在临床瘤实践中实施患者报告结果的促进者和障碍:基于实施研究综合框架的系统审查
Jianxia Lyu1, Hao Zhang2, Hua Wang1
1Department of Head and Neck Radiation Oncology, Sichuan Cancer Hospital, Chengdu, China.
Implementation science communications
|October 30, 2024
概括
在瘤学中实施患者报告结果 (PRO) 需要了解促进者和障碍. 本综述使用CFIR框架确定了关键因素,以改善PRO管理和患者护理.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
- 实施科学 实施科学
背景情况:
- 患者报告的结果 (PROs) 对于评估癌症护理中的患者福祉至关重要.
- 在瘤学环境中,在PRO的一致实施方面存在差距.
- 现有的审查往往缺乏全面的概述,阻碍了有效的PRO实施策略.
研究的目的:
- 系统地审查和整合在瘤学中实施PRO的推动者和障碍者.
- 利用实施研究综合框架 (CFIR) 来分类这些因素.
- 为在临床瘤学中成功管理PRO提供参考.
主要方法:
- 按照PRISMA指南进行系统审查.
- 在PubMed,Web of Science,CINAHL,Embase和PsycINFO数据库中进行的搜索,截至2024年4月.
- 使用乔安娜·布里格斯研究所 (JBI) 和混合方法评估工具 (MMAT) 进行质量评估;基于CFIR构造的数据提取和分类.
主要成果:
- 包括30项研究,确定了52个促进者和50个阻碍PRO实施的障碍.
- 在CFIR框架内的39个结构中对因素进行了分类.
- 关键领域包括创新特征,结构要素和利益相关方参与.
结论:
- 本综述提供了影响PRO在瘤学中的实施因素的全面分类.
- 了解这些促进者和障碍物对于成功将PRO纳入常规临床实践至关重要.
- 考虑这些因素将加强PRO管理,并最终在瘤学环境中改善患者护理.
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