在接受血液透析的患者中参与电子健康通信干预:范围审查
Anne Deinboll1, Cathrine Fredriksen Moe2, Mette Spliid Ludvigsen2,3
1Faculty of Nursing and Health Sciences, Nord University, Mo i Rana, Norway.
Journal of medical Internet research
|November 11, 2024
概括
这次范围审查强调了血液透析患者在电子健康沟通中的患者参与率低,电子健康记录集成有限. 改善访问,信任和健康素养是提高患者参与数字健康工具的关键.
科学领域:
- 数字健康数字健康
- 卫生传播健康传播
- 慢性病管理 慢性病管理
背景情况:
- 电子健康干预可以改善透析的慢性病患者的信心,临床结果和生活质量.
- 对血液透析患者的电子健康沟通的证据稀少,分散,缺乏系统化.
研究的目的:
- 识别和绘制有关患者参与血液透析患者电子健康沟通干预措施的现有证据.
- 绘制电子健康干预和电子健康记录之间的关联.
- 确定患者参与电子卫生沟通的障碍和促进因素.
主要方法:
- 使用乔安娜·布里格斯研究所的方法进行范围审查.
- 在多个数据库 (Ovid MEDLINE,Embase,CINAHL,Scopus,ProQuest) 中进行系统搜索.
- 包括接受任何类型的血液透析的成年患者;根据PRISMA-ScR指南报告.
主要成果:
- 包括九项同行评审的研究,揭示了低参与度的患者角色和与电子健康记录的模糊联系.
- 关键的促进因素包括干预的可访问性,信任,患者知识和准备.
- 关键障碍包括缺乏信息获取,不信任,低健康素养和关系问题.
结论:
- 关于血液透析患者的电子健康沟通中患者参与率低和电子健康记录访问有限的知识差距存在.
- 电子卫生干预应优先考虑患者参与,并整合多种沟通方式,以补充面对面的互动.
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