言語や健康に関する知識の障壁を持つ患者の薬剤管理を最適化するための介入: スコーピングレビュー
Meera Bhagat1, Cindy Puga2, Michelle S Keller3
1University of Michigan Medical School, Ann Arbor, United States.
Research in social & administrative pharmacy : RSAP
|August 26, 2025
まとめ
患者と向き合う介入は 言語の障壁のある個人に 薬の管理を助けることができます コミュニティヘルスケアワーカーや 簡素化された指示のような戦略は 有望ですが,一貫した効果のためにさらなる研究が必要です.
科学分野:
- 健康に関する情報
- 薬剤管理
- 健康に関する知識
背景:
- 言語の障壁は 効果的な医療コミュニケーションを阻害し 誤りや不良な健康状態のリスクを高めます
- 言語能力が限られている患者は 薬の指示や副作用を理解するのに苦労します
研究 の 目的:
- 薬の管理における言語障壁を持つ個人を支援するための患者向きの介入を特定する.
- 医学的な通訳以外にも 薬の服従と理解を向上させる戦略を探る
主な方法:
- 2023年1月までのPubMedのPICOフレームワークを使用した体系的な文献検索.
- 2人のレビュー者による独立した引用スクリーニングによる介入を特徴とするすべての研究設計の含有
- データのナラティブ・シンセシスと介入設計のための概念モデルの開発.
主要な成果:
- 19件の研究では コミュニティヘルスケアワーカー,絵文字,簡素化された指示,モバイルアプリなどの 介入方法が検討されました
- 薬剤師,健康コーチ,地域医療従事者が介入しました.
- 測定されたアウトカムには,投与の順守,患者の満足度,知識,および臨床マーカー (例えば,HbA1c,血圧) が含まれていた.
結論:
- 検討された介入は,薬剤管理の改善において,様々な効果を示した.
- 多くの研究は探索的であり,ある研究は臨床環境で有望であった.
- 複雑な指示に対する介入をテストし,より長いフォローアップ期間を使用するには,さらなる研究が必要です.
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