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Appl Clin Inform 2023; 14(03): 575-584
DOI: 10.1055/s-0043-1769912
Research Article

mHealth and eHealth Applications for a Medicalized Quarantine Hotel during the COVID-19 Pandemic

Shu-Chuan Lin
1   Nursing Department, MacKay Memorial Hospital, Taipei, Taiwan
2   Department of Nursing, Mackay Medical College, Taipei, Taiwan
,
Hui-Tzu Yeh
1   Nursing Department, MacKay Memorial Hospital, Taipei, Taiwan
2   Department of Nursing, Mackay Medical College, Taipei, Taiwan
,
Yu-Hsia Lee
1   Nursing Department, MacKay Memorial Hospital, Taipei, Taiwan
3   Nursing Department, Mackay Junior College of Medicine, Taipei, Taiwan
,
Suh-Meei Hsu 
1   Nursing Department, MacKay Memorial Hospital, Taipei, Taiwan
3   Nursing Department, Mackay Junior College of Medicine, Taipei, Taiwan
4   Department of Nursing, College of Nursing, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan
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Abstract

Background In Taiwan, the number of confirmed cases of coronavirus disease 2019 (COVID-19) has risen significantly in May 2021. The second wave of the epidemic occurred in May 2022. mHealth (mobile health, social media communities) and eHealth (electronic health, Hospital Information System) can play an important role in this pandemic by minimizing the spread of the virus, leveraging health care providers' time, and alleviating the challenges of medical education.

Objectives This study aimed to describe the process of using mHealth and eHealth to build a medicalized quarantine hotel (MQH) and understand the physical and mental impact of COVID-19 on patients admitted to the MQH.

Methods In this retrospective observational study, data from 357 patients who stayed at the MQH were collected and their psychological symptoms were assessed using an online Brief Symptom Rating Scale (BSRS). Descriptive statistics, independent sample t-test, univariate analysis of variance, and multiple linear regression analysis were performed.

Results The patients' mean age was 35.5  ±   17.6 years, and 52.1% (n  =  186) of them were males. Altogether, 25.2% (n  =  90) of the patients had virtual visits. The average duration of the hotel stay was 6.8  ±   1.4 days, and five patients (0.01%) were transferred to the hospital. The three most common symptoms reported were cough (39%), followed by the sore throat (22.8%), and stuffy/runny nose (18.9%). Most patients achieved a total BSRS score of 0 to 5 points (3,569/91.0%), with trouble falling asleep (0.65  ±   0.65), feeling tense or high-strung (0.31  ±   0.66), and feeling down or depressed (0.27  ±   0.62) scoring highest. The BSRS score was the highest on the first day. The sex of the patients was significantly related to the BSRS score (p  <  0.001).

Conclusion mHealth and eHealth can be used to further monitor an individual's physiological and psychological states. Early intervention measures are needed to improve health care quality.

Keywords

Quarantine Hotel - electronic health systems - mobile application - psychological distress - COVID-19

Protection of Human and Animal Subjects

The study was performed in compliance with the World Medical Association Declaration of Helsinki on Ethical Principles for Medical Research Involving Human Subjects and was reviewed and approved by the Ethics Committee of The MacKay Memorial Hospital (protocol code: 22MMHIS313e, date of approval October 14, 2022).


Authors' Contributions

Conceptualization, S.C.L., H.T.Y., Y.H.L., and S.M.H.; writing—original draft preparation, S.M.H.; writing—review and editing, S.C.L., H.T.Y., Y.H.L., and S.M.H. All authors have critically reviewed, provided intellectual input to the manuscript, and approved the final version of the manuscript.




