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探讨在 X 光检查前为聋人和重听人士设立资讯门户的效用及改善建议。

An enquiry into the usefulness of an information portal for Deaf and hard of hearing people prior to x-ray examinations and improvement ideas.

机构信息

UCD School of Medicine, Belfield, Dublin 4, Ireland.

UCD School of Medicine, Belfield, Dublin 4, Ireland.

出版信息

Radiography (Lond). 2024 Oct;30(6):1508-1516. doi: 10.1016/j.radi.2024.08.017. Epub 2024 Sep 18.

Abstract

INTRODUCTION

Healthcare information resources are extremely limited currently in Irish Sign Language and studies of the preferred methods of gaining information in the Deaf and hard of hearing (DHH) community are scarce. This study aims to explore the opinions of DHH people on an information portal designed for a radiology department, taking account of their preferred methods of gaining information and past experiences of participants that may be addressed by a portal of this kind. These opinions inform the overall objective of creating a template for further improvements to the portal.

METHODS

An information portal containing what to expect before, during and after a chest x-ray examination was created. Ethical approval was granted to interview 11 DHH adults via zoom and in person to explore their opinions of an information portal's value prior to chest x-ray examinations. The preferred media type for obtaining information prior to x-ray examinations was also explored. Interview methods reflected the heterogeneity of DHH people's communication methods. Transcripts of the study were analysed using qualitative thematic analysis.

RESULTS

The resultant themes from the study were; positives of the information portal as it stands, feelings, pitfalls of the information portal, accessibility considerations, d/Deaf awareness, previous issues that may be helped by the information portal, improvement suggestions and further developments. The majority of participants preferred the subtitled video over other media types. Participants felt they would have been better prepared for their x-ray if they had used the information portal prior, and it would have increased their ability to give informed consent. Participants highlighted experiences of audism in radiology departments and cited the need for healthcare worker's deaf awareness to be improved. Improvements to the information portal were provided by participants.

CONCLUSION

The idea of this information portal was supported by the participants. Increased deaf awareness particularly in healthcare workers will improve this resource and improve patient experiences in radiology.

IMPLICATIONS FOR PRACTICE

A national policy is needed to implement accessible information in radiology departments to improve the provision of medical autonomy. This policy should be supported by ISL interpreters.

摘要

简介

目前爱尔兰手语中的医疗保健信息资源极其有限,而关于聋人和重听(DHH)群体获取信息的首选方法的研究则很少。本研究旨在探讨 DHH 人群对专为放射科设计的信息门户的看法,同时考虑到他们获取信息的首选方法以及参与者过去可能通过此类门户解决的问题。这些意见为创建此类门户的进一步改进模板提供了总体目标。

方法

创建了一个包含在胸部 X 光检查前后应了解的信息的信息门户。通过 zoom 和亲自采访了 11 名 DHH 成年人,获得了进行此项胸部 X 光检查前探索他们对信息门户价值的意见,并探讨了他们在进行 X 光检查前获取信息的首选媒体类型。研究的访谈方法反映了 DHH 人群沟通方式的多样性。使用定性主题分析方法分析研究的转录本。

结果

从研究中得出的主题包括:信息门户的优点、感受、信息门户的缺陷、可访问性考虑因素、聋/手语意识、可能通过信息门户解决的先前问题、改进建议和进一步发展。大多数参与者更喜欢带字幕的视频而不是其他媒体类型。参与者表示,如果他们在进行 X 光检查之前使用了该信息门户,他们会为检查做好更好的准备,并且这将提高他们知情同意的能力。参与者强调了在放射科部门中存在的听觉主义,并指出需要提高医护人员的聋人意识。参与者为信息门户的改进提供了建议。

结论

参与者支持该信息门户的想法。特别在医护人员中提高聋人意识将改善此资源,并改善放射科患者的体验。

实践意义

需要制定一项国家政策,在放射科部门实施无障碍信息,以改善医疗自主权的提供。该政策应由爱尔兰手语口译员提供支持。

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