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Patients’ experiences of eHealth in palliative care: an integrative review

机译:患者在姑息治疗中的母羊经验:一项综合评论

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With a growing world population, a longer life expectancy, and more deaths due to chronic diseases, the need for palliative care is increasing. Palliative care aims to alleviate suffering and to promote well-being for patients with progressive, incurable disease or injury. E-Health entails using of information and communication technology for healthcare provision. It is unclear to how patients experience use of eHealth technology within palliative care. The aim of this study was to describe patients’ experiences of eHealth in palliative care. A systematic integrative review was performed using six databases: Cinahl Complete; MEDLINE; PubMed; Psychology and Behavioral Sciences Collection; Nursing and Allied Health; and PsycINFO. Twelve studies met the inclusion criteria of adult patients in palliative care, English language, published 2014–2019: comprising 397 patients. Six studies were from European countries, four from North America, one from South America and one from Oceania. Seven were feasibility or pilot studies. The findings are synthesized in the main theme: E-health applications – promoting communication on patients’ and families’ terms, and three sub- themes: usability and feasibility of eHealth applications; symptom control and individualized care; and use of eHealth applications increased sense of security and patient safety. Patients’ experiences were that eHealth promoted individualized care, sense of security, better symptom management and participation in care. Communication was facilitated by the inherent flexibility provided by technology. E-Health applications seem promising in promoting equal, individualized care, and may be a tool to endorse accessibility and patient participation in palliative care settings. Indications are that eHealth communication resulted in patients and families receiving more information, which contributed to experiences of patient safety and feelings of security. At organizational and societal levels, eHealth may contribute to sustainable development and more efficient use of resources.
机译:随着世界上不断增长的世界人口,寿命更长,而且由于慢性病导致的死亡人数更多,对姑息治疗的需求正在增加。姑息治疗旨在减轻患者,促进患者患有渐进性,疾病或伤害的患者。电子健康需要使用信息和通信技术进行医疗保健规定。目前尚不清楚患者如何在姑息治疗中使用eHealth技术。本研究的目的是描述痛苦护理的患者的母羊的经历。使用六个数据库进行系统的一体化审查:CINAHL完成; Medline; pubmed;心理学和行为科学系列;护理和盟军健康;和psycinfo。十二次研究符合2014-2019发布的姑息治疗,英语的成年患者的纳入标准:包括397名患者。六项研究来自欧洲国家,来自北美的四个,一个来自南美洲,一个来自大洋洲。七是可行性或试验研究。该研究结果是在主题中的综合:电子健康应用 - 促进患者和家庭术语的沟通,三个子主题:电子健康申请的可用性和可行性;症状控制和个性化护理;使用电子保健应用程序提高了安全感和患者安全。患者的经验是eHealth促进了个性化护理,安全感,更好的症状管理和参与护理。通过技术提供的固有灵活性促进了通信。电子卫生应用似乎在促进平等,个性化的护理方面有望,并且可以成为赞同可访问性和患者参与姑息治疗设置的工具。迹象表明,eHealth沟通导致患者和家庭接受更多信息,这导致了患者安全和安全感的经验。在组织和社会层面,伊恩康省可能有助于可持续发展和更有效的资源利用。

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