远程培训在腹膜透析患者中应用效果的范围综述  

The application effects of remote training in peritoneal dialysis patients:a scoping review

作　　者：何佩佩[1] 殷晓红[1] 胡丽君[1] 孙淼娟 应珊 HE Peipei;YIN Xiaohong;HU Lijun;SUN Miaojuan;YING Shan

机构地区：[1]浙江大学医学院附属第一医院护理部,杭州市310003

出　　处：《中华急危重症护理杂志》2024年第4期373-379,共7页Chinese Journal of Emergency and Critical Care Nursing

基　　金：浙江省医药卫生科技计划项目(2022KY156,2024KY968,2024KY1012)。

摘　　要：目的对腹膜透析患者远程培训的时机、内容、方式和应用效果进行范围综述,为今后的研究方向提供依据。方法以澳大利亚乔安娜布里格斯研究所2020版的范围综述指南为方法学框架,系统检索中国知网、万方数据库、维普数据库、PubMed、CINAHL、Cochrane Library、Web of Science、Embase和EBSCO,检索时限为建库至2023年7月31日。对纳入文献进行汇总和分析。结果最终纳入14篇文献,总结远程培训载体有电话、短信、互联网、自行开发的软件、微信;远程培训的内容包括居家腹膜透析操作、并发症管理、营养指导、药物管理、康复指导等;远程培训的形式包括个体化针对性培训,定期线上推送培训内容,线上答疑,线上案例共享和同伴教育等;远程培训对腹膜透析患者的预后有正向作用。结论联合应用多种载体实施远程培训可提高腹膜透析患者的培训效果,但载体的便利性和智能化有待进一步提高;腹膜透析患者远程培训内容和形式多样化,但缺乏特异性;腹膜透析患者远程培训的时机、持续时间和效果评价指标尚无定论,可根据患者需求灵活调整;腹膜透析患者远程培训的短期效果明确,但长期效果有待进一步探索。Objective To review the timing,content,methods and application effects of remote training for peritoneal ldialysis patients,aiming to provide a basis for future research directions.Methods Based the scope review guideline of the Joanna Briggs Institute 2020 edition,we systematically searched CNKI,WANFANG,VIP,PubMed,CINAHL,Cochrane Library,Web of Science,Embase and EBSCO,from database inception to July 2023.The included literature was summarized and analyzed.Results 14 articles were included.The carriers of remote training were summarized as telephone,short message,Internet,self-developed software,wechat.The contents of remote training included home dialysis,complications management,nutrition guidance,drug management,rehabilitation guidance,and etc.The forms of remote training included individualized training,regular online delivery training,online Q&A,online case sharing and peer education,and etc.Remote training had positive effect on patients'outcomes.Conclusion The combined application of multiple carriers can improve the training effects of patients with peritoneal dialysis,but the convenience and intelligence of the carriers need to be further improved.The contents and forms of remote training for peritoneal dialysis patients are diverse,but they lack of specificity.The timing,duration and effect indicators of remote training for peritoneal dialysis patients are still uncertain,and can be flexibly adjusted according to patient needs.The short-term remote training for peritoneal dialysis patients is clear,but the long-term effect needs to be further explored.

关 键 词：远程 培训 腹膜透析 应用 范围综述 

分 类 号：R473.5[医药卫生—护理学]