科学与故事相遇的地方:叙事医学的系统审查
Maria Giovanna Massari1, Michela Di Trani2, Arianna Palmieri3
1Department of Human Sciences and Promotion of Quality of Life, San Raffaele Telematic University, Rome, Italy.
叙事医学通过将讲故事纳入医疗保健,提高了患者和护理人员的福祉. 这次审查强调了它对疾病经验的积极影响,尽管存在方法上的挑战.
科学领域:
- 医学人文学科 医学人文学科
- 以患者为中心的护理
- 定性研究是一种定性研究.
背景情况:
- 叙事医学将基于证据的实践与以患者为中心的护理相结合.
- 人们对叙事医学越来越感兴趣,但对患者/护理人员视角的研究有限.
- 需要对叙事医学对疾病经验的影响进行系统审查.
研究的目的:
- 系统地审查叙事医学对患者和护理人员疾病经验的影响.
- 通过患者和护理人员的视角来分析现有文献.
- 确定研究缺口,并建议未来的方向.
主要方法:
- 文献审查的PRISMA 2020指导方针.
- 在MEDLINE,PsycINFO,EBSCO,Cochrane图书馆,CINAHL的搜索截至2024年2月.
- 在选了724篇文章后,包括了42项研究,并进行了独立的数据提取.
主要成果:
- 叙事医学积极影响患者和护理人员的福祉.
- 患者和护理人员的叙述揭示了他们的担忧和需求.
- 方法上的异质性被注意到,可能限制了概括性.
结论:
- 叙事医学为患者和护理人员提供了显著的好处.
- 需要对标准化协议进行进一步的研究,以解决方法上的局限性.
- 患者叙述对于理解和解决个体医疗保健需求至关重要.
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