社区卫生工作者和技术干预对全球息支持的影响:对随机对照试验的全面审查
Alekhya Gunturi1, Margarita Pertierra2, Irma Elizabeth Huayanay Espinoza2
1School of Medicine, Boston University, Boston, Massachusetts, USA.
Journal of palliative medicine
|March 20, 2025
概括
社区卫生工作者和数字卫生工具可以改善严重疾病成年人的息护理. 这些方法提高了生活质量和护理人员的支持,但文化定制的干预措施需要进一步的研究.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 数字健康数字健康
- 社区健康 社区健康
背景情况:
- 息治疗对于负担过重的医疗系统至关重要,但在资源不足的环境中却很少.
- 社区卫生工作者 (CHW) 和数字/电话支持为息护理提供可扩展的解决方案.
- 整合这些资源可以改善社区环境中严重疾病的成年人的结果.
研究的目的:
- 对重病成年人的息护理中CHW和数字健康/电话的利用情况进行审查.
- 确定这些干预措施在家庭和社区环境中的常见应用和影响.
主要方法:
- 根据PRISMA-ScR指南进行了范围审查.
- 在PubMed,EMBASE,LILACS和CINAHL (2012-2023) 中进行了搜索.
- 从7518项选研究中,包括了31篇文章.
主要成果:
- 大多数研究来自美国,很少有人关注农村/少数民族人口或文化定制的护理.
- 医疗保健和数字健康被用于身体和心理息护理,主要用于晚期癌症患者.
- 干预措施显著改善了患者的生活质量,医疗保健利用率和护理人员的结果.
结论:
- 医疗保健中心和数字健康/电话有效地增强了息护理的提供,改善了生活质量和护理人员的支持.
- 目前的研究强调身体和心理护理,仅限于文化方面.
- 未来的研究应该探索针对不同人群的文化定制干预措施,并研究新兴的远程技术,以便更广泛地获得息护理.
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