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低技术增强和替代通信在重症监护中的有效性,经验和可用性:混合方法系统审查
Hissah A Alodan1, Anna-Liisa Sutt2, Rebekah Hill3
1Faculty of Medicine and Health Sciences, University of East Anglia, Norwich, Norfolk, UK; College of Applied Medical Sciences, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia; King Abdullah International Medical Research Center, Riyadh, Saudi Arabia.
概括
低技术增强和替代通信 (AAC) 有效地满足非语言重症监护室 (ICU) 患者的需求. 提高可用性需要用户友好,定制的沟通板和解决实施挑战.
科学领域:
- 关键护理医学 关键护理医学
- 康复医学 康复医学 康复医学
- 卫生沟通 卫生沟通
背景情况:
- 在ICU的机械通风通常会使患者变得非语言.
- 低技术的增强和替代通信 (AAC) 策略尽管有效,但仍未得到充分利用.
- 有效的沟通对于患者的福祉和ICU的护理至关重要.
研究的目的:
- 系统地审查关于低技术AAC对非语言ICU患者有效性的证据.
- 探索患者和沟通合作伙伴的经验与低技术的AAC.
- 评估低技术AAC在ICU环境中的可用性.
主要方法:
- 对定量,定性和混合方法研究的系统审查.
- 包括成年ICU患者 (≥18岁) 由于机械通风而非语言.
- 搜索了六个数据库,遵守PRISMA指南;用于数据合成,使用了融合分离方法.
主要成果:
- 三十二项研究证实低技术的AAC提高了患者的满意度,并满足了身体/心理需求.
- 有混合内容的沟通板是首选的,但使用率低于无辅助方法.
- 使用障碍包括患者的状态,工具的可用性和工作人员的态度;用户友好和手术前引入是关键.
结论:
- 证据支持低技术AAC对非语言ICU患者的疗效.
- 优化可用性需要正确的实施和克服已识别的挑战.
- 进一步的研究应侧重于改进通信板设计,以提高用户友好性和复杂性.
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