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儿童早发性癫痫患儿父母的信息需求:系统评价。

The information needs of parents of children with early-onset epilepsy: A systematic review.

机构信息

School of Women's and Children's Health, UNSW Medicine, UNSW Sydney, Australia; Behavioural Sciences Unit, Kids Cancer Centre, Sydney Children's Hospital, Randwick, Australia.

School of Women's and Children's Health, UNSW Medicine, UNSW Sydney, Australia; Behavioural Sciences Unit, Kids Cancer Centre, Sydney Children's Hospital, Randwick, Australia.

出版信息

Epilepsy Behav. 2020 Nov;112:107382. doi: 10.1016/j.yebeh.2020.107382. Epub 2020 Aug 24.

Abstract

OBJECTIVE

Early-onset epilepsy has broad physical and psychosocial impacts, and parents have a wide variety of information needs. This systematic review set out to assess 1) whether parents of children with early-onset epilepsy have unmet information needs and 2) their preferences regarding information content and style of information delivery.

METHODS

We searched Medline, Embase, PsychInfo, and CINAHL using keywords relating to information needs, information resources, and preferences for information delivery. We limited the search to parent populations and included all peer-reviewed publications published in English after the year 2005.

RESULTS

Eleven studies met our inclusion criteria. Parents reported a clear need for understandable, realistic, and focused information, highlighting a particular need for content about comorbidities and emotional support. Parents reported limited availability of detailed information resources on early-onset epilepsy, which compromised their ability to access appropriate healthcare services. Unmet information needs were associated with greater levels of stress, poorer psychosocial outcomes, and lower satisfaction with healthcare services.

SIGNIFICANCE

The results highlight the importance of detailed epilepsy information for families. Healthcare professionals should be aware of the impact of a lack of epilepsy information on family wellbeing. Multipronged and tailored interventions targeting the information needs of families are warranted.

摘要

目的

早发性癫痫对患儿的身心健康有广泛影响,家长存在着多样化的信息需求。本系统评价旨在评估:1)早发性癫痫患儿的家长是否存在未满足的信息需求;2)他们对信息内容和信息传递方式的偏好。

方法

我们使用与信息需求、信息资源以及信息传递偏好相关的关键词,在 Medline、Embase、PsychInfo 和 CINAHL 中进行了检索。我们将检索范围限定在家长人群,并纳入了 2005 年以后发表的所有同行评议的英文出版物。

结果

11 项研究符合纳入标准。家长报告了对易懂、现实和有针对性的信息的明确需求,突出了对共病和情感支持相关内容的特殊需求。家长报告称,详细的早发性癫痫信息资源可用性有限,这影响了他们获得适当医疗保健服务的能力。未满足的信息需求与更高的压力水平、更差的心理社会结局以及对医疗保健服务的满意度降低有关。

意义

研究结果强调了详细的癫痫信息对家庭的重要性。医疗保健专业人员应意识到缺乏癫痫信息对家庭幸福感的影响。需要针对家庭的信息需求,采取多管齐下和量身定制的干预措施。

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