{"title":"重症监护室中最低反应成人患者的沟通能力评估：范围综述。","authors":"Ana Pinto, Mariely Lima, João Lindo Simões","doi":"10.1111/1460-6984.13088","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>Few formal instruments exist to assess the communicative competence of patients hospitalized in intensive care units (ICUs). This can limit interventions by health professionals.</p>\n </section>\n \n <section>\n \n <h3> Aims</h3>\n \n <p>To map the categories and instruments for assessing the communicative competence of adult patients with minimal response in ICUs.</p>\n </section>\n \n <section>\n \n <h3> Methods & Procedures</h3>\n \n <p>A scoping review was carried out following the Joanna Briggs Institute protocol between February and March 2022 and using the MEDLINE (PubMed), Scopus, Scielo, Business Source Complete (via EBSCOhost), Academic Search Complete (via EBSCOhost) and Web of Science databases, in Portuguese, English and Spanish.</p>\n </section>\n \n <section>\n \n <h3> Main Contribution</h3>\n \n <p>Eight studies met the inclusion criteria. The different communication and pain assessment protocols covered awareness, cognition, sensory capacity, motor capacity, language, speech and literacy.</p>\n </section>\n \n <section>\n \n <h3> Conclusions & Implications</h3>\n \n <p>The present review offers a starting point for the construction of a formal assessment instrument to enable clinicians to implement an augmentative or alternative communication system (AACS) for the voluntary, independent and active participation of patients.</p>\n </section>\n \n <section>\n \n <h3> WHAT THIS PAPER ADDS</h3>\n \n <section>\n \n <h3> What is already known on the subject</h3>\n \n <div>\n <ul>\n \n <li>Patients in ICUs are subject to various forms of treatment and continuous and intensive monitoring, compromising their capacity to communicate and actively participate (e.g., sharing symptoms and making decisions). Although there is some awareness of their disadvantage in such a regard, few protocols of assessment of communicative competence have been adapted to patients with a minimum response.</li>\n </ul>\n </div>\n </section>\n \n <section>\n \n <h3> What this paper adds to the existing knowledge</h3>\n \n <div>\n <ul>\n \n <li>The present review highlights different protocols for the assessment of communication and pain. They include the following categories: awareness, sensory capacity, auditory and visual acuity, positioning and motor capacity, language, speech, and literacy. The review offers a starting point for the construction of a formal assessment instrument encompassing the aforementioned categories, along with duly validated guidelines for its application.</li>\n </ul>\n </div>\n </section>\n \n <section>\n \n <h3> What are the potential or actual clinical implications of this work?</h3>\n \n <div>\n <ul>\n \n <li>Our formal assessment instrument takes into account the need to adapt to different patient profiles. It is hoped that it will provide speech therapists and other health professionals with the information required to implement an AACS in which patients participate actively.</li>\n </ul>\n </div>\n </section>\n </section>\n </div>","PeriodicalId":49182,"journal":{"name":"International Journal of Language & Communication Disorders","volume":"59 6","pages":"2383-2396"},"PeriodicalIF":1.5000,"publicationDate":"2024-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Assessment of communicative competence in adult patients with minimum response in intensive care units: A scoping review\",\"authors\":\"Ana Pinto, Mariely Lima, João Lindo Simões\",\"doi\":\"10.1111/1460-6984.13088\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Background</h3>\\n \\n <p>Few formal instruments exist to assess the communicative competence of patients hospitalized in intensive care units (ICUs). This can limit interventions by health professionals.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Aims</h3>\\n \\n <p>To map the categories and instruments for assessing the communicative competence of adult patients with minimal response in ICUs.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods & Procedures</h3>\\n \\n <p>A scoping review was carried out following the Joanna Briggs Institute protocol between February and March 2022 and using the MEDLINE (PubMed), Scopus, Scielo, Business Source Complete (via EBSCOhost), Academic Search Complete (via EBSCOhost) and Web of Science databases, in Portuguese, English and Spanish.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Main Contribution</h3>\\n \\n <p>Eight studies met the inclusion criteria. 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Assessment of communicative competence in adult patients with minimum response in intensive care units: A scoping review
Background
Few formal instruments exist to assess the communicative competence of patients hospitalized in intensive care units (ICUs). This can limit interventions by health professionals.
Aims
To map the categories and instruments for assessing the communicative competence of adult patients with minimal response in ICUs.
Methods & Procedures
A scoping review was carried out following the Joanna Briggs Institute protocol between February and March 2022 and using the MEDLINE (PubMed), Scopus, Scielo, Business Source Complete (via EBSCOhost), Academic Search Complete (via EBSCOhost) and Web of Science databases, in Portuguese, English and Spanish.
Main Contribution
Eight studies met the inclusion criteria. The different communication and pain assessment protocols covered awareness, cognition, sensory capacity, motor capacity, language, speech and literacy.
Conclusions & Implications
The present review offers a starting point for the construction of a formal assessment instrument to enable clinicians to implement an augmentative or alternative communication system (AACS) for the voluntary, independent and active participation of patients.
WHAT THIS PAPER ADDS
What is already known on the subject
Patients in ICUs are subject to various forms of treatment and continuous and intensive monitoring, compromising their capacity to communicate and actively participate (e.g., sharing symptoms and making decisions). Although there is some awareness of their disadvantage in such a regard, few protocols of assessment of communicative competence have been adapted to patients with a minimum response.
What this paper adds to the existing knowledge
The present review highlights different protocols for the assessment of communication and pain. They include the following categories: awareness, sensory capacity, auditory and visual acuity, positioning and motor capacity, language, speech, and literacy. The review offers a starting point for the construction of a formal assessment instrument encompassing the aforementioned categories, along with duly validated guidelines for its application.
What are the potential or actual clinical implications of this work?
Our formal assessment instrument takes into account the need to adapt to different patient profiles. It is hoped that it will provide speech therapists and other health professionals with the information required to implement an AACS in which patients participate actively.
期刊介绍：
The International Journal of Language & Communication Disorders (IJLCD) is the official journal of the Royal College of Speech & Language Therapists. The Journal welcomes submissions on all aspects of speech, language, communication disorders and speech and language therapy. It provides a forum for the exchange of information and discussion of issues of clinical or theoretical relevance in the above areas.
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