面临语言障碍的成年人之间的虚拟护理:系统性审查和元分析
Erica Wennberg1,2,3, Zuhal Mohmand4, David D'Arienzo1,3,5
1Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
JAMA network open
|June 5, 2025
概括
语言障碍患者在获得虚拟护理方面面临挑战. 虽然整体虚拟护理的使用类似于面对面的护理,但与电话相比,视频咨询的使用较少,特别是在专业环境中.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 数字健康 公平数字健康 公平
- 卫生沟通健康沟通
背景情况:
- 语言障碍对不同患者群体的医疗保健获得构成重大挑战.
- 虚拟护理提供了潜在的解决方案,但在那些有语言障碍的人中,其公平的使用尚未得到充分理解.
研究的目的:
- 系统地审查和综合现有关于语言障碍与虚拟护理的使用和满意度之间的联系的文献.
- 分析高收入国家的成人患者和儿科患者的护理人员的数据.
主要方法:
- 在四个主要数据库 (MEDLINE,Embase,PsycINFO,Web of Science) 进行了全面的搜索,截至2023年3月.
- 包括的研究比较了虚拟与面对面的护理使用情况,以及语言障碍和没有语言障碍的患者之间的满意度.
- 数据使用随机效应元分析和叙事合成进行了合成,遵循PRISMA指南.
主要成果:
- 对41项研究的分析显示,对于语言障碍的成年患者,整体虚拟 versus 面对面的护理使用没有显著差异.
- 与基于电话的虚拟护理相比,语言障碍的成年患者使用视频的几率明显较低.
- 在专业护理环境中,与电话护理相比,有语言障碍的成年患者使用虚拟护理和视频的概率明显较低.
结论:
- 语言障碍并没有显著阻碍整体虚拟护理的使用,但与减少对视频咨询的使用有关,特别是在专业护理中.
- 进一步的研究对于解决虚拟初级保健,患者满意度以及儿童患者护理人员面临语言障碍的经验方面的差异至关重要.
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