对多次长期状况商的共同决策措施:范围审查协议
Joanne Butterworth1, Karen Mattick1, Suzanne Richards2
1Department of Health and Community Sciences, St Luke's Campus, University of Exeter, Exeter, UK.
JBI evidence synthesis
|August 26, 2025
概括
这份综述为有多种疾病的老年人提供了共同的决策措施. 它确定证据缺口,以指导更好的以患者为中心的护理和自我管理策略.
科学领域:
- 老年医学
- 主要护理研究
- 医疗服务研究
背景情况:
- 全球多种长期疾病 (MLTC) 患病率不断上升,使得初级医疗保健变得更加紧迫.
- 分享决策 (SDM) 对于以患者为中心的护理,自我管理和MLTC管理的效率至关重要.
- 需要实用性指导和有效的SDM措施,适用于初级保健中患有MLTC的老年人.
研究的目的:
- 进行范围审查,了解共享决策 (SDM) 措施的证据范围和类型.
- 确定适合在初级保健机构参与多种长期疾病的老年人咨询的SDM措施
主要方法:
- 遵守乔安娜·布里格斯研究所 (JBI) 的范围审查方法.
- 在主要数据库 (PubMed,Embase,CINAHL,Cochrane) 和灰色文献中进行全面的文献搜索.
- 在西方化的医疗保健系统中,包括报告成年患者与医生的SDM措施的研究,没有日期或语言限制.
主要成果:
- 审查将对现有SDM措施所涵盖的领域和内容进行映射.
- 分析将确定当前措施对目标群体和环境的适用性和局限性.
- 将强调在初级保健中对老年患者的SDM测量方面的证据差距.
结论:
- 这一范围审查将提供对初级保健中患有MLTC的老年人相关的SDM措施的全面概述.
- 结果将为在这个复杂的患者群体中实施SDM提供最佳实践和务实指导.
- 该审查旨在加强患者参与,自我管理和多种慢性疾病患者护理的有效性.
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