摘要
目的:系统评价植入式心脏转复除颤术病人的决策体验,为更好地辅助病人决策提供参考依据。方法:计算机检索PubMed、EMbase、CINAHL、Web of Science、the Cochrane Library和中国知网、中国生物医学文献数据库、万方数据库,收集关于植入式心脏转复除颤术病人共同决策体验的质性研究,检索时限为建库至2022年7月31日。采用澳大利亚乔安娜布里斯格研究所(JBI)循证卫生保健中心质性研究质量评价标准评价文献质量,采用汇集性整合方法对结果进行整合。结果:共纳入16篇文献,提炼出53个研究结果,将相似结果归纳为8个新的类别,并综合成3个整合结果(决策偏好,决策困境,病人珍视生命、渴望得到社会支持)。结论:医护人员应重视病人的决策体验,优化信息支持,改善沟通实践,注重心理体验,充分考虑病人的目标、价值观和偏好,推进以病人为中心的共同决策。
Objective:To systematically evaluate the decision-making experience of implantable cardioverter-defibrillation patients and provide references for better-assisting patients in decision-making.Methods:Qualitative data on the shared decision-making experience of implantable cardioverter defibrillation patients were retrieved from PubMed,EMbase,CINAHL,Web of Science,the Cochrane Library,China National Knowledge Infrastructure(CNKI),China Biology Medicine(CBM),and WanFang Database,from the establishment of the database to July 31,2022.The quality of the literature was evaluated using the standardized critical appraisal instruments from the Joanna Briggs Institute(JBI),and the results were integrated using a pooled integration method.Results:A total of 16 pieces of literature were included,53 research results were extracted,similar results were classified into 8 new categories,and 3 integrated results were synthesized:decision-making preference,decision-making dilemma,patients′cherish life,and desire to get social support.Conclusion:Medical staff should pay attention to patients′decision-making experience,optimize information support,improve communication practices,focus on psychological experience,fully consider patients′goals,values,and preferences,and promote patient-centered shared decision-making.
作者
张紫莹
曾美玲
孙爱萍
王斐
丁雯
ZHANG Ziying;ZENG Meiling;SUN Aiping;WANG Fei;DING Wen(School of Nursing,Ningxia Medical University,Ningxia 750000 China)
出处
《循证护理》
2023年第13期2281-2287,共7页
Chinese Evidence-Based Nursing
基金
宁夏回族自治区重点研发计划项目,编号:2022BEG 03093。
关键词
植入式心脏转复除颤术
决策体验
质性研究
共同决策
Meta整合
implantable cardioverter defibrillation
decision-making experience
qualitative research
shared decision-making
Meta integration
