Augmentative and Alternative Communication Interventions in Critical and Acute Care With Mechanically Ventilated and Tracheostomy Patients: A Scoping Review.

IF 4.6 Q2 MATERIALS SCIENCE, BIOMATERIALS
Mimi LaValley, Tiffany Chavers-Edgar, Mengxuan Wu, Ralf Schlosser, Rajinder Koul
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Abstract

Purpose: Communication with nonspeaking patients is a critical challenge of person-centered care. This scoping review aimed to map the literature on augmentative and alternative communication (AAC) interventions for nonspeaking mechanically ventilated and tracheostomy patients in critical and acute care settings.

Method: Electronic database, ancestry, and forward citation searches were conducted using eligibility criteria established a priori. Data were extracted, synthesized, and summarized according to scoping review methodology. Studies were categorized by type of intervention and summarized in terms of purpose, participants, design, quality appraisal (including validity and reliability of selected efficacy measures), and efficacy.

Results: Small-to-large treatment effect sizes indicated demonstrable impact on patient health and communication efficacy with high-tech and no-tech visual interface-based interventions and systematic nurse training interventions. Treatment effects primarily pertained to dependent variables of patient anxiety, communication satisfaction, comfort, symptom self-reporting, and nursing practice changes.

Conclusions: There is a paucity of high-quality AAC intervention research for mechanically ventilated and tracheostomy patients in critical and acute care settings. Emergent evidence suggests that select visual interface and nurse training interventions can impact efficacy of patient-provider communication and patients' overall health.

Supplemental material: https://doi.org/10.23641/asha.26506102.

机械通气和气管切开患者在重症和急症护理中的辅助和替代性交流干预:范围审查。
目的:与不会说话的患者进行交流是以人为本的护理所面临的一项重要挑战。本范围综述旨在对危重症和急症护理环境中针对不说话的机械通气和气管切开患者的辅助和替代性交流(AAC)干预的文献进行梳理:方法:采用事先制定的资格标准进行电子数据库、祖先和前向引文检索。根据范围界定综述方法对数据进行提取、综合和总结。研究按干预类型分类,并从目的、参与者、设计、质量评估(包括选定疗效测量的有效性和可靠性)和疗效等方面进行总结:由小到大的治疗效果大小表明,基于高科技和非高科技视觉界面的干预措施以及系统化的护士培训干预措施对患者健康和沟通效果产生了明显的影响。治疗效果主要涉及患者焦虑、沟通满意度、舒适度、症状自我报告和护理实践改变等因变量:针对重症和急症护理环境中机械通气和气管切开患者的高质量 AAC 干预研究还很少。新的证据表明,选择视觉界面和护士培训干预可以影响患者与医护人员沟通的效果和患者的整体健康。补充材料:https://doi.org/10.23641/asha.26506102。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
ACS Applied Bio Materials
ACS Applied Bio Materials Chemistry-Chemistry (all)
CiteScore
9.40
自引率
2.10%
发文量
464
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