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早期识别未满足息护理需求的查工具:系统性审查和元分析
Zhishan Xie1, Jinfeng Ding1, Jingjing Jiao1
1Central South University, Changsha, Hunan, China.
BMJ supportive & palliative care
|December 28, 2023
概括
早期发现息护理需求至关重要. 这次审查发现现有的查工具的性能有限,支持性和息性护理指标工具 (SPICT) 在医院中显示出更好的结果.
科学领域:
- 抚慰性护理医学 抚慰性护理医学
- 医疗保健服务研究 医疗服务研究
- 临床流行病学 临床流行病学
背景情况:
- 早期识别需要息治疗的患者对于及时启动服务至关重要.
- 这次系统性审查和元分析评估了早期息护理检测的工具.
- 该研究评估了仪器的心理测量特性和临床性能.
研究的目的:
- 确定早期缓和护理需求的查工具.
- 评估这些仪器的心理测量特性和临床性能.
主要方法:
- 在多个数据库 (PubMed,Embase,CINAHL,Scopus,CNKI,Wanfang) 进行全面的文献搜索,截至2023年5月.
- 使用基于共识的健康测量仪器选择标准 (COSMIN) 评估仪器开发.
- 通过叙事总结或元分析评估临床表现,使用纽卡斯尔-太华尺度和柯克兰偏差风险工具进行质量评估.
主要成果:
- 包括31项评估七种仪器的研究;内容有效性往往是可疑的或不充分的.
- 聚合灵敏度在60.0%至73.8%之间,特异性在70.4%至90.2%之间,异质性很高.
- 支持性和息性护理指标工具 (SPICT) 在医院环境中表现优异 (Se=79.8%,Sp=59.1%) 与一般实践相比 (Se=45.3%,Sp=97.0%).
结论:
- 现有的用于早期缓和护理识别的工具显示出不良或合理的临床性能.
- 支持性和息性护理指标工具 (SPICT) 是最常见的,并且比其他工具的表现更好.
- 与一般实践相比,SPICT在医院环境中表现优越.
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