Publication History

Received: 17 January 2023

Accepted: 01 May 2023

Article published online:
26 July 2023

© 2023. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

  • References

  • 1 Gates B. Responding to Covid-19 - a once-in-a-century pandemic?. N Engl J Med 2020; 382 (18) 1677-1679
    CrossrefPubMedGoogle Scholar
  • 2 Azman AS, Luquero FJ. From China: hope and lessons for COVID-19 control. Lancet Infect Dis 2020; 20 (07) 756-757
    CrossrefPubMedGoogle Scholar
  • 3 Garfin DR, Silver RC, Holman EA. The novel coronavirus (COVID-2019) outbreak: amplification of public health consequences by media exposure. Health Psychol 2020; 39 (05) 355-357
    CrossrefPubMedGoogle Scholar
  • 4 Nicola M, Alsafi Z, Sohrabi C. et al. The socio-economic implications of the coronavirus pandemic (COVID-19): a review. Int J Surg 2020; 78: 185-193
    CrossrefPubMedGoogle Scholar
  • 5 Dinoi A, Feltracco M, Chirizzi D. et al. A review on measurements of SARS-CoV-2 genetic material in air in outdoor and indoor environments: implication for airborne transmission. Sci Total Environ 2022; 809: 151137
    CrossrefPubMedGoogle Scholar
  • 6 Pillai SG, Haldorai K, Seo WS, Kim WG. COVID-19 and hospitality 5.0: redefining hospitality operations. Int J Hosp Manag 2021; 94: 102869
    CrossrefPubMedGoogle Scholar
  • 7 Ramírez-Cervantes KL, Romero-Pardo V, Pérez-Tovar C, Martínez-Alés G, Quintana-Diaz M. A medicalized hotel as a public health resource for the containment of COVID-19: more than a place for quarantining. J Public Health (Oxf) 2021; 43 (01) 89-97
    CrossrefPubMedGoogle Scholar
  • 8 Vimercati L, Tafuri S, Chironna M. et al. The COVID-19 hotel for healthcare workers: an Italian best practice. J Hosp Infect 2020; 105 (03) 387-388
    CrossrefPubMedGoogle Scholar
  • 9 Teng X, Teng YM, Wu KS, Chang BG. Corporate social responsibility in public health during the COVID-19 pandemic: quarantine hotel in China. Front Public Health 2021; 9: 620930
    CrossrefPubMedGoogle Scholar
  • 10 Jordan-Martin NC, Madad S, Alves L. et al. Isolation hotels: a community-based intervention to mitigate the spread of the COVID-19 pandemic. Health Secur 2020; 18 (05) 1-6
    PubMedGoogle Scholar
  • 11 Huang JH, Chang HT, Liao CH, Chiu KM. Rapid response of a medical center upon the surge of COVID-19 epidemic in Taiwan. J Microbiol Immunol Infect 2022; 55 (01) 1-5
    CrossrefPubMedGoogle Scholar
  • 12 Taiwan Centers for Disease Control. . COVID-19 Surveillance Trend. Accessed October 14, 2022 at: https://sites.google.com/cdc.gov.tw/2019ncov/taiwan
    PubMed
  • 13 Teng YM, Wu KS, Wang WC, Xu D. Assessing the knowledge, attitudes and practices of COVID-19 among quarantine hotel workers in China. Healthcare (Basel) 2021; 9 (06) 772
    CrossrefPubMedGoogle Scholar
  • 14 Zu ZY, Jiang MD, Xu PP. et al. Coronavirus disease 2019 (COVID-19): a perspective from China. Radiology 2020; 296 (02) E15-E25
    CrossrefPubMedGoogle Scholar
  • 15 Alimohamadi Y, Sepandi M, Taghdir M, Hosamirudsari H. Determine the most common clinical symptoms in COVID-19 patients: a systematic review and meta-analysis. J Prev Med Hyg 2020; 61 (03) E304-E312
    PubMedGoogle Scholar
  • 16 Guan WJ, Ni ZY, Hu Y. et al; China Medical Treatment Expert Group for Covid-19. Clinical characteristics of coronavirus disease 2019 in China. N Engl J Med 2020; 382 (18) 1708-1720
    CrossrefPubMedGoogle Scholar
  • 17 Shi L, Lu ZA, Que JY. et al. Prevalence of and risk factors associated with mental health symptoms among the general population in China during the coronavirus disease 2019 pandemic. JAMA Netw Open 2020; 3 (07) e2014053
    CrossrefPubMedGoogle Scholar
  • 18 Jassim G, Jameel M, Brennan E, Yusuf M, Hasan N, Alwatani Y. Psychological impact of COVID-19, isolation, and quarantine: a cross-sectional study. Neuropsychiatr Dis Treat 2021; 17: 1413-1421
    CrossrefPubMedGoogle Scholar
  • 19 Nisar QA, Haider S, Ali F, Naz S, Ryu K. Depletion of psychological, financial, and social resources in the hospitality sector during the pandemic. Int J Hosp Manag 2021; 93: 102794
    CrossrefPubMedGoogle Scholar
  • 20 Bernstein K, Bruun-Rasmussen M, Vingtoft S, Andersen SK, Nøhr C. Modelling and implementing electronic health records in Denmark. Stud Health Technol Inform 2003; 95: 245-250
    PubMedGoogle Scholar
