加强伤口护理共享决策的干预措施的有效性:系统性审查
Victoria J Clemett1, Tanya Graham1, Sue Woodward1
1Florence Nightingale Faculty of Nursing, Midwifery & Palliative Care, King's College London, London, UK.
Journal of clinical nursing
|April 30, 2024
概括
改善伤口护理共享决策的干预措施受到患者的积极欢迎. 然而,需要更多的研究来解决结果不一致性和干预复杂性,以获得更好的以患者为中心的护理.
科学领域:
- 伤口护理和组织活力
- 健康心理学 心理健康心理学
- 共享的决策方式
背景情况:
- 以患者为中心的护理对于管理复杂的伤口至关重要.
- 共享决策 (SDM) 个性化医疗保健,但干预措施的研究不足.
- 本次审查涉及SDM干预措施在伤口护理中的有效性.
研究的目的:
- 探索旨在加强患者参与共享决策 (SDM) 的干预措施的有效性,在伤口护理和组织活力方面.
- 综合当前关于SDM干预措施在这个临床领域的证据.
主要方法:
- 按照PRISMA 2020指南进行的干预研究的系统审查.
- 在多个数据库 (Medline,EMBASE,CINAHL等) 进行了搜索. 在2023年1月之前进行英语学习.
- 由两位作者进行的独立选,数据提取和质量评估.
主要成果:
- 包括8项研究,表明SDM干预措施的积极接收.
- 目标/需求设定组件可以改善知识转移,减少决策冲突.
- 由于结果的不一致性和干预措施的可变性,证据的确定性非常低.
结论:
- 未来的研究应该涉及利益相关者,并利用程序理论来进行复杂的SDM干预.
- 患者确定的需求和问题是临床护理的重要组成部分.
- 需要进一步的研究,以优化SDM在伤口管理.
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