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紧急手术中共享决策的临床应用:一个范围审查协议
Carly Nichola Bisset1,2,3, Celia Keane4,5, Tracey McKee6
1Dept of General Surgery, Golden Jubilee National Hospital, Clydebank, UK carly.bisset4@nhs.scot.
BMJ open
|September 18, 2025
概括
共享决策 (SDM) 在紧急手术中至关重要,但证据有限. 本综述探讨了紧急外科手术中的SDM,以确定改善患者参与治疗决策的方法.
科学领域:
- 手术患者护理手术患者护理
- 临床决策的过程
- 医疗服务研究 医疗服务研究
背景情况:
- 共享决策 (SDM) 是患者护理的最佳实践.
- 在急诊外科手术中,SDM的证据有限,尽管由于时间压力和患者状况而很重要.
- 紧急手术需要患者做出明智的决定,因为结果和治疗选择各不相同.
研究的目的:
- 在紧急外科手术中对SDM的证据进行范围审查.
- 了解在这种环境中对SDM的现有研究的范围和类型.
- 确定在紧急外科情况下增强SDM的方法.
主要方法:
- 在EMBASE,Medline,Cochrane,CINAHL和Scopus数据库中进行系统的文献搜索.
- 包括对接受紧急手术的成年患者 (>18岁) 的研究,报告SDM.
- 提取研究设计,人口,SDM工具,流行率,障碍和支持者的数据,然后进行系统的叙事合成.
主要成果:
- 该审查将总结关于紧急外科手术中SDM当前状态的调查结果.
- 将详细介绍 SDM 所识别的障碍和推动因素.
- 将报告SDM在紧急外科设置中的流行率和测量工具.
结论:
- 调查结果将突出在紧急手术中SDM的证据基础上的差距.
- 本综述旨在为未来的研究和临床实践提供信息.
- 将制定改善SDM在紧急外科护理中的实施建议.
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