促进肺癌查决策和早期检测行为:系统性审查和元分析
Xiujing Lin1, Fang Lei, Jialing Lin
1Author Affiliations: School of Nursing, Fujian Medical University (Mss X Lin, J Lin, Li, and Q Chen, and Dr Huang), Fuzhou, China; School of Nursing, University of Minnesota (Dr Lei), Twin Cities, Minneapolis; and School of Nursing, University of California Los Angeles (Dr W-T Chen and Ms Arbing).
肺癌查 (LCS) 干预措施在针对特定决策阶段时更有效. 患者决策辅助工具和查资源提高了知识和完成率,减少了决策冲突.
科学领域:
- 公共卫生 公共卫生
- 健康 行为 健康行为
- 预防癌症 预防癌症
背景情况:
- 肺癌查 (LCS) 的推广是复杂的,之前的研究忽视了基于阶段的行为差异.
- 这种监督限制了在不同选阶段识别有效的LCS干预特征.
研究的目的:
- 探索促进肺癌查 (LCS) 决策和行为的干预措施的特点和有效性.
- 通过使用已建立的框架来评估这些干预措施的有效性.
主要方法:
- 进行了全面的文献搜索,截至2023年4月8日.
- 预防采用过程模型和RE-AIM框架用于综合和评估.
- 用RevMan 5.4软件进行了元分析.
主要成果:
- 31项研究检查了LCS知识,价值澄清和支持资源.
- 与教育材料相比,患者的决策辅助工具提高了知识和减少了决策冲突 (SMD,0.81;P < .001).
- 使用查资源的干预措施提高了LCS完成率,远远超过单独使用决策辅助工具.
结论:
- 证据突显了LCS决策阶段的干预特征和有效性.
- 针对性,特定阶段的干预措施对于最大限度地提高LCS的有效性和减少肺癌负担至关重要.
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