ガン患者に対する質問リストの介入の有効性:ランダム化制御試験の体系的レビューとメタ解析
Ruichen Han1, Jiayi Liu1, Jiarui Chen1,2,3
1Xiangya School of Nursing, Central South University, Changsha, China.
Asia-Pacific journal of oncology nursing
|September 2, 2025
まとめ
問い合わせリスト (QPL) は,がん患者と医師のコミュニケーションを改善します. QPLは,患者の関与と意思決定の自信を高めるのに最も効果的です.
科学分野:
- 腫瘍学
- 医療サービス研究
- 患者 と 医師 の コミュニケーション
背景:
- 効果的なコミュニケーションは 癌の治療に不可欠です
- 患者さんは診察中に不安を表現するのに苦労します
- QPL (Question Prompt List) は,患者と医師の対話を促進することを目的としています.
研究 の 目的:
- 癌患者のQPL介入の有効性を評価する.
- QPLの介入の特性を統合する.
- QPLが患者との関わりとコミュニケーションに与える影響を評価する.
主な方法:
- ランダム化制御試験のための5つの電子データベースの系統的な検索.
- QPLを使用した16歳以上のがん患者の研究を含む.
- RevMan 5.4ソフトウェアを用いたメタ分析とバイアスのリスク評価
主要な成果:
- QPLの介入により 患者による共同意思決定への関与が著しく向上しました
- QPLは患者からの質問の数を増やしました
- QPLは,QPL単独よりも意思決定の自己有効性を改善しました.
結論:
- QPLの介入は,特に指示によって,患者の質問行動を改善します.
- QPLは患者と医師のコミュニケーションと 意思決定の自己効率性を高めます
- QPLを洗練し,患者の不安に対する影響を調査するためにさらなる研究が必要です.
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