目的 对国内外肺癌筛查决策辅助工具相关研究进行范围审查,分析肺癌筛查决策辅助工具研发及应用现状,为其本土化开发和应用提供参考。方法 检索中国知网、万方数据库、中国生物医学文献库、维普数据库、PubMed、Embase、PsycINFO、CINAHL、Web of Science、Cochrane Library、JBI图书馆,检索时限为建库至2024年8月,对纳入文献进行汇总和分析。结果 纳入14篇文献,发现7个肺癌筛查决策辅助工具,决策辅助形式包括视频（n=2）、手册（n=3）、网页（n=2）,4个决策辅助工具提供开发过程信息,10篇研究报告了5个决策辅助工具的使用效果评价。结论 肺癌筛查决策辅助工具存在开发过程不规范,应用体系不完善等问题。未来可借鉴相关理论并结合我国国情,引入或研制本土化、高质量的肺癌筛查决策辅助工具。
Abstract
Objective To conduct a scoping review of studies on decision support tools for lung cancer screening at home and abroad, analyzing the current status of the development and application, and to provide reference for the localization and implementation of such tools. Methods Databases including CNKI, Wangfang, China Biology Medicine disc, VIP, PubMed, Embase, PsycINFO, CINAHL, Web of Science, Cochrane Library and JBI Library were systematically searched from the inception to August, 2024. The included literatures were summarized and analyzed. Results A total of 14 articles were included, identifying 7 decision support tools for lung cancer screening in various formats: videos (n=2), manuals (n=3) and web pages (n=2). Four decision support tools provided information on the development process, and 10 studies evaluated the effectiveness of 5 tools. Conclusion The development of decision support tools for lung cancer screening is not standardized, and the application system is not complete. In the future, building upon global theoretical frameworks while incorporating China-specific contexts, localized and high-quality decision support tools for lung cancer screening could be introduced or developed.
关键词
肺肿瘤 /
癌症早期检测 /
共享决策 /
决策支持技术 /
范围综述
Key words
lung cancer /
early detection of cancer /
shared decision making /
decision support tool /
scoping review
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基金
国家自然科学基金青年科学基金项目（72304068）; 2021福建省自然科学基金资助项目（2021J01246）
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