随机ICU临床试验中的家庭参与者的特征:系统性审查
Vanessa Debay1, Max Moghrabi1, Sebastian Barriga1
1McGill University, Faculty of Medicine and Health Sciences, Canada.
Intensive & critical care nursing
|January 18, 2026
概括
成人重症监护室 (ICU) 随机对照试验 (RCT) 的家庭参与者大多是中年女性,种族和种族多样性不足. 人口统计数据的不一致报告限制了以家庭为中心的干预措施的普遍性.
科学领域:
- 关键护理医学 关键护理医学
- 医疗保健服务研究 医疗服务研究
- 临床试验方法论 临床试验方法论
背景情况:
- 在成人重症监护室 (ICU) 中,以家庭为中心的干预措施至关重要.
- 了解这些试验中家庭参与者的人口统计数据对于干预的有效性和公平性至关重要.
- 之前的研究强调了报告人口特征的潜在差异.
研究的目的:
- 描述成年ICU随机对照试验 (RCT) 中家庭中心干预的家庭参与者的人口特征.
- 评估这些研究中关于性别,性别,种族和种族的报道,定义和分析.
主要方法:
- 注册系统审查的二次分析.
- 在多个数据库中 (MEDLINE,Embase,PsycINFO,CINAHL,Cochrane Library) 搜索了成年ICU中以家庭为中心的干预措施的RCT.
- 提取了关于参与者的人口统计数据和关于性别,性别,种族和种族的报告/分析的数据.
主要成果:
- 包括58个RCT,共有12,383名家庭参与者;平均年龄51.4岁,67%是女性.
- 配偶/伴侣 (41%) 和成年子女 (35%) 是最常见的关系.
- 34% (74%白人) 报告种族/种族;66%的性别,33%的性别 (经常混为一谈).
- 在26%的研究中按性别分析结果,在19%的研究中按性别分析结果.
结论:
- 在ICU试验中的家庭参与者主要是中年女性,种族/民族多样性有限.
- 人口变量的不一致报告妨碍了解释和概括性.
- 标准化报告对于包容性,公平性和文化响应性关键护理至关重要.
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