健康素养是否与外科手术结果有关? 一个系统的审查
Zoe D Trutner1, Kenneth Furlough1, Anuska Martinez1
1Department of Surgery and Perioperative Care, Dell Medical School, The University of Texas at Austin, Austin, Texas.
The Journal of surgical research
|August 12, 2023
概括
低健康素养与更差的以患者为中心和以过程为导向的外科手术结果有关. 需要更多的研究来了解它对临床手术结果和多样化的患者群体的影响.
科学领域:
- 医学研究 医学研究
- 医疗保健服务研究 医疗服务研究
- 外科手术的结果
背景情况:
- 低健康素养与医疗保健利用率的增加以及各种医疗领域的不良健康结果有关.
- 健康素养对手术结果的影响,包括临床,以患者为中心和以过程为导向的方面,尚未得到充分证实.
研究的目的:
- 系统地审查有关健康素养和手术结果之间的关系的现有证据.
- 综合有关健康素养如何影响手术患者以患者为中心,以过程为导向和临床结果的研究结果.
主要方法:
- 按照系统审查和元分析 (PRISMA) 准则的首选报告项目进行了系统审查.
- 搜索了六个数据库,包括了25个横截面或队列研究.
- 提取和分析了关于健康素养和手术结果的数据.
主要成果:
- 强有力的证据表明,低健康素养与手术护理中以患者为中心的结果较差有关.
- 低健康素养也与更糟糕的流程导向外科手术结果有关.
- 根据目前的证据,健康素养和临床外科治疗结果之间的关联仍然不清楚.
结论:
- 显著的机会存在,以提高对健康素养在外科护理中的作用的理解.
- 未来的研究应该调查不同的外科设置,利用标准化的评估工具,包括各种患者群体,并探索更广泛的患者报告结果.
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