对多病症患者的护理的决策辅助工具:系统性审查
Yuanxin Chen1, Rui He1, Zhiyi Chen1
1School of Nursing, Sun Yat-sen University, Guangzhou, Guangdong, China.
BMC primary care
|November 18, 2025
概括
针对多种疾病的患者决策辅助工具 (DA) 的质量和有效性有限. 大多数DAs缺乏关于选择后果的关键细节,阻碍了对复杂患者需求的共享决策.
科学领域:
- 老年学是一门学科.
- 医疗保健服务研究 医疗服务研究
- 临床决策 - 临床决策
背景情况:
- 多病症会给患者带来复杂的决策挑战.
- 患者决策辅助工具 (DAs) 支持在初级保健中管理多病症.
研究的目的:
- 识别多病症的DA.
- 描述DA的特点,质量,可行性和有效性.
主要方法:
- 在九个数据库中搜索了符合条件的文章.
- 使用国际患者决策辅助标准 (IPDAS) 清单评估DA质量.
- 描述性地总结了特性,质量,可行性和有效性.
主要成果:
- 确定了六个DA,针对一般或特定的多病症.
- 只有一个DA满足了高质量标准;其他缺乏决策交易细节.
- 可行性各不相同,有效性的证据非常有限.
结论:
- 在6个确定的DA中,有5个缺乏选择后果描述.
- 目前的DA显示的可行性和有效性证据有限.
- 未来需要高质量的研究来证实DA的有效性.
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