在肺结节的管理中共同决策:对定量和定性研究的系统审查
Jingmin Yuan1, Fenglin Xu2, Yan Sun3
1Department of Preventive Medicine, Health Science Center, Yangtze University, Jingzhou, China.
BMJ open
|July 11, 2024
概括
在肺结节管理中,共享决策 (SDM) 是至关重要的. 不确定性带来了机遇,但患者知识缺口和医疗服务提供者-患者误解阻碍了SDM的实施.
科学领域:
- 肺部病理学 肺部病理学
- 医疗保健服务研究 医疗服务研究
- 医疗决策的制定 医疗决策的制定
背景情况:
- 肺结节需要复杂的管理决策.
- 在这种情况下,共享决策 (SDM) 对以患者为中心的护理至关重要.
研究的目的:
- 系统地审查肺结节管理中共享决策 (SDM) 的证据.
- 为了确定影响SDM在这个临床领域的因素.
主要方法:
- 在2022年4月之前对定量和定性研究进行系统审查.
- 数据提取和专题综合包括12项研究.
- 使用乔安娜·布里格斯研究所工具进行质量评估.
主要成果:
- 12项研究中有11项来自美国,包括6项定性研究和6项定量研究.
- 关键主题:机会 (不确定性,参与意愿),能力 (患者知识,医生经验) 和世界观 (误解,痛苦).
结论:
- 肺结节管理的不确定性为SDM创造了机会.
- 患者的知识缺陷,痛苦和沟通问题是SDM的重大障碍.
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