问题提示列表在乳腺癌患者中临床应用效果的系统评价

doi:10.16460/j.issn1008-9969.2022.02.045

摘要/Abstract

摘要： 目的评价问题提示列表（Question Prompt List,QPL）在乳腺癌患者中的临床应用效果。方法计算机检索PubMed、Embase、Cochrane Library、Scopus及CIHNAL数据资源系统,检索时间均为建库至2021年6月,筛检纳入研究的文献。按照纳入与排除标准选择文献,对文献质量进行严格评价和资料提取。结果共纳入8项研究,其中随机对照研究4篇,类实验性研究4篇。由于纳入的研究存在较大异质性,故对8篇文献均进行描述性分析。结果表明,QPL能够满足乳腺癌患者信息需求,改善医患沟通,增进医患关系,促进共同决策。结论 QPL对乳腺癌患者有积极的影响,值得在临床实践中探索应用,但受纳入研究的数量和质量限制,研究结论还有待更大样本量、结局指标统一的研究进一步验证。

关键词: 问题提示列表, 乳腺癌, 信息需求, 医患关系, 共同决策, 系统评价

Abstract: Objective To systematically evaluate the clinical effect of question prompt list (QPL) in breast cancer patients. Methods We searched databases including PubMed, Embase, Cochrane Library, Scopus and CIHNAL from the inception to June 2021. According to the inclusion and exclusion criteria, the quality of the included studies was strictly evaluated and the data were extracted, then the literature met the quality standard was descriptively analyzed. Results A total of 8 studies were included, including 4 randomized controlled studies (RCTs) and 4 quasi-experimental studies. Due to the large heterogeneity of the included studies, descriptive analysis was conducted on all the 8 studies and the results showed that QPL met the information needs of breast cancer patients, improved doctor-patient communication and relationship, and promoted shared decision making. Conclusion QPL has positive effects on breast cancer patients and is worth to be promoted in clinic. However, due to the limited studies and the quality, the conclusion need to be further verified by studies with larger sample size and uniform outcome indicators.

Key words: question prompt list, breast cancer, information needs, doctor-patient relationship, shared decision making, systematic review

中图分类号:

R473.73

吴丽, 陈荣凤, 邹自玉, 唐红梅. 问题提示列表在乳腺癌患者中临床应用效果的系统评价[J]. 护理学报, 2022, 29(2): 45-50.

WU Li, CHEN Rong-feng, ZOU Zi-yu, TANG Hong-mei. Clinical Application of Question Prompt List in Breast Cancer Patients: A Systematic Review[J]. Journal of Nursing, 2022, 29(2): 45-50.

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