心力衰竭的预后沟通:经验,态度和实践的系统定性综合的协议
Christina Chu1, Steven Bloch2, Sarah Yardley3
1Marie Curie Palliative Care Research Department, University College London, London, UK christina.chu@ucl.ac.uk.
BMJ open
|November 5, 2025
概括
关于心力衰竭的预后性谈话很少发生,尽管它们对以人为中心的护理的重要性很大. 这份定性综合研究了患者和专业人士对这些重要讨论的经验.
科学领域:
- 心脏病学 心脏病学
- 抚慰性护理是一种缓解性护理.
- 定性研究是指质量研究.
背景情况:
- 关于心力衰竭预期的过程的有效沟通对于以人为中心的护理至关重要.
- 临床指南建议在所有疾病阶段进行预后对话,但它们很少或迟发生.
- 这项研究解决了理解这些对话如何进行和经历的差距.
研究的目的:
- 探索目前围绕心力衰竭的预后对话的现行做法.
- 了解患者和医疗保健专业人员对预后讨论的态度.
- 综合参与预后沟通的个人的生活经验.
主要方法:
- 使用乔安娜·布里格斯研究所 (JBI) 的元聚合方法进行定性合成.
- 包括对预后性沟通经验,态度或心力衰竭实践的定性研究.
- 在多个数据库 (MEDLINE,EMBASE,PsycInfo,CINAHL,Web of Science,Overton,ProQuest,Google Scholar) 进行系统的文献搜索和参考选.
主要成果:
- 数据提取和质量评估由两名独立审核员使用JBI工具进行.
- 综合发现,汇总和总结预后对话的性质.
- 对总结结果的信心评估.
结论:
- 调查结果将揭示目前心力衰竭护理中的预后对话如何展开.
- 这份综合报告旨在为提高这些重要讨论的频率和质量的策略提供信息.
- 传播将通过同行评审的出版物进行,以推进临床实践和患者支持.
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