探索决策辅助工具以支持事先的护理规划:一个范围审查
Ying Xu1, Ping-Ping Han1, Xiao-Qin Su1
1School of Nursing and Rehabilitation, Nantong University, Nantong, Jiangsu, China.
Journal of clinical nursing
|April 25, 2024
概括
决策辅助工具通过提供信息和探索偏好来改善事先的护理规划. 网站和视频是有效的工具,增强患者的知识和决策质量,特别是对于癌症和老年患者.
科学领域:
- 医疗决策的制定 医疗决策的制定
- 卫生沟通健康沟通
- 老年医学 老年医学
- 在瘤学瘤学.
背景情况:
- 提前护理计划 (ACP) 涉及沟通未来的医疗保健目标和偏好.
- 决策辅助工具可以帮助患者通过平衡好处和风险来导航复杂的治疗选择.
- 对非洲和非洲国家/地区的决策辅助工具的特点,内容和有效性需要进行系统审查.
研究的目的:
- 探讨非洲和非洲国家/地区的决策辅助工具的特点,内容和应用效率.
- 建立一个基础,为未来的研究决策辅助器在事先的护理规划.
- 系统地审查目前在非洲和非洲国家使用的决策辅助工具的情况.
主要方法:
- 根据Arksey和O'Malley框架和PRISMA-ScR指南进行了范围审查.
- 系统地搜索了六个英语数据库,直到2023年12月1日.
- 两位研究人员选了文章并提取了数据,以叙事总结和表格呈现.
主要成果:
- 20项研究符合纳入标准,使用决策辅助工具主要是网站和视频.
- 决策援助涵盖了11个关键领域,包括信息提供和偏好探索.
- 观察到患者知识的显著增加和对价值偏好的更好的认知;网站和视频显示出高接受度和满意度,尽管可行性需要测试.
结论:
- 决策辅助工具通过提供信息和探索偏好,有效地促进了ACP和提高决策质量.
- 这些辅助工具有效地改善了癌症和老年人群的决策.
- 未来的努力应集中在开发个性化决策辅助工具和促进其临床应用上.
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