新冠肺炎（COVID-19）流行期間遠距營養諮詢：以腎臟共照網病患營養諮詢門診回診持續率為例

目的：遠距營養諮詢（Telenutrition）指營養師藉由使用視訊／電話技術提供線上營養衛教。台灣於新冠狀肺炎（COVID-19）本土疫情流行期間，為了減少人際接觸，啟用遠距營養諮詢。本研究以腎臟疾病共照網營養諮詢為例，探討疫情期間改以遠距營養諮詢是否減少因疫情失約情況，以維持照護之持續性。方法：分析疫情發生前、全球疫情流行期、本土疫情爆發期、與疫情平緩期營養諮詢平均人次與流失比率。結果：全球疫情爆發前個案醫院平均人次為161.83，流失比率為11.09%，疫情期平均人次為218.06，流失比率為5.094%，三級警戒期間遠距營養諮詢，平均實到人次降為53.33，但遠距諮詢人次則增為106.33，流失率5.544%。結論：遠距營養諮詢能夠減少人際接觸的機會，可維持回診率，提供創新的營養衛教途徑。

關鍵字

遠距營養諮詢；新冠肺炎；腎臟病；回診率；個案研究

並列摘要

Objectives: Telenutrition refers to the use of video conferencing/telephony to provide online consultation by a dietitian. During the local epidemic of the SARS-CoV-2(COVID-19) in Taiwan, clinical dietitians have had to shift their elective in-person clinical encounters to telenutrition. This study describes the results of launching a telenutrition clinic for chronic kidney disease at a medical center in northern Taiwan during the nationwide Level 3 alert for COVID-19. Methods: We roughly divided the epidemic into four periods: the pre-epidemic period, the early period, the local outbreak period, and the falling period. Data were categorized as the number of scheduled cases, in-person visits, telenutrition consultations, and no-show rate. Results: Before the COVID-19 pandemic, the monthly average number of in-person visits was 161.83 with a no-show rate of 11.09%. The monthly average number increased to 218.06 with a no-show rate of 5.094% in the COVID-19 early period. After the local outbreak period, the average number of in-person visits per month dropped steeply (mean =53.33), while telenutrition consultations increased rapidly (mean = 106.33). Outpatient visits, together with those using telenutrition consultation, made the no-show rate (5.544%) at the nationwide Level 3 alert stage similar to the previous period. Conclusions: Telenutrition has the potential to decrease the risk of transmitting the virus to either patients or the dietitians within their practice while improving nutrition care, such as reducing no-show rates for chronic diseases patients during the epidemic period.

並列關鍵字

Telenutrition ； COVID-19 Epidemic ； Chronic Kidney Disease ； Attendance ； Case Study

參考文獻

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