促进共享决策的决策辅助工具:对系统审查的审查
Myonghwa Park1, Thao Thi-Thu Doan1,2, Jihye Jung1
1Education and Research Center for Evidence-Based Nursing Knowledge, College of Nursing, Chungnam National University, Daejeon, Republic of Korea.
Nursing & health sciences
|February 15, 2024
概括
决策辅助工具 (DA) 通过增强患者的知识和参与来改善共享决策 (SDM). 通过提高满意度和减少决策冲突,DA也有利于医疗保健提供者.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 以患者为中心的护理
背景情况:
- 共享决策 (SDM) 在医疗保健中至关重要.
- 验证的决策辅助工具 (DA) 是公认的工具,以促进SDM.
研究的目的:
- 对决策辅助器 (DA) 的现有研究进行全面审查.
- 在SDM中分析DA对患者和医疗保健提供者结果的影响.
主要方法:
- 在四个主要数据库中进行系统搜索:PubMed,CINAHL,Embase和Web of Science.
- 包括34项系统性审查,使用AMSTAR II进行数据提取和质量评估.
主要成果:
- 发现决策辅助工具 (DA) 对患者的结果产生了积极的影响,包括增加知识,参与SDM和遵守.
- DAs还改善了医疗保健提供者的结果,例如更高的满意度和减少决策冲突.
- 研究的具体结果包括患者的知识,参与,决策冲突,遗憾,满意度和坚持.
结论:
- 决策辅助工具 (DA) 是有效的工具,可以增强患者和提供者的共享决策 (SDM).
- 需要在长期护理,心理健康和生殖健康方面进行进一步的研究,以优化DA实施.
- 研究结果支持DA的整合,以改善以患者为中心的护理和SDM实践.
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