Qualitative studies on the experience of digital health technology among stroke patients:a Meta-synthesis
杨嘉伟 1孙芳芳 2徐瑞彩2
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作者信息
1. 山东中医药大学护理学院,济南 250355
2. 山东第一医科大学附属省立医院护理部,济南 250021
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摘要
目的 系统评价和整合脑卒中患者数字健康技术使用体验及需求的质性研究,为临床更好地开展数字健康技术提供借鉴.方法 计算机检索PuhMed、Web of Science、Emhase、Cochrane Library、CINAHL、Medline、PsycINFO、中国知网、万方数据库、维普网、SinoMed中脑卒中患者对数字健康技术使用体验及需求的相关文献,检索时限均为建库至2024年6月30日.采用澳大利亚乔安娜布里格斯研究所循证卫生保健中心质性研究质量评价标准评价文献质量,采用汇集性整合方法进行结果整合.结果 共纳入18篇文献,提炼出57个主要研究结果,归纳为10个新类别,并综合成身心社会各层面益处交织,患者体验多重使用价值;多种障碍交织,渴望得到医护人员帮助;患者对数字健康技术的偏好及期望3个整合结果.结论 脑卒中患者对数字健康技术体验多样化,需重视患者使用体验,完善数字健康技术服务体系,并不断以患者视角为中心优化数字健康技术功能,提升脑卒中患者使用体验及数字健康技术的可推广性.
Abstract
Objective To systematically evaluate and integrate qualitative studies on the experiences and needs of stroke patients using digital health technology,providing insights for improving clinical implementation of digital health technology.Methods A computer-based search was conducted in PubMed,Web of Science,Embase,Cochrane Library,CINAHL,Medline,PsycINFO,China National Knowledge Infrastructure,Wanfang Data,VIP,and SinoMed for articles on the experiences and needs of stroke patients using digital health technology,with a search timeframe up to June 30,2024.The quality of the included studies was assessed using the Joanna Briggs Institute's quality assessment criteria for qualitative research,and the results were integrated using an aggregative synthesis approach.Results A total of 18 studies were included,yielding 57 primary findings,which were categorized into 10 new categories and synthesized into three integrated findings:the intertwined benefits for physical,mental,and social well-being highlighting the multi-dimensional value of use;multiple barriers with a desire for support from healthcare professionals;and patients'preferences and expectations for digital health technology.Conclusions Stroke patients have diverse experiences with digital health technology,highlighting the need to focus on patient-centered experiences,improve the digital health service system,and continuously optimize the functionality of digital health technology from the patients'perspective to enhance usability and scalability for stroke patients.
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