[在初级保健中与聋患者的沟通:一个范围审查]
Christian Eckart Prettin1, Nils Schneider1, Franziska A Herbst1
1Institut für Allgemeinmedizin und Palliativmedizin, Medizinische Hochschule Hannover, Hannover, Germany.
一般医生缺乏与聋人患者沟通的知识,强调不充分的策略和很少使用手语口译员. 需要进一步的研究来改善初级保健中的沟通可访问性.
科学领域:
- 医疗保健通讯 医疗保健通讯
- 聋人研究 聋人研究
- 初级保健研究研究初级保健研究
背景情况:
- 一般医生和聋人患者之间的有效沟通对于公平获得医疗保健至关重要.
- 目前的研究表明,在这个领域存在重大挑战和知识差距.
- 在一般实践中,使用手语和沟通辅助工具仍然未被充分探索.
研究的目的:
- 综合审查和分析现有的关于全科医生和聋患者之间的沟通研究.
- 在一般实践中发现关于手语使用和沟通策略的研究缺口.
- 为改善初级保健机构中聋人患者的沟通提供基础.
主要方法:
- 根据Arksey和O'Malley (2005) 的方法进行范围审查.
- 在CINAHL,PubMed和Web of Science数据库中进行的搜索.
- 包括七项研究 (定量,质量,混合方法) 涉及聋患者,全科医生和手语口译员.
主要成果:
- 一般医生在管理与聋患者的沟通方面表现出缺乏知识.
- 从患者和从业者的角度确定了沟通问题.
- 改进策略不足,在一般实践中很少使用合格的手语口译员.
- 沟通辅助工具往往是不可用或不合适的,有时还需要使用未经培训的口译员.
结论:
- 一般医生和聋患者之间的沟通往往是不充分的.
- 在德国的一般实践中,关于合格的手语口译员使用的可靠数据严重缺乏.
- 进一步的研究是必要的,以解决这些沟通障碍,并加强医疗保健服务的聋人.
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