  • 21 Tebeje TH, Klein J. Applications of e-Health to support person-centered health care at the time of COVID-19 pandemic. Telemed J E Health 2021; 27 (02) 150-158
    CrossrefPubMedGoogle Scholar
  • 22 Handayani PW, Hidayanto AN, Pinem AA, Hapsari IC, Sandhyaduhita PI, Budi I. Acceptance model of a hospital information system. Int J Med Inform 2017; 99: 11-28
    CrossrefPubMedGoogle Scholar
  • 23 Driggin E, Madhavan MV, Bikdeli B. et al. Cardiovascular considerations for patients, health care workers, and health systems during the COVID-19 pandemic. J Am Coll Cardiol 2020; 75 (18) 2352-2371
    CrossrefPubMedGoogle Scholar
  • 24 Alsharif AH. Cross sectional e-Health evaluation study for telemedicine and m-Health approaches in monitoring COVID-19 patients with chronic obstructive pulmonary disease (COPD). Int J Environ Res Public Health 2021; 18 (16) 8513
    CrossrefPubMedGoogle Scholar
  • 25 Lyu SY, Chi YC, Farabee D. et al. Psychological distress in an incarcerated juvenile population. J Formos Med Assoc 2015; 114 (11) 1076-1081
    CrossrefPubMedGoogle Scholar
  • 26 Chen WJ, Chen CC, Ho CK. et al. The relationships between quality of life, psychiatric illness, and suicidal ideation in geriatric veterans living in a veterans' home: a structural equation modeling approach. Am J Geriatr Psychiatry 2011; 19 (06) 597-601
    CrossrefPubMedGoogle Scholar
  • 27 Opakunle T, Aloba O, Opakunle O, Olaitan P, Adebimpe O, Adeagbo O. Associated psychological factors of viral load among self-isolating Nigerian COVID-19 patients. West Afr J Med 2022; 39 (06) 588-594
    PubMedGoogle Scholar
  • 28 Krausz M, Westenberg JN, Vigo D, Spence RT, Ramsey D. Emergency response to COVID-19 in Canada: platform development and implementation for eHealth in crisis management. JMIR Public Health Surveill 2020; 6 (02) e18995
    CrossrefPubMedGoogle Scholar
  • 29 Lu IC, Yen Jean MC, Lei SM, Cheng HH, Wang JD. BSRS-5 (5-item Brief Symptom Rating Scale) scores affect every aspect of quality of life measured by WHOQOL-BREF in healthy workers. Qual Life Res 2011; 20 (09) 1469-1475
    CrossrefPubMedGoogle Scholar
  • 30 Lee MB, Liao SC, Lee YJ. et al. Development and verification of validity and reliability of a short screening instrument to identify psychiatric morbidity. J Formos Med Assoc 2003; 102 (10) 687-694
    PubMedGoogle Scholar
  • 31 Putri DU, Tsai YS, Chen JH. et al. Psychological distress assessment among patients with suspected and confirmed COVID-19: a cohort study. J Formos Med Assoc 2021; 120 (08) 1602-1610
    CrossrefPubMedGoogle Scholar
  • 32 Zhu S, Wu Y, Zhu CY. et al. The immediate mental health impacts of the COVID-19 pandemic among people with or without quarantine managements. Brain Behav Immun 2020; 87: 56-58
    CrossrefPubMedGoogle Scholar
  • 33 Pfefferbaum B, North CS. Mental health and the COVID-19 pandemic. N Engl J Med 2020; 383 (06) 510-512
    CrossrefPubMedGoogle Scholar
  • 34 Feng S, Liang Z, Zhang R. et al. Effects of mobile phone WeChat services improve adherence to corticosteroid nasal spray treatment for chronic rhinosinusitis after functional endoscopic sinus surgery: a 3-month follow-up study. Eur Arch Otorhinolaryngol 2017; 274 (03) 1477-1485
    CrossrefPubMedGoogle Scholar
  • 35 deMayo R, Huang Y, Lin ED. et al. Associations of telehealth care delivery with pediatric health care provider well-being. Appl Clin Inform 2022; 13 (01) 230-241
    Article in Thieme ConnectPubMedGoogle Scholar
  • 36 Alipour J, Hayavi-Haghighi MH. Opportunities and challenges of telehealth in disease management during COVID-19 pandemic: a scoping review. Appl Clin Inform 2021; 12 (04) 864-876
    Article in Thieme ConnectPubMedGoogle Scholar
  • 37 Liu F, Jiang Y, Xu G, Ding Z. Effectiveness of telemedicine intervention for chronic obstructive pulmonary disease in China: a systematic review and meta-analysis. Telemed J E Health 2020; 26 (09) 1075-1092
    CrossrefPubMedGoogle Scholar
  • 38 Portnoy J, Waller M, Elliott T. Telemedicine in the era of COVID-19. J Allergy Clin Immunol Pract 2020; 8 (05) 1489-1491
    CrossrefPubMedGoogle Scholar
  • 39 Liu J, Zheng X, Zhang X, Feng Z, Song M, Lopez V. The evidence and future potential of WeChat in providing support for Chinese parents of pediatric patients undergoing herniorrhaphy. J Transcult Nurs 2020; 31 (02) 114-120
    CrossrefPubMedGoogle Scholar