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农村住院患者中的息视频咨询和症状困扰:一项随机临床试验

Marie A Bakitas1,2,3, Shena Gazaway2,3,4, Felicia Underwood2,5

  • 1Acute, Chronic and Continuing Care, School of Nursing, University of Alabama at Birmingham.

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此摘要是机器生成的。

基于文化的息护理视频咨询并没有显著减少农村医院的症状困扰. 然而,该干预措施显示了临床上有意义的症状得分的改善,这表明未来研究减少医疗保健不平等的潜力.

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科学领域:

  • 农村卫生 农村卫生
  • 抚慰性护理是一种缓解性护理.
  • 健康 公平 卫生 公平

背景情况:

  • 息治疗可以改善患者的治疗结果,但在农村医院很少.
  • 农村人口在获得专业医疗保健服务方面面临差异.
  • 远程医疗提供了一种潜在的解决方案,可以跨越护理提供中的地理障碍.

研究的目的:

  • 对农村住院患者进行文化适应的息护理视频咨询的有效性进行评估.
  • 为了比较干预和对照组之间的症状痛苦,生活质量和资源利用.
  • 探索远程医疗缓解护理对患者报告结果的影响.

主要方法:

  • 一个多站点,单盲随机临床试验,涉及3家农村医院的209名住院患者.
  • 干预组接受了以文化为基础的视频咨询和后续联系.
  • 对照组接受了例行医院护理;主要结局是症状困扰变化 (ESAS).

主要成果:

  • 在第7天,群体之间的症状减轻没有统计学上显著的差异.
  • 干预组经历了平均ESAS得分变化,达到临床重要差异最低标准.
  • 在生活质量或资源使用方面没有发现显著差异.

结论:

  • 在这个农村试验中,基于文化的息护理视频咨询并没有显著减少症状困扰.
  • 观察到的临床上有意义的差异表明了需要进一步研究的潜在益处.
  • 远程医疗缓和护理可以帮助解决农村住院患者的医疗保健不平等问题.