesis provides several recommendations for practice and future research to address this inefficacy
Zorgen voor jezelf : zelfmanagement met behulp van e-health voor mensen met een langdurige zorgvraag
No full textDankzij internet kunnen mensen met een chronisch ziekte tegenwoordig gebruik maken van allerlei handige websites. Geholpen door deze online diensten kunnen ze zelf de nodige zorg beheren, plannen, coördineren en afstemmen op hun persoonlijke situatie. Niet alleen internet, maar ook de mobiele telefoon kan goede diensten bewijzen aan de chronisch zieke. Een sms-bericht op de juiste tijd verhoogt de therapietrouw en het uitvoeren van leefregels. Zorgprofessionals kunnen hun cliënten helpen door te signaleren waar en hoe zij nog verder kunnen komen in hun zelfzorg. De brochure 'Zorgen voor jezelf' laat zien welke concrete instrumenten of diensten hiervoor beschikbaar zijn
Telehealth Competence in Nursing: Enhancing Skills and Practice in Providing Care Remotely
No full textOur healthcare landscape is transforming in response to the aging population, staff shortages and increasing technological possibilities. Telehealth is seen as a solution to help patients live independently in their own home and community. Today, the diffusion of telehealth is still hampered by several barriers. This thesis addressed the barrier of nurses lacking the required telehealth competencies. Based on six different studies, we propose the following five-step model to prepare nurses for providing telehealth care, which will subsequently transform their profession: 1) improve nurses’ intention, 2) define what nursing telehealth entrustable professional activities (NT-EPAs) are applicable to the nurse setting, 3) check what specific competencies are required, 4) assess nurses self-confidence in possessing these competencies, and 5) deliver training on the NT-EPAs. In the nurses’ transformed profession, nurses can play a key role in supporting older people’s technology use and enhance the elderly population’s ability to receive telehealth services. Our future nurses can be trained in telehealth care by integrating the NTEPAs into nursing schools’ curricula. Although several other barriers remain, the results of this thesis can be used to train current and future nurses. Adequate nurse training can accelerate telehealth diffusion and consequently contribute to older peoples’ opportunity to live independently in their own home
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
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