关键词: Virtual assessment chronic cough cough severity patient satisfaction virtual management

来  源:   DOI:10.1177/20552076241239239   PDF(Pubmed)

Abstract:
UNASSIGNED: Chronic cough is a frequent reason for seeking consultation with primary care providers. The recent widespread adoption of virtual care offers a promising alternative that can be used to optimize the assessment and management of this condition. The objective of this review was to map and identify the strategies used to assess and/or manage chronic cough virtually, and to explore their impact on cough severity and patient satisfaction with virtual care.
UNASSIGNED: A scoping review was conducted in MEDLINE, EMBASE, and CINAHL in May 2023. Research questions were defined based on the Population, Concept, Context mnemonic, and literature search was conducted using a three-step approach. Study selection involved the steps of identification, screening, eligibility, and inclusion. A descriptive synthesis was performed, and quantitative variables were presented as absolute and relative frequencies.
UNASSIGNED: A total of 4953 studies were identified and seven met the inclusion criteria. The following mHealth and telehealth strategies were identified: diagnostic website, specialized online clinic, online speech language therapy, and remote follow-up to assess the effectiveness of in-person interventions. Results indicated that these virtual strategies can be useful to assess chronic cough, treat, and track chronic cough symptoms. Overall, patients were satisfied with the approaches.
UNASSIGNED: Although literature is scarce, evidence suggests that virtual strategies for the assessment and management of chronic cough may be effective and are well-received by patients. However, further research is needed to identify the type and characteristics of virtual approaches leading to optimize and facilitate the care of patients with this condition. This will also help develop a strong body of evidence to support their incorporation into guidelines and clinical practice.
摘要:
慢性咳嗽是寻求初级保健提供者咨询的常见原因。虚拟护理最近的广泛采用提供了一种有希望的替代方案,可用于优化对这种情况的评估和管理。本综述的目的是绘制和确定用于评估和/或管理慢性咳嗽的策略,并探讨其对咳嗽严重程度和患者对虚拟护理满意度的影响。
在MEDLINE中进行了范围审查,EMBASE,2023年5月和CINAHL。研究问题是根据人口来定义的,概念,上下文助记符,并采用三步法进行文献检索。研究选择涉及识别的步骤,筛选,资格,和包容。进行了描述性合成,定量变量以绝对频率和相对频率表示。
共确定了4953项研究,其中7项符合纳入标准。确定了以下移动健康和远程健康策略:诊断网站,专门的在线诊所,在线语言治疗,和远程随访,以评估亲自干预的有效性。结果表明,这些虚拟策略可用于评估慢性咳嗽,请客,追踪慢性咳嗽症状.总的来说,患者对这些方法感到满意。
虽然文献很少,有证据表明,评估和治疗慢性咳嗽的虚拟策略可能是有效的,并且受到患者的欢迎.然而,需要进一步的研究来确定虚拟方法的类型和特征,从而优化和促进患有这种疾病的患者的护理。这也将有助于开发强有力的证据,以支持将其纳入指南和临床实践。
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