Teleconsulta no atendimento ambulatorial em um centro transplantador de Minas Gerais: desafio de inovação na assistência

Abstract

Post-transplant follow-up via teleconsultation is of great relevance to society, especially considering current technological advances, which enable the optimization of processes, time, and resources. Through teleconsultation, nurses are able to identify possible limitations in the patient's understanding and adherence to the guidelines provided, which allows for closer and more strategic action, always seeking the best way to share guidelines and improve patient care results. The objective of this study is to propose the implementation of a nursing teleconsultation service for post-transplant patients in the outpatient clinic of a Transplant Center in the State of Minas Gerais. This is an exploratory, descriptive study with a qualitative approach. Data were extracted through structured interviews applied at the transplant outpatient clinic and categorized considering patients with more than 6 months of transplantation, of all types of solid organs, over 18 years of age, in the period from December 2023 to June 2024. 100 patients who were treated at the transplant outpatient clinic participated in the study, with the majority of patients treated (82%) undergoing kidney transplantation. The data were organized and 4 thematic categories were identified for analysis: Sociodemographic characterization of post-transplant patients interviewed; Transplants performed at HSCBH: transplanted solid organs; Access to and use of communication technologies: interviewees' perspective; and Patients' perception regarding teleconsultation at the transplant outpatient clinic: Acceptance of a new care model. Regarding the use of communication technologies, 98% of respondents have a cell phone, 94% have access to the internet on their cell phones, 90% have the possibility of using their cell phones for video calls, and 88% know how to use the video call tool. Regarding the acceptance of the implementation of the teleconsultation model, 98% of respondents said that it would be interesting to be attended to by this modality due to its ease, practicality and convenience. In view of these results, the protocol for Nursing Teleconsultation - Transplant Clinic was developed and later presented to the service managers for evaluation and implementation.