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中风或短暂性脑缺血发作患者的信息需求及其获取健康信息的偏好方式:一项范围综述。

Information needs of people who have suffered a stroke or TIA and their preferred approaches of receiving health information: A scoping review.

作者信息

Helbach Jasmin, Hoffmann Falk, Hecht Nina, Heesen Christoph, Thomalla Götz, Wilfling Denise, Rahn Anne Christin

机构信息

Department of Health Services Research, School of Medicine and Health Sciences, Carl von Ossietzky Universität Oldenburg, Oldenburg, Germany.

Nursing Research Unit, Institute of Social Medicine and Epidemiology, University of Lübeck, Germany.

出版信息

Eur Stroke J. 2025 Mar;10(1):5-21. doi: 10.1177/23969873241272744. Epub 2024 Aug 26.

Abstract

PURPOSE

We aimed to synthesize the information needs of people with stroke (PwS) in recurrent stroke prevention.

METHODS

In this scoping review we searched Medline (via PubMed), CINAHL, and PsycINFO from inception to June 5, 2023, to identify all studies describing the information needs of people 18 years and older who have suffered a stroke or transient ischemic attack within the past 5 years. We included qualitative and quantitative studies from developed countries published in German or English. Data analysis was performed following Arksey and O'Malley's methodological framework for scoping reviews.

FINDINGS

We screened 5822 records for eligibility and included 36 articles published between 1993 and 2023. None of the included studies used a comprehensive framework or defined information needs. Based on statements from PwS and their caregivers, PwS needed information on treatment, etiology, effects of stroke, prognosis, rehabilitation, discharge, life changes, care role, support options, information sources, and hospital procedures. The most frequently expressed needs were information on the treatment (77.8%) and stroke etiology (63.9%). The primary information source was healthcare professionals (85.7%), followed by written information (71.4%), family and friends (42.6%), and the internet (35.7%), with information provided directly by healthcare professionals being preferred. The timing of information transfer is often described as too early.

CONCLUSION

PwS are primarily interested in clinical information about stroke, for example, treatment and etiology, and less often in information about daily life, for example, rehabilitation, the role of care, or lifestyle changes. PwS prefer to receive information directly from healthcare professionals. Developing a shared understanding of PwS's information needs is crucial to implement suitable strategies and programs for dealing with these needs in clinical practice.

摘要

目的

我们旨在综合中风患者(PwS)在预防复发性中风方面的信息需求。

方法

在这项范围综述中,我们检索了从创刊至2023年6月5日的Medline(通过PubMed)、CINAHL和PsycINFO,以识别所有描述过去5年内发生过中风或短暂性脑缺血发作的18岁及以上人群信息需求的研究。我们纳入了以德语或英语发表的来自发达国家的定性和定量研究。数据分析按照Arksey和O'Malley的范围综述方法框架进行。

结果

我们筛选了5822条记录以确定其是否符合纳入标准,纳入了1993年至2023年期间发表的36篇文章。纳入的研究均未使用综合框架或定义信息需求。根据中风患者及其护理人员的陈述,中风患者需要有关治疗、病因、中风影响、预后、康复、出院、生活变化、护理角色、支持选项、信息来源和医院程序的信息。最常表达的需求是有关治疗的信息(77.8%)和中风病因(63.9%)。主要信息来源是医疗保健专业人员(85.7%),其次是书面信息(71.4%)、家人和朋友(42.6%)以及互联网(35.7%),医疗保健专业人员直接提供的信息更受青睐。信息传递的时机通常被描述为太早。

结论

中风患者主要对有关中风的临床信息感兴趣,例如治疗和病因,而对有关日常生活的信息,例如康复、护理角色或生活方式改变的信息兴趣较低。中风患者更喜欢直接从医疗保健专业人员那里获取信息。对中风患者的信息需求形成共同理解对于在临床实践中实施应对这些需求的合适策略和计划至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c317/11894729/bae08d701a67/10.1177_23969873241272744-img2.jpg

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