在侵入性手术中获取患者偏好的研究方法:范围审查
Hala Muaddi1, Olivia Lovrics2, Richard Jb Walker1
1Division of General Surgery, Department of Surgery, University of Toronto, Toronto, Canada.
Langenbeck's archives of surgery
|October 29, 2024
概括
了解患者在侵入性手术中的偏好至关重要. 本综述确定了引起患者偏好的方法,为研究人员和临床医生提供了一个框架,以改善以患者为中心的护理.
科学领域:
- 医学研究方法论医学研究方法论.
- 患者为中心的护理
- 医疗服务研究 医疗服务研究
背景情况:
- 患者和临床医生的医疗终点优先级可能有所不同.
- 现有有效的方法可有效而简洁地收集患者的偏好.
- 纳入患者价值观对于个性化医疗至关重要.
研究的目的:
- 对在侵袭性手术中引起患者偏好的方法进行范围审查.
- 制定一个框架,将患者偏好措施纳入研究和临床实践.
- 为了为未来的研究提供有关手术中以患者为中心的结果的信息.
主要方法:
- 在多个数据库 (MEDLINE,EMBASE,Cochrane,PsycINFO) 进行系统搜索,直到2020年9月.
- 包括检查患者对任何侵入性手术的偏好的文章.
- 重复选择和数据提取,然后总结偏好诱导方法.
主要成果:
- 包括394篇涉及76,921名跨外科专业的患者的文章.
- 主要使用量化方法 (81.2%),最常见的是简单选择选择.
- 还采用了采访等定性方法 (7.1%),并较少使用组合方法 (11.7%).
结论:
- 有多种方法可用于在手术研究中引起患者偏好.
- 定性方法擅长探索观点和建立共识.
- 量化方法是有效的衡量相对偏好和值,指导方法选择的研究目标.
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