衡量终身护理决策援助的有效性:系统性审查
M Courtney Hughes1, Erin Vernon2, Chinenye Egwuonwu1
1School of Health Studies, Northern Illinois University, Wirtz Hall 209, DeKalb, IL 60115, USA.
PEC innovation
|March 25, 2024
概括
用于终身护理的决策辅助工具始终显示出积极的结果. 使用国际患者决策辅助标准开发这些工具可以通过澄清生命终端偏好来改善患者的福祉和预防痛苦.
科学领域:
- 医疗决策的制定 医疗决策的制定
- 息护理研究 息护理研究
- 卫生沟通健康沟通
背景情况:
- 有效的决策辅助工具对于终身护理至关重要.
- 了解患者的偏好可以防止不必要的痛苦.
- 以前的研究还没有系统地综合决定辅助的有效性.
研究的目的:
- 系统地审查关于终身护理决策援助有效性的研究.
- 确定决策辅助在研究中如何衡量成功.
- 为未来决策辅助器的开发提供信息.
主要方法:
- 系统审查遵循系统审查和元分析 (PRISMA) 准则的首选报告项目.
- 综合定量,定性和混合方法研究.
- 搜索了四个数据库,截至2023年2月18日.
主要成果:
- 43项研究符合最初715篇文章的纳入标准.
- 常见的结果指标包括决策冲突,所需的护理强度,知识,沟通和满意度.
- 大多数研究报告了积极的结果,特别是在开发中使用了国际患者决策辅助标准时.
结论:
- 关于终身护理决策辅助器的研究始终显示出积极的结果.
- 未来的决策辅助开发应该纳入国际患者决策辅助标准.
- 有效的决策辅助工具可以通过确保了解和尊重患者的偏好来预防痛苦.
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