定义和测量手术干预的可接受性:一个范围审查
Sophie James1, Jennie Lister1, Joy Adamson1
1York Trials Unit, Department of Health Sciences, University of York, York, United Kingdom.
PloS one
|June 3, 2025
概括
手术干预的可接受性缺乏明确的定义和跨研究一致的测量. 这一范围审查强调了需要标准化方法来改善医疗保健研究中患者和外科医生接受度的理解和报告.
科学领域:
- 医疗保健干预措施 医疗保健干预措施
- 手术手术手术手术手术手术手术手术手术手术
- 医疗保健服务研究 医疗服务研究
背景情况:
- 可接受性是医疗干预的关键概念,特别是在手术过程中.
- 目前的定义和可接受性测量没有标准化,导致概念化不良.
- 了解可接受性对于有效设计,实施和评估干预措施至关重要.
研究的目的:
- 进行范围审查,确定研究如何定义,测量和报告手术干预的可接受性.
- 分析手术干预评估中的可接受性的概念化和测量.
- 为了突出不同研究中报告可接受性的不一致性.
主要方法:
- 遵守乔安娜·布里格斯研究所 (JBI) 关于范围审查的指南.
- 报告遵循了系统审查和元分析 (PRISMA) 的首选报告项目扩展,用于范围审查.
- 在多个数据库 (MEDLINE,Embase,PsycInfo等) 中进行全面的文献搜索. 从2000年1月开始到2023年11月.
主要成果:
- 来自25个国家的67项研究被纳入了审查.
- 90%的研究 (n=60) 没有提供可接受性的定义.
- 调查问卷 (54%) 和定性访谈 (24%) 是最常见的数据收集方法,报告的角度各不相同 (患者,外科医生或两者兼而有之).
结论:
- 评估手术干预可接受性的研究往往缺乏明确的定义和概念化.
- 在用于衡量可接受性的方法,时间和观点中存在显著的变化.
- 需要进一步的研究来开发标准化的方法,以便在手术干预评估中进行一致的概念化和准确的测量可接受性.
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