关于远程医疗在姑息治疗中患者和家属观点的综合评价方案。
Protocol for an integrative review: patient and families' perspectives on telehealth in palliative care.
机构信息
Research Unit, Department of Internal Medicine, Hospital of Southern Jutland Sonderborg Branch, Aabenraa, Denmark
Institute of Regional Health Research - University Hospital of Southern Denmark, University of Southern Denmark, Aabenraa, Denmark.
出版信息
BMJ Open. 2022 Sep 7;12(9):e062723. doi: 10.1136/bmjopen-2022-062723.
INTRODUCTION
Increases in the use of telehealth in palliative care (telepalliative care) prior to, and during, the COVID-19 pandemic have resulted in a proliferation of studies on the topic. While knowledge is building on how providers and recipients adapt to telepalliative care, no reviews have, as of yet, examined telepalliative care from a patient and family perspective. Therefore, the aim of this integrative review is to explore patients and families' perspectives on telepalliative.
METHODS AND ANALYSIS
An integrative review will be performed inspired by the methodology of Remmington and Toronto from March 2022 to December 2022. Medline, Embase, PsycINFO and CINAHL will be searched for primary peer-reviewed studies that describe telepalliative care from patient and families' perspectives. Limiters will be used for age; 18 years+, time; 10 years, and language; English and Danish. Hand searches of authors of included articles and reference lists of included articles will be performed. Two reviewers will independently screen and appraise selected articles using the Mixed Method Appraisal Tool. Conflicts will be resolved through discussions with a third reviewer. Data will be extracted independently by two reviewers into a data matrix with predefined headings and analysed using thematic analysis. Findings will be reported thematically, summarised into a thematic synthesis and discussed in relation to relevant literature.
ETHICS AND DISSEMINATION
Ethical approval is not required for this review. Results will be published in an international peer-reviewed journal and presented at a relevant international conference. Reporting of this protocol was guided by the Preferred Reporting Items for Systematic reviews and Meta-Analyses Protocol checklist and prospectively reported to PROSPERO (CRD42022301206).
介绍
在 COVID-19 大流行之前和期间,姑息治疗中远程医疗(远程姑息治疗)的使用增加,导致针对该主题的研究大量涌现。虽然关于提供者和接受者如何适应远程姑息治疗的知识正在不断增加,但迄今为止,还没有从患者和家属的角度审查远程姑息治疗。因此,本综合评价的目的是探讨患者和家属对远程姑息治疗的看法。
方法和分析
本综合评价将基于 Remmington 和 Toronto 的方法学,于 2022 年 3 月至 2022 年 12 月进行。将检索 Medline、Embase、PsycINFO 和 CINAHL,以查找描述患者和家属对远程姑息治疗看法的原始同行评审研究。将使用年龄、18 岁+、时间、10 年和语言、英语和丹麦的限制器。将对纳入文章的作者进行手工检索,并对纳入文章的参考文献进行手工检索。两名评审员将独立使用混合方法评估工具筛选和评估选定的文章。通过与第三名评审员的讨论解决冲突。两名评审员将独立将数据提取到一个具有预定义标题的数据矩阵中,并使用主题分析进行分析。将根据主题分析对结果进行主题报告、总结成主题综合,并结合相关文献进行讨论。
伦理和传播
本综述不需要伦理批准。结果将发表在国际同行评审期刊上,并在相关国际会议上进行报告。本方案的报告遵循系统评价和荟萃分析方案报告标准清单的建议,并在 PROSPERO(CRD42022301206)上进行了前瞻性报告。
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