患者对视频直接观察结核病治疗的看法:系统性审查
En Chi Chen1,2, Rumia Owaisi1,3, Leah Goldschmidt1,3
1Dahdaleh Institute of Global Health Research, York University, 88 The Pond Rd Suite 2150, North York, ON M3J 2S5, Canada.
Journal of clinical tuberculosis and other mycobacterial diseases
|February 21, 2024
概括
视频直接观察治疗 (vDOT) 优先于标准的直接观察治疗 (DOT) 结核病患者. vDOT提供了方便,隐私和赋权,导致更好的治疗坚持和结果.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 医疗卫生技术 技术 技术
背景情况:
- 结核病 (TB) 治疗监测正在随着技术进步而发展.
- 由于技术可访问性增加,虚拟监控方法正在获得引力.
研究的目的:
- 系统地审查和比较患者对标准直接观察治疗 (DOT) 和视频直接观察治疗 (vDOT) 的看法.
- 确定影响患者接受和遵守vDOT的因素.
主要方法:
- 从MEDLINE和EMBASE (1974-2021) 研究的系统审查.
- 对22篇文章进行定性主题分析,重点关注患者对结核病护理的看法.
- 用DOT和vDOT进行患者体验的比较.
主要成果:
- 在22项研究中,有21项表明vDOT比标准DOT更受欢迎和接受.
- 推动vDOT接受的关键因素包括成本/时间节省,方便,隐私和患者赋权.
- vDOT与改善的治疗坚持和健康结果有关.
结论:
- 视频直接观察疗法 (vDOT) 是一种潜在的赋权,以人为中心的结核病治疗方法.
- 需要对vDOT有效性中的位置,技术访问和通信等社会决定因素进行进一步研究.
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