家庭护理教育干预措施,以预防患有心室辅助设备的患者的并发症:系统性审查
G Franceschini1, G Talevi1, S Maso2
1Azienda Ospedaliero Universitaria delle Marche, Ancona, Italy.
Annali di igiene : medicina preventiva e di comunita
|October 27, 2023
概括
患者教育对于减少心室辅助装置植入后的并发症至关重要. 多模式教育策略,包括技术和家庭参与,改善结果和患者的遵守.
科学领域:
- 心脏病学和医疗器械技术技术
- 患者教育和健康成果.
- 系统审查和证据综合
背景情况:
- 室腔辅助器件 (VAD) 对慢性心力衰竭患者至关重要,可以改善存活率和生活质量.
- VAD植入带有身体和心理并发症的风险,通过患者教育可以减轻这些风险.
- 有效的长期患者教育对于在家庭护理环境中管理VAD至关重要.
研究的目的:
- 系统地审查关于在家庭护理环境中对VAD患者的教育策略的证据.
- 为了确定减少主要VAD并发症的干预措施,如驱动线感染,胃肠道出血和心理困扰.
主要方法:
- 系统审查遵循PRISMA和Cochrane指导方针.
- 在 Medline,Scopus,EMBASE 和 Web of Science (2022 年 3 月至 12 月) 搜索.
- 包括基于预定义的包含/排除标准的英语文章.
主要成果:
- 从1,231个初始项目中选择了9项研究.
- 多学科,专家带领,正规教育是最有效的.
- 复杂的多式干预 (电话,应用程序) 可以减少肠道出血和驱动线感染.
- 口头指示,演示,技术和护理人员的参与可以防止心理并发症.
结论:
- 投资VAD患者的患者教育是减少并发症和改善临床结果的强制性.
- 患者教育对合规性和心理健康产生积极影响.
- 需要进一步的研究来制定VAD患者的全面教育计划.
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