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Hofmann-Wellenhof, R; Salmhofer, W; Binder, B; Okcu, A; Kerl, H; Soyer, HP.
Feasibility and acceptance of telemedicine for wound care in patients with chronic leg ulcers.
J TELEMED TELECARE. 2006; 12 Suppl 1(8): 15-17.
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Autor/innen der Med Uni Graz:
Binder Barbara
Hofmann-Wellenhof Rainer
Kerl Helmut
Salmhofer Wolfgang
Soyer Hans Peter
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Abstract:
We examined the feasibility and acceptance of teledermatology for wound management of patients with chronic leg ulcers by home-care nurses. Forty-one chronic leg ulcers of different origin in 14 patients were included. After an initial in-person visit in which leg ulcers were assessed and classified, and underlying diseases noted, follow-up visits were done by home-care nurses. Once a week 1-4 digital images of the wound and surrounding skin and relevant clinical information were transmitted via a secure Website to an expert at the wound care centre. The experts provided an assessment of wound status and therapeutic recommendations. In 89% of the 492 teleconsultations, the quality of images was sufficient or excellent and the experts were confident giving therapeutic recommendations. Treatment modalities were changed or adapted in one-third of the consultations. There was a significant decrease in visits to a general physician or the wound care centre. The acceptance of teledermatology was high in patients, home-care nurses and wound experts. Teledermatology offers great potential for chronic wound care and seems to be accepted both by patients and health-care persons.
Find related publications in this database (using NLM MeSH Indexing)
Austria -
Chronic Disease -
Community Health Nursing - organization and administration
Feasibility Studies - organization and administration
Home Care Services - organization and administration
Humans - organization and administration
Leg Ulcer - therapy
Nurse's Role - therapy
Patient Satisfaction - therapy
Pilot Projects - therapy
Remote Consultation - methods
Skin Care - methods
Wound Healing - methods

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