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支持为接受临终关怀和姑息治疗的患者和护理人员提供教育视频的证据:系统评价。

The evidence supporting educational videos for patients and caregivers receiving hospice and palliative care: A systematic review.

机构信息

Palliative Medicine Program, Johns Hopkins Hospital, 600 N. Wolfe Street, Suite 342B, Baltimore, MD, 21287, USA.

University of Puerto Rico, Medical Sciences Campus, School of Medicine, Box 365067, San Juan, 00936-5067, Puerto Rico.

出版信息

Patient Educ Couns. 2020 Sep;103(9):1677-1691. doi: 10.1016/j.pec.2020.03.014. Epub 2020 Mar 19.

Abstract

OBJECTIVE

The purpose of this study is to explore the evidence surrounding educational videos for patients and family caregivers in hospice and palliative care. We ask three research questions: 1. What is the evidence for video interventions? 2. What is the quality of the evidence behind video interventions? 3. What are the outcomes of video interventions?

METHODS

The study is a systematic review, following Preferred Reporting Items for Systematic reviews and Meta-Analysis (PRISMA) guidelines. Researchers systematically searched five databases for experimental and observational studies on the evidence supporting video education for hospice and palliative care patients and caregivers, published in 1969-2019.

RESULTS

The review identified 31 relevant articles with moderate-high quality of evidence. Most studies were experimental (74 %), came from the United States (84 %) and had a mean sample size of 139 participants. Studies showed that video interventions positively affect preferences of care and advance care planning, provide emotional support, and serve as decision and information aids.

CONCLUSION

A strong body of evidence has emerged for video education interventions in hospice and palliative care. Additional research assessing video interventions' impact on clinical outcomes is needed.

PRACTICE IMPLICATIONS

Videos are a promising tool for patient and family education in hospice and palliative care.

摘要

目的

本研究旨在探讨围绕临终关怀和姑息治疗患者和家属教育视频的证据。我们提出了三个研究问题:1. 视频干预的证据是什么?2. 视频干预背后的证据质量如何?3. 视频干预的结果是什么?

方法

该研究是一项系统评价,遵循系统评价和荟萃分析的首选报告项目(PRISMA)指南。研究人员系统地在五个数据库中搜索了 1969 年至 2019 年间发表的关于支持临终关怀和姑息治疗患者和护理人员视频教育的证据的实验和观察性研究。

结果

该综述确定了 31 篇具有中高度证据质量的相关文章。大多数研究是实验性的(74%),来自美国(84%),平均样本量为 139 名参与者。研究表明,视频干预措施积极影响护理偏好和预先护理计划,提供情感支持,并作为决策和信息辅助工具。

结论

在临终关怀和姑息治疗中,视频教育干预措施已经有了大量的证据支持。需要进一步研究评估视频干预对临床结果的影响。

实践意义

视频是临终关怀和姑息治疗中患者和家属教育的有前途的工具。

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