关于手术治疗目标的全面回顾:我们如何做,我们如何做得更好?
Amanda Mac1,2, Yerin Lee1, Selena Zhang1
1Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
World journal of surgery
|August 23, 2025
概括
在外科手术中,医疗保健目标 (GOC) 讨论往往是反应性的,缺乏以患者为中心. 改善这些对话对于使治疗与患者价值观和优先事项保持一致至关重要.
科学领域:
- 医学伦理
- 手术护理
- 以患者为中心的医学
背景情况:
- 医疗目标 (GOC) 讨论对于使患者的偏好与治疗计划保持一致至关重要.
- 现有关于中医外科的文献需要进行表征,以确定改进领域.
研究的目的:
- 审查中国政府在外科领域的讨论质量,实践和框架.
- 确定中国政府现行做法中的差距,并提出改善策略.
主要方法:
- 在多个数据库 (MEDLINE,Embase,Cochrane,科学网,Scopus,临床试验.gov) 中进行全面的文献搜索.
- 包括研究重点是中国政府在外科领域的讨论质量.
- 从开始到2022年7月29日进行搜索.
主要成果:
- 从超过14,000篇文章中包括37篇研究.
- 中国政府的讨论往往是反应性的,由急性变化引发的.
- 外科医生通常扮演信息策划者的角色, 提供标准的途径而不是探索患者的长期目标.
- 关于患者自主权与外科医生优先治疗的角色存在模两可.
结论:
- 需要进一步研究参与护理人员和不同患者群体 (种族,性别,社会经济地位,农村).
- 研究结果强调需要改善中华人民共和国的对话,以支持以患者为中心的外科护理.
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