摘要
目的对甲状腺癌患者决策辅助工具的开发过程、主要形式、主要内容、结局指标等进行范围综述,为今后国内开展相关研究提供理论依据。方法采用Arksey和O’Malley的范围综述研究方法对文献进行分析。计算机检索PubMed、Cochrane Library、Embase、Web of Science、CINAHL、中国知网、万方数据库、维普和中国生物医学文献数据库,检索时限均为建库至2023年8月21日。结果共纳入11篇文献,其中决策辅助工具形式包括纸质版决策辅助手册、基于网络的决策辅助工具、谈话辅助工具等,主要内容为提供疾病相关知识及各种治疗方案的利弊,帮助患者澄清价值观,了解患者偏好,帮助医患做出决策;结局指标包括治疗选择、医学知识、决策冲突、决策后悔、决策满意度、焦虑等。结论决策辅助工具的应用对甲状腺癌患者具有积极作用,今后的研究应鼓励更多的人参与到决策中来,以改善甲状腺癌患者的决策质量。
Objective To carry out a scoping review on the development process,main forms,main contents and outcome indicators of decision aids for thyroid cancer patients,providing a theoretical basis for future research in China.Methods The Arksey and O'Malley's methodological framework was used to analyze the literature.Electronic retrieval was conducted in PubMed,Cochrane Library,Embase,Web of Science,CINAHL,China National Knowledge Infrastructure,WanFang Data,VIP,and China Biomedical Database,and the search period was from database establishment to August 21,2023.Results A total of 11 articles were included.The forms of decision aids included paper decision support manuals,web-based decision support tools,conversation support tools and so on.The main content was to provide disease knowledge and the advantages and disadvantages of various treatment plans,help patients clarify their values,understand patient preferences,and assist doctors and patients make decisions.Outcome indicators involved treatment choice,medical knowledge,decision conflict,decision regret,decision satisfaction,anxiety and so on.Conclusions The application of decision aids has a positive effect in thyroid cancer patients.Future research should encourage many people to participate in decision-making in order to improve the quality of decision-making for thyroid cancer patients.
作者
蒋瑞琦
郑丽红
吕俊
杨舒涵
卢秀英
Jiang Ruiqi;Zheng Lihong;Lyu Jun;Yang Shuhan;Lu Xiuying(School of Nursing,Chengdu Medical College,Chengdu 610500,China;Surgery and Anesthesia Center,Sichuan Cancer Hospital,Chengdu 610041,China)
出处
《中华现代护理杂志》
2024年第5期684-690,共7页
Chinese Journal of Modern Nursing
关键词
综述
甲状腺癌
共享决策
决策辅助
Review
Thyroid neoplasms
Decision making,shared
Decision support techniques
作者简介
通信作者:卢秀英,Email:185472064@qq.com。
