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问题提示列表在术前医患沟通中应用效果的系统评价

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目的 系统评价问题提示列表(question prompt list,QPL)在术前医患沟通中的应用效果。方法 计算机检索中国知网、万方、维普、PubMed、EmBase、The Cocrane Library、CINAHL、Web of science等数据库以及中国临床试验注册中心和Clinical Trials中与QPL相关的随机对照试验和类实验研究,检索时限均为建库至2024年7月。2位研究者筛选文献、评价文献质量后,提取文献资料并进行定性分析。结果 QPL有助于提高医患沟通效率和沟通满意度、满足患者围术期知识需求、促进术前决策参与及提升决策满意度,对于改善术前沟通对象心理情绪的作用尚不显著。结论 QPL对于术前医患沟通有促进作用,值得在术前谈话中探索应用;受文献数量及质量的限制,其临床应用价值仍待大样本、高质量的随机对照试验进一步验证。
Application of Question Prompt List in Preoperative Doctor-patient Communication:A Systematic Review
Objective To systematically evaluate the application of question prompt list(QPL)in preoperative doc-tor-patient communication.Methods CNKI,Wanfang,VIP,CBM,PubMed,EmBase,Cocrane Library,CINAHL,Web of science,China Clinical Trial Registry and Clinical Trials were searched for randomized controlled trials and quasi-ex-perimental studies related to research purposes from the inception to July,2024.The literature were screened and evalu-ated by two researchers and extracted to conduct qualitative analysis.Results QPL could improve efficiency and satis-faction in doctor-patient communication,meet patients'demands of perioperative knowledge,promote preoperative de-cision participation and improve decision satisfaction.However,it was not obvious to the effect on improving the psy-chological mood of patients before surgery.Conclusions QPL has a promoting effect on preoperative doctor-patient communication,which is worth exploring and applying in preoperative conversation.Limited by the quantity and quality of literature,its clinical application value still needs to be further verified by large-sample and high-quality randomized controlled trials.

question prompt listpreoperative communicationshared decisionneed for informationsystematic review

郭淼、吕利明、吕宏旭、杨艳霞、王琪、薄纯圆

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山东中医药大学护理学院,山东济南 250355

德州学院健康医学院,山东德州 253023

问题提示列表 术前沟通 共享决策 信息需求 系统评价

2024

军事护理
第二军医大学

军事护理

CSTPCD北大核心
影响因子:1.628
ISSN:2097-1826
年,卷(期):2024.41(12)