摘要
目的系统整合医护人员对糖尿病足溃疡(DFU)远程医疗服务体验和需求的质性研究,为进一步完善有关DFU的远程医疗服务系统提供科学依据。方法检索PubMed、Web of Science、CochraneLibrary、CINAHL、Scopus、Embase、ProQuest、PsycINFO、中国知网、万方数据库、维普网、中国生物医学文献数据库中关于医护人员在建设及使用DFU远程医疗服务平台过程中体验和需求的质性研究,检索时限为建库至2024年12月。依据2016版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对纳入的文献进行质量评价,采用汇集性整合法对研究结果进行整合归纳。结果共纳入10篇文献,提炼出30个研究结果,形成11个类别,综合为4个整合结果,分别为医护人员对DFU远程医疗服务态度不一、感知诸多益处、面对诸多困境、存在多维需求。结论远程医疗服务为医护人员管理DFU患者提供了诸多便利,但仍存在挑战,未来应结合医护患多方需求不断完善相关平台系统,健全相关服务流程及管理机制,提升远程医疗的服务质量。
Objective To systematically synthesize qualitative studies on healthcare professionals'experiences and needs regarding telemedicine services for diabetic foot ulcers(DFU),and to provide scientific evidence for further improvement of DFU telemedicine service systems.Methods PubMed,Web of Science,Cochrane Library,CINAHL,Scopus,Embase,ProQuest,PsycINFO,China National Knowledge Infrastructure,Wanfang Data,VIP,and China Biology Medicine disc were searched for qualitative studies on healthcare professionals'experiences and needs in the process of constructing and using DFU telemedicine service platforms.The time limit was from the inception of the databases to December 2024.The included literature was appraised according to the 2016 Joanna Briggs Institute(JBI)critical appraisal checklist for qualitative research,and the results were integrated and summarized using meta-aggregation.Results A total of 10 studies were included,from which 30 findings were extracted,forming 11 categories,and were synthesized into four integrated findings:healthcare professionals held divergent attitudes toward DFU telemedicine services,perceived multiple benefits,faced many challenges,and had multidimensional needs.Conclusions Telemedicine services have provided healthcare professionals with great convenience in managing DFU patients,but challenges still exist.In the future,relevant platforms and systems should be continuously improved by integrating the needs of healthcare professionals and patients,while service processes and management mechanisms should be enhanced to improve the quality of telemedicine services.
作者
张沛哲
侯冲
任媛梦
吴家蓓
郭锦丽
Zhang Peizhe;Hou Chong;Ren Yuanmeng;Wu Jiabei;Guo Jinli(School of Nursing,Shanxi Medical University,Taiyuan 030001,China;Department of Teaching,Second Hospital of Shanxi Medical University,Taiyuan 030001,China)
出处
《中华现代护理杂志》
2025年第30期4137-4143,共7页
Chinese Journal of Modern Nursing
关键词
糖尿病足
医护人员
远程医疗
体验及需求
质性研究
Meta整合
Diabetic foot
Healthcare professionals
Telemedicine
Experiences and needs
Qualitative research
Meta-synthesis
