旨在支持多药耐药生物体 (MDROs) 载体的非药物干预:一个系统的文献审查
Susanne Gaube1, Mengning Pan1, Anca Rath2
1UCL Global Business School for Health, University College London, London, United Kingdom.
The Journal of hospital infection
|August 15, 2025
概括
支持多耐药生物体 (MDRO) 载体的研究很少. 有限的证据表明,教育和情感支持干预措施可能会提高知识和满意度,但需要更强大的研究.
科学领域:
- 传染病流行病学 传染病流行病学
- 健康心理学 心理健康心理学
- 医疗保健干预措施 医疗保健干预措施
背景情况:
- 携带多药耐药生物体 (MDROs) 的人面临严重的心理困扰,包括耻辱,焦虑和不确定性.
- 信息不足有助于MDRO运营商的痛苦和不满.
- 需要解决携带MDRO的个人的信息和心理需求.
研究的目的:
- 对MDRO载体的非药物干预进行现有研究进行系统审查.
- 评估这些干预措施在解决信息和心理需求方面的有效性.
- 为了确定实施挑战和考虑此类干预措施.
主要方法:
- 按照PRISMA指南进行系统的文献审查.
- 在MEDLINE,EMBASE和PsycINFO数据库中进行搜索 (2000年1月 - 2024年10月).
- 研究特征,干预类型,结果和实施因素的叙事综合和专题分析.
主要成果:
- 只有四项涉及238名参与者的研究被确定.
- 所有干预措施都包括教育部分;其中一个还提供了情感支持.
- 教育提高了知识和满意度,但对福祉和行为的影响是混合的. 实施的挑战包括资源限制和工作流集成.
结论:
- 在研究解决MDRO载体的非医疗需求方面存在重大差距.
- 有限的证据表明,教育和情绪支持可能是有益的,但方法上存在局限性.
- 对于MDRO载体而言,迫切需要精心设计,可扩展,以患者为中心的干预措施.
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