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带管留置患者教育干预的影响:范围综述。

The impact of educational interventions for patients living with indwelling urinary catheters: A scoping review.

机构信息

CNC Continence, Integrated & Community Health, Western Sydney Local Health District, Mt Druitt Community Health Centre, Cnr Buran & Kelly Cl, Mount Druitt, NSW 2770, Australia.

Western Sydney University, School of Nursing and Midwifery, Locked Bag 1797, Penrith, NSW 2751, Australia.

出版信息

Contemp Nurse. 2020 Aug;56(4):309-330. doi: 10.1080/10376178.2020.1835509. Epub 2020 Oct 29.

Abstract

: To explore the impact of educational interventions for patients living with indwelling urinary catheters. : Systematic scoping review in accordance with PRISMA guidelines, guided by Cochrane methodology, quality appraisal using Centre for Evidence-Based Medicine (CEBM) Joanna Briggs Institute (JBI), GRADE criteria and Quality Improvement Minimum Quality Criteria Set Version 1.0 (QI-MQCS V 1.0) tools. Studies ( = 446) were retrieved from CINAHL, Cochrane Library, Scopus and Medline from 2000 to 2020. : A total of 15 primary research studies were included in the narrative thematic synthesis, nine were from the USA, two from Australia, two from the UK, one from Italy and one from Turkey. These 15 studies were published between 2003 and 2019 and accounted for 19918 patients with an age range 15-99 years. Study design varied; there were 11 quantitative and 4 qualitative studies. Studies were of low-moderate quality. A total of four themes were identified; (i) information needs of patients living with long-term catheters; (ii) core learning content and educational approaches; (iii) feasibility and effectiveness of educational interventions to reduce complications and improve quality of life; and (iv) common outcome measures. : The dissemination of information and the delivery of urinary catheter education to patients is inadequate. Core components of educational interventions should address fluid intake, bowel management, hygiene and self-monitoring/management, including adverse events. There is a need for future robust trials of educational and self-management interventions to improve the quality of life of patients living with indwelling urinary catheters in the community. : This review addressed the educational needs of patients living with indwelling urinary catheters and the impact of educational interventions. Despite the heterogeneity in educational interventions, all studies included in this review reported the specific approach undertaken was effective in minimising catheter-associated complications and improving the quality of life of patients.

摘要

: 探讨针对留置导尿管患者的教育干预措施的影响。: 按照 PRISMA 指南进行系统范围综述,以 Cochrane 方法为指导,使用循证医学中心 (CEBM) 循证医学中心 (JBI)、GRADE 标准和质量改进最低质量标准集版本 1.0 (QI-MQCS V 1.0) 工具进行质量评估。研究人员从 2000 年至 2020 年,从 CINAHL、Cochrane 图书馆、Scopus 和 Medline 检索到 446 项研究。: 共有 15 项初级研究被纳入叙事主题综合分析,其中 9 项来自美国,2 项来自澳大利亚,2 项来自英国,1 项来自意大利,1 项来自土耳其。这 15 项研究发表于 2003 年至 2019 年之间,涉及 19918 名年龄在 15-99 岁之间的患者。研究设计各不相同; 其中 11 项为定量研究,4 项为定性研究。研究质量为低-中度。确定了四个主题; (i) 长期带管患者的信息需求; (ii) 核心学习内容和教育方法; (iii) 教育干预措施降低并发症和提高生活质量的可行性和有效性; 以及 (iv) 常见的结果测量。: 向患者传播信息和提供导尿管教育是不够的。教育干预的核心内容应包括液体摄入、肠道管理、卫生和自我监测/管理,包括不良事件。需要进一步开展针对教育和自我管理干预的严格试验,以提高社区中留置导尿管患者的生活质量。: 本综述针对留置导尿管患者的教育需求和教育干预措施的影响。尽管教育干预措施存在异质性,但本综述中纳入的所有研究都报告称,所采取的特定方法在最大限度地减少导管相关并发症和提高患者生活质量方面是有效的。

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