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基于iPad的应用程序促进沟通能力受损的危重症患者沟通:一项临床前分析。

iPad-based Apps to Facilitate Communication in Critically Ill Patients with Impaired Ability to Communicate: A Preclinical Analysis.

作者信息

Dind Andrew J, Starr Joshua S, Arora Sumesh

机构信息

1-3Department of Intensive Care Medicine, Prince of Wales Hospital, Sydney, New South Wales, Australia.

出版信息

Indian J Crit Care Med. 2021 Nov;25(11):1232-1240. doi: 10.5005/jp-journals-10071-24019.

DOI:10.5005/jp-journals-10071-24019
PMID:34866819
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8608643/
Abstract

BACKGROUND

Inability to communicate is very distressing for patients in the intensive care unit (ICU). Most communication exchanges in ICU are initiated by healthcare workers (HCWs). Touch screen apps may enable patients to initiate communication and improve their interactions.

OBJECTIVES

This study aimed to evaluate the pertinent features of iPad-based apps designed for communication in ICU.

METHODS

Apple "App Store" and Google "Play Store" were searched for keywords "communication" and "intensive care." Related app suggestions were screened. Two independent assessors evaluated iPad-based apps that were deemed useful. The assessors resolved the discrepancies by re-evaluating the apps and reaching a consensus.

RESULTS

Nine apps met the inclusion criteria. Of these six apps were free. There were seven apps specific to intensive care. Most apps had preloaded phrases for the patient to request to see someone (e.g., family), personal hygiene (e.g., bowel care), seek help with symptoms (e.g., pain), or a comfort item (e.g., blanket). CALD Assist, Patient Communicator, VidaTalk, and YoDoc were available in more than eight languages. VidaTalk and YoDoc allowed the user to write. Four apps were deemed not suitable for routine ICU use, while the remaining five had several attractive features.

CONCLUSION

Several high-quality apps are available to assist with patient-initiated communication exchange in ICU. This study provides a guide for readers to choose the app most suited to their needs. In the opinion of the authors, YoDoc is the most suitable app for routine use in ICU. Among free apps, CommuniCare appears to be the most user-friendly.

HOW TO CITE THIS ARTICLE

Dind AJ, Starr JS, Arora S. iPad-based Apps to Facilitate Communication in Critically Ill Patients with Impaired Ability to Communicate: A Preclinical Analysis. Indian J Crit Care Med 2021;25(11):1232-1240.

摘要

背景

对于重症监护病房(ICU)的患者而言,无法进行沟通会让他们极为痛苦。ICU中的大多数沟通交流都是由医护人员发起的。触摸屏应用程序或许能让患者发起沟通并改善他们之间的互动。

目的

本研究旨在评估为ICU沟通设计的基于iPad的应用程序的相关特性。

方法

在苹果“应用商店”和谷歌“Play商店”中搜索关键词“沟通”和“重症监护”。筛选相关应用建议。两名独立评估者对被认为有用的基于iPad的应用程序进行评估。评估者通过重新评估应用程序并达成共识来解决分歧。

结果

9款应用程序符合纳入标准。其中6款应用程序是免费的。有7款应用程序是专门针对重症监护的。大多数应用程序都预加载了一些短语,供患者用来请求见某人(如家人)、进行个人卫生护理(如肠道护理)、寻求症状方面的帮助(如疼痛)或索要舒适物品(如毯子)。CALD Assist、Patient Communicator、VidaTalk和YoDoc有超过8种语言版本。VidaTalk和YoDoc允许用户书写。4款应用程序被认为不适合在ICU常规使用,而其余5款有几个吸引人的特性。

结论

有几款高质量的应用程序可用于协助ICU中由患者发起的沟通交流。本研究为读者选择最适合其需求的应用程序提供了指南。作者认为,YoDoc是ICU常规使用中最合适的应用程序。在免费应用程序中,CommuniCare似乎是最用户友好的。

如何引用本文

Dind AJ, Starr JS, Arora S. iPad-based Apps to Facilitate Communication in Critically Ill Patients with Impaired Ability to Communicate: A Preclinical Analysis. Indian J Crit Care Med 2021;25(11):1232 - 1240.

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