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决策辅助工具对老年患者治疗决策影响的Meta分析

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目的:评价决策辅助工具对老年患者治疗决策的影响,以期为医护人员开展决策辅助工具在临床中的应用提供证据支持.方法:计算机检索中英文数据库中关于决策辅助工具对老年患者治疗决策影响的随机对照试验,检索时限为2012年11月至2022年11月.经2名研究者独立筛选文献、提取资料和评价文献质量后,采用RevMan 5.3软件进行Meta分析.结果:最终纳入12篇文献,共1 317例患者.Meta分析结果显示,决策辅助工具可以降低老年患者的决策冲突水平,增加决策知识(P<0.05),对减少决策后悔和提高老年患者决策满意度的作用差异无统计学意义(P>0.05).结论:决策辅助工具有助于改善老年患者的决策质量,但对老年患者决策后悔和满意度的影响仍存在争议,未来须开展更多大样本、高质量的研究,以进一步验证其有效性.
Impact of decision aids on the treatment decision-making in elderly patients:a Meta-analysis
Objective:To evaluate the impact of decision aids on the treatment decision-making in elderly patients,with the aim of providing evidence support for healthcare professionals to carry out the application of decision aids in clinical settings.Methods:Computerized search of Chinese and English databases for Randomized Controlled Trials on the effects of decision aids on treatment decision-making in elderly patients.The search period was from November 2012 to November 2022.After independent review of literature,data extraction and literature quality assessment by two investigators,data were Meta-analyzed using RevMan 5.3 software.Results:Totally 12 researches with a total of 1317 elderly patients were included.The results of Meta-analysis showed that decision aids could reduce the level of decision conflict,increase decision knowledge(P<0.05),but there was no statistic significance in reducing decision regret and improving decision satisfaction in elderly patients(P>0.05).Conclusion:Decision aids can improve the quality of decision-making in elderly patients,there are still controversies on reducing decision regret and improving decision satisfaction in the older adults,and it is recommended that more large-scale,high-quality studies be conducted in the future to further verify their effectiveness.

decision aidelderlytreatment decision-makingMeta-analysis

郑丽红、卢秀英、蒋瑞琦、吕俊、杨舒涵

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成都医学院,610500 成都市

四川省肿瘤医院手术麻醉科

决策辅助工具 老年人 治疗决策 Meta分析

四川省干部保健科研项目

川干研 2022-801

2024

中国护理管理
卫生部医院管理研究所

中国护理管理

CSTPCD北大核心
影响因子:2.545
ISSN:1672-1756
年,卷(期):2024.24(1)
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