问题提示列表在肿瘤医患沟通中应用的范围综述

doi:10.16460/j.issn1008-9969.2023.16.057

摘要/Abstract

摘要： 目的分析问题提示列表在肿瘤医患沟通中应用的相关研究,综述问题提示列表的研制方法、应用对象和评价指标,并分析问题提示列表在国内肿瘤护理中的实践意义,为临床应用提供参考。方法系统检索PubMed、Embase、Web of Science、Google Scholar、CINAHL、中国知网、中国生物医学文献数据库从建库至2023年5月的中英文文献,对文献进行筛选、分析、提取并总结。结果共检索文献1 678篇,最终纳入21篇。问题提示列表应用于肿瘤医患沟通的研制方法尚无标准流程,包括初稿研制、评估可行性和评价应用效果3个步骤,应用对象集中在晚期肿瘤患者和姑息治疗患者,应用效果评价指标涵盖患者参与度、沟通效果、信息回忆能力以及患者心理情绪。结论问题提示列表在肿瘤医患沟通中应用的研究大部分来自国外,国内相关研究尚处于起步阶段,建议医护人员借鉴国外成熟经验,研制适合我国国情的肿瘤患者问题提示列表,并在临床灵活运用,鼓励患者积极参与医疗咨询和决策,促进肿瘤医患沟通。

关键词: 问题提示列表, 肿瘤, 医患关系, 共同决策, 范围综述

Abstract: Objective To analyze the research on the application of question prompt list (QPL) in oncology doctor-patient communication, to explore the development, application object and evaluation index, and the practical significance of QPL in domestic cancer nursing, and to provide reference for clinical application. Methods Databases such as PubMed, Embase, Web of Science, Google Scholar, CINAHL, CNKI and CBM were systematically searched from the inception to May 2023, and the articles were screened, analyzed, extracted and summarized. Results Totally 1,678 articles were retrieved, and 21 articles were finally included. There was no unified standard for the development of QPL, including three steps of draft development, feasibility evaluation and application effect evaluation. The application targets of QPL focused on advanced cancer patients and patients receiving palliative care. The application effect evaluation indicators included patient engagement, communication effect, information recall ability and patients' psychological statements. Conclusion Most of the researches on the application of QPL in the communication between doctors and cancer patients come from abroad, while relevant researches in China are still in its infancy. It is suggested that medical staff develop a QPL suitable for China with the mature experience of foreign countries, and use it in clinical practice flexibly, so as to encourage patients to participate in medical consultation and decision-making actively, and promote the communication between doctors and cancer patients.

Key words: question prompt list, oncology, doctor-patient relationship, shared decision making, scoping review

中图分类号:

R473.73

王奕, 葛静玲, 王娟. 问题提示列表在肿瘤医患沟通中应用的范围综述[J]. 护理学报, 2023, 30(16): 57-62.

WANG Yi, GE Jing-ling, WANG Juan. Application of question prompt list in oncology doctor-patient communication: a scoping review[J]. Journal of Nursing, 2023, 30(16): 57-62.

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