患者报告的COVID-19期间虚拟护理的经验和结果:系统性审查
Bishnu Bajgain1, Sarah Rabi1, Sadia Ahmed2
1Department of Community Health Sciences, University of Calgary, Calgary, AB, Canada.
Journal of patient-reported outcomes
|December 1, 2023
概括
在COVID-19期间,虚拟护理为患者提供了方便和安全,但也带来了诸如忙预约和技术问题等挑战. 患者报告的经验和结果测量 (PREM和PROM) 是评估虚拟护理质量的关键.
科学领域:
- 医疗保健提供 医疗保健提供
- 数字健康数字健康
- 患者的治疗结果.
背景情况:
- 由于COVID-19的流行,人们不得不迅速从面对面的护理转向虚拟护理.
- 在虚拟环境中评估以患者为中心的护理质量存在挑战.
- 患者报告的经验和结果测量 (PREM和PROM) 对于评估虚拟护理至关重要.
研究的目的:
- 审查虚拟护理在COVID-19大流行期间对患者体验和结果的影响.
- 为评估虚拟护理质量确定相关的PREM和PROM.
- 综合患者和护理人员对虚拟护理交付的观点.
主要方法:
- 系统审查遵循系统审查和元分析 (PRISMA) 准则的首选报告项目.
- 在MEDLINE,CINAHL,EMBASE和PsychInfo数据库中进行全面搜索 (2020-2022年1月).
- 使用混合方法评估工具和患者合作伙伴咨询进行独立的质量评估.
主要成果:
- 包括来自20个国家的102项研究,主要是横截面的,重点是成人门诊虚拟护理.
- 确定了29个验证的PREM和43个PROM用于虚拟护理评估.
- 患者报告了方便和安全等好处,但也有诸如忙互动,沟通困难和技术障碍等挑战.
结论:
- 在大流行期间,患者和护理人员对虚拟护理的体验不同.
- 本次审查强调了PREM和PROM在测量虚拟护理质量的有用性.
- 建议对医疗保健专业人员的观点进行进一步的研究,以加强以人为中心的护理.
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