心脏病指南中的以患者和家庭为中心的护理建议:人工智能驱动的系统审查
Sarah A Beydoun1, Catherine Gagné2, Noah S Neubarth3
1Division of Experimental Medicine, McGill University, Montreal, Quebec, Canada.
CJC open
|September 26, 2025
概括
患者和家庭为中心的护理 (PFCC) 越来越多地被纳入心脏病学指南,健康过渡和共享决策是最常见的. 然而,在主要的心脏病学会中,PFCC语言使用存在差异.
科学领域:
- 心脏病学 心脏病学
- 医疗保健服务研究 医疗服务研究
- 以患者为中心的护理
背景情况:
- 以患者和家庭为中心的护理 (PFCC) 在心血管医学中至关重要.
- 它的整合到主要的心脏病学会的指导方针仍然是不够描述的.
研究的目的:
- 系统地审查PFCC语言和建议在主要心脏病学会指南中的使用.
- 分析十年来PFCC整合的趋势和变化.
主要方法:
- 对ACC,AHA,CCS和ESC的260条指南 (2013-2023) 的系统审查.
- 通过人工智能驱动的自然语言处理来识别PFCC术语.
- 将建议分为8个 PFCC 维度的分类.
主要成果:
- 健康转型,共享决策和护理获取是最常见的PFCC维度.
- 护理协调,情感支持和家庭支持是最不代表的.
- 在CCS,ACC和AHA中,PFCC的术语使用率高于ESC.
- 随着时间的推移,ACC,AHA和ESC的PFCC语言增加了,但CCS的语言减少了.
结论:
- 心脏病学指南越来越多地纳入PFCC的语言和建议.
- 在主要的心脏病学会中,PFCC整合存在显著差异.
- 需要进一步的研究来评估这些指南建议的临床影响.
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