基于移动应用程序的沟通便利平台为危急病患者的家庭成员:一项随机临床试验
Christopher E Cox1,2, Deepshikha C Ashana1,2, Isaretta L Riley1
1Department of Medicine, Division of Pulmonary and Critical Care Medicine, Duke University, Durham, North Carolina.
JAMA network open
|January 4, 2024
概括
一个移动应用程序的干预改善了ICU患者和家人的息护理,减少了未满足的需求. 然而,白人家庭的好处比黑人家庭的好处更大,突出了在护理方面的种族差异.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 健康差异 在健康上的差异
- 数字健康干预措施 数字健康干预措施
背景情况:
- 在重症监护病房 (ICU) 普遍存在未得到满足的息护理需求.
- 在息护理提供和结果方面存在种族差异.
- 需要进行初级息护理干预,以补充专业服务.
研究的目的:
- 评估基于移动应用程序的初级息护理干预.
- 为了比较干预的有效性与通常的护理.
- 评估干预效应,按家庭成员的种族分层.
主要方法:
- 在两个医院的6个成年ICU进行集群随机临床试验.
- 干预:ICUconnect移动应用程序提供需求评估和沟通建议.
- 参与者:111名机械呼吸患者及其家属;医生级随机化.
主要成果:
- 与常规护理相比,移动应用程序干预显著减少了未满足的息护理需求 (生命终端查工具的需求得分) 在第3天和第7天.
- 三个月后,在各组之间没有观察到心理困扰症状的显著差异.
- 与黑人家庭成员相比,白人家庭成员的未满足需求减少得更大,特别是在第3天.
结论:
- 一个基于移动应用程序的初级息护理干预有效地减少了ICU的未满足需求.
- 该干预表明,它有望解决息治疗需求,并补充专家的可用性.
- 调查结果强调了持续的种族差异,在白人家庭中观察到的益处更为明显.
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