患者弹性对术后结果的影响:一个范围审查
Leandra Amado1, Jiwon Lee2, Mona Khalid3
1The Department of Anaesthesiology and Pain Medicine, The Ottawa Hospital, University of Ottawa, Ottawa, ON, Canada.
British journal of anaesthesia
|October 18, 2025
概括
心理性,从逆境中恢复的能力,可能会改善外科手术的结果. 更高的弹性与更好的患者体验和一些功能结果有关,但测量不一致.
科学领域:
- 在外科手术期间的医学.
- 心理学科学 心理学科学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 心理性,即从逆境中恢复的能力,是潜在的可修改的外科手术期间风险因素.
- 本范围审查检查了如何测量性,以及其与成人外科患者术后结果的关联.
研究的目的:
- 为了评估成年手术患者心理性测量.
- 评估术前恢复力和术后结果之间的关联.
主要方法:
- 搜索了Ovid MEDLINE,Embase和Joanna Briggs研究所基于证据的实践数据库,截至2024年4月.
- 包括测量成年手术患者手术前性和报告手术后结果的研究.
- 进行了由卫生保健改进研究所三重目标框架分类的结果的叙事综合.
主要成果:
- 74项研究使用了7种经过验证的工具,主要是简要弹性量表和康纳-戴维森弹性量表.
- 更高的弹性与改善的患者体验 (生活质量,满意度,心理健康,疼痛) 和功能结果有关.
- 证据质量普遍较低,原因是定义不一致,单中心研究,偏见和有限的混调整.
结论:
- 弹性测量及其与外科手术后期结果的关联是可变的.
- 新出现的证据表明,弹性可能具有保护作用.
- 在不同手术群体中进行标准化的纵向评估是有必要的.
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