在儿科急性护理中共享决策干预措施的评估:系统性审查
Gemma Postill1,2, Francine Buchanan3, Sanjay Mahant3,4,5,6
1Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
Hospital pediatrics
|June 10, 2025
概括
在儿科急性护理中,共享决策 (SDM) 干预措施显示出前景,改善了患者的治疗结果,而不会增加并发症. 为了更广泛的应用,建议对标准化措施进行进一步的研究.
科学领域:
- 儿科急性护理 儿科急性护理
- 医疗保健服务研究 医疗服务研究
- 共享的决策方式
背景情况:
- 关于儿童急性护理中共享决策 (SDM) 干预措施的有效性存在有限的共识.
- 在紧急儿科环境中实施SDM存在独特的挑战.
研究的目的:
- 系统地审查SDM干预措施在儿科急性护理机构的有效性.
- 综合SDM对以患者为中心和儿童临床结果的影响的证据.
主要方法:
- 进行了对多个数据库 (MEDLINE,EMBASE,Cochrane等) 的系统审查. 在2024年11月之前.
- 包括评估儿童 (19岁以下) 急性医疗问题的SDM干预措施的研究.
- 提取了关于参与者的数据,研究设计,临床决策和以患者为中心/临床结果.
主要成果:
- 从10,278个已识别的文章中,包括了27项研究.
- 干预的重点是呼吸道感染,ICU决策,头部伤害和尾炎等疾病.
- SDM干预措施通常改善了以患者为中心和临床结果,而不会增加资源使用或并发症.
结论:
- 在各种儿科急性护理场景中评估了SDM干预措施.
- 有证据表明,SDM改善了患者的治疗结果,并且不会导致并发症增加.
- 干预和结果措施的异质性限制了元分析;需要标准化研究.
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