癌症临床决策支持系统对患者报告结果的影响:系统性审查
Erin Pitt1, Natalie Bradford1, Eden Robertson2
1Cancer and Palliative Care Outcomes Centre and Centre for Healthcare Transformation, Queensland University of Technology (QUT), 60 Musk Ave, Kelvin Grove, QLD, 4059, Australia; Faculty of Health, Queensland University of Technology (QUT), Victoria Park Rd, Kelvin Grove, QLD, 4059, Australia; Centre for Children's Health Research, Children's Health Queensland Hospital and Health Service, 62 Graham St, South Brisbane, QLD, 4101, Australia.
决策支持系统 (DSS) 在改善癌症患者的治疗结果方面显示出不同的结果. 虽然它们有效减轻疼痛,但它们并没有显著改善生活质量,痛苦或自我效能,这凸显了需要更好地报告结果的需要.
科学领域:
- 在瘤学瘤学.
- 医疗信息学 医疗信息学
- 患者报告的结果
背景情况:
- 高质量的决策支持对于有效的癌症护理至关重要.
- 决策支持系统 (DSS) 在医疗保健中越来越多地被使用.
- 除了决策过程之外,DSS的影响还需要进一步调查.
研究的目的:
- 系统地审查和综合有关DSS对癌症护理患者报告结果 (PROs) 影响的文献.
- 评估DSS在癌症治疗期间和之后的影响.
主要方法:
- 进行了经验文献的系统审查.
- 确定了评估DSS干预和PRO的研究.
- 数据以叙述方式进行了综合,并使用混合方法评估工具 (MMAT) 评估了研究质量.
主要成果:
- 包括15项研究,重点关注症状评估或交互式教育干预.
- DSS在症状困扰方面表现出混合的有效性,但有效地减少了疼痛.
- 在生活质量,痛苦,抑郁或自我效能方面没有观察到显著的改善;决策冲突的影响是混合的.
结论:
- 纳入PRO对于评估DSS在癌症护理中的影响至关重要.
- 不一致的干预报告可能导致临床DSS观察到的异质结果.
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