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视频远程手语翻译和聋人患者的健康沟通:一项随机临床试验
Minerva Rivas Velarde1,2, Laura Catalina Izquierdo Martinez3,4, Jyoti Dalal3
1School Of Health Science, University of Applied Sciences and Arts Western, Geneva, Switzerland.
JAMA network open
|February 4, 2026
概括
视频远程解读 (VRI) 对医疗保健机构的聋人患者显示了不同的结果. 虽然VRI改善了一些沟通方面,但它并没有提高聋患者和医生之间的理解.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 沟通研究 沟通研究
- 医疗信息学 医疗信息学
背景情况:
- 目前用于使用手语的聋人患者的口译服务往往不足.
- 视频远程解释 (VRI) 提供了一个可扩展的解决方案,以应对口译员短缺和成本障碍.
- 关于VRI如何影响医疗保健中的沟通质量,研究有限.
研究的目的:
- 评估VRI在改善聋患者和医生之间的沟通结果方面的有效性.
- 将VRI与传统的沟通方法比较,例如自编译,唇读,笔记和视觉辅助.
主要方法:
- 在哥伦比亚进行了一项随机临床试验,涉及使用哥伦比亚手语的聋人成年人.
- 参与者被分配到干预组 (VRI) 或控制组 (标准通信).
- 使用医生-病人沟通量表来评估与失明的参与者和医疗保健专业人员的沟通.
主要成果:
- 该研究包括210名聋人参与者;51.4%的人报告使用VRI.
- 使用VRI与患者自我表达的增加有关 (OR,1.90;P=.02).
- 两组之间患者对医生的理解 (OR,1.33;P=.28) 没有发现显著差异.
结论:
- VRI部分改善了聋患者的临床沟通,但并没有改善所有方面.
- VRI的有效性取决于满足特定的关键先决条件.
- 需要进一步的研究来优化VRI在医疗保健中的实施,以改善患者和医疗服务提供者的沟通.
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