关键病患者维持生命治疗的代理人共同决策:范围审查协议
Yoshiyasu Ito1, Mika Moriyama2, Akemi Nasu3
1Faculty of Nursing Science, Tsuruga Nursing University, 2-1, Kizaki 78, Tsuruga City, Fukui, 914-0814, Japan, 81 0770-20-5519.
JMIR research protocols
|January 21, 2026
概括
本范围审查考察了涉及重症患者的代孕的维持生命治疗 (LSTs) 的共享决策 (SDM). 它确定了研究缺口,并为未来的干预措施提供了信息,以改善重症监护中的SDM.
科学领域:
- 关键护理医学 关键护理医学
- 健康 结果 研究 研究 结果
- 生物伦理学生物伦理学
背景情况:
- 共享决策 (SDM) 对于将患者价值观纳入医疗保健选择至关重要.
- 在重症监护室 (ICU) 中的重症患者往往缺乏决策能力,需要替代者来做出维持生命治疗 (LST) 决策.
- 在ICU中替代性决策给LST带来了复杂的伦理和实际挑战.
研究的目的:
- 在过去十年中,对严重病患者的LSTs替代SDM的研究进行范围审查.
- 确定现有研究的范围,并确定研究范围有限的领域.
- 为改进SDM流程和重症监护机构中以患者为中心的护理提供信息.
主要方法:
- 遵守乔安娜·布里格斯研究所的方法和PRISMA-ScR指南.
- 包括关于SDM的定量,定性和混合方法研究,包括ICU中LST决策的替代品.
- 在主要数据库 (PubMed,CINAHL,PsycInfo,CENTRAL,Ichushi-Web) 中对英语和日语研究 (2016-2025) 进行全面的文献搜索.
主要成果:
- 在文献搜索中发现了2899个引用;527个重复被删除.
- 标题和摘要选正在进行中;预计到2025年9月完成全文审查.
- 初步结果表明,需要综合各种证据,以替代LST的SDM.
结论:
- 这次审查将系统地绘制近期证据,以替代性SDM为重症患者的LST.
- 它旨在确定代孕产妇所面临的挑战,并总结加强SDM的干预措施.
- 这些发现将指导未来的干预,政策,以及重症监护中以患者和家庭为中心的护理的进步.
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