目的 对成年癌症患者决策辅助工具应用体验进行系统整合,为开发我国本土化决策辅助工具、实现共享决策提供循证指导.方法 计算机检索 PubMed、Cochrane Library、CINAHL、Embase、Web of Science、ProQuest、中国知网、万方数据库、维普网、中国生物医学文献数据库中关于癌症患者决策辅助工具应用体验的质性研究,检索时限为建库至2023年7月.采用JBI循证卫生保健中心质性研究质量评价标准(2020)进行文献质量评价,以Meta整合方法对文献研究结果进行整合.结果 纳入17篇文献,提炼出50个研究结果,归纳出7个类别,最终形成3个整合结果:患者对决策辅助工具总体满意度较高、增强患者决策参与体验、阻碍因素.结论 决策辅助工具可以帮助癌症患者了解治疗方案并积极参与决策,满足患者的决策需求,缓解决策冲突,从而改善患者的临床结局.
Experiences of using patient decision aids for cancer treatment:a qualitative meta-synthesis
Objective To systematically integrate the application experience of decision aids in adult cancer patients,and to provide evidence-based guidance for developing localized decision aids and realizing shared decision making in China.Methods Qualitative studies on the experience of using decision aids in cancer patients were searched in PubMed,Cochrane Library,CINAHL,Em-base,Web of Science,ProQuest,CNKI,Wanfang Database,VIP and Chinese biomedical literature database.The search period was from the database inception to July 2023.The quality of the literature was evaluated using the JBI Evidence-based Health Care Center Quality Evaluation Criteria(2020),and the results of the literature were integrated by Meta integration method.Results A total of 17 publications were included,50 research results were extracted,and 7 categories were summarized.Finally,3 integrated results were formed:patients'total satisfaction for decision aids was high;promoting patients'experience of participation in deci-sion-making;barriers.Conclusion Decision aids can help cancer patients understand treatment options and actively participate in de-cision-making,meet patients'decision-making needs,alleviate their decision-making conflicts,and thus improve patients'clinical outcomes.
万方数据
维普
