决策辅助工具在乳腺癌患者乳房重建中应用的范围综述  

Application of decision aids in breast reconstruction of breast cancer patients:a scoping review

作　　者：胡静娴 刘冰[1] 赵星雅 李龙珠[3] 柯尊宇[4] Hu Jingxian;Liu Bing;Zhao Xingya;Li Longzhu;Ke Zunyu(Center for Health Management and Health Service Development and Research,Hubei University of Medicine,Shiyan 442000,China;School of Nursing,Hubei University of Medicine,Shiyan 442000,China;Department of Gynaecology and Obstetrics,Shiyan Hospital of Traditional Chinese Medicine,Shiyan 442000,China;Dean's Office,Shiyan Renmin Hospital,Shiyan 442000,China)

机构地区：[1]湖北医药学院卫生管理与卫生事业发展研究中心,十堰442000 [2]湖北医药学院护理学院,十堰442000 [3]十堰市中医医院妇产科,十堰442000 [4]十堰市人民医院院办,十堰442000

出　　处：《中华现代护理杂志》2024年第28期3787-3794,共8页Chinese Journal of Modern Nursing

基　　金：国家自然科学基金(71774049)。

摘　　要：目的对乳腺癌患者乳房重建决策辅助工具的形式、功能及应用效果进行范围综述,为今后国内开展乳房重建决策辅助工具相关研究提供参考和借鉴。方法依据范围综述框架系统检索Web of Science、PubMed、Cochrane Library、Embase、Scopus、CINAHL、中国知网、万方数据库、维普网、中国生物医学文献数据库中的相关文献,检索时限均为建库至2024年1月19日。结果共纳入14篇文献,包括8项随机对照试验(RCT)、4项类实验研究、1项质性研究、1项前瞻性队列研究;决策辅助工具的主要形式包括基于网络的软件程序、手机APP应用程序、决策辅助小组或决策辅助手册等,干预的效果评价主要包括患者的决策后悔、决策冲突、满意度、接受度、患者报告结局等指标。结论乳房重建决策辅助工具对于提升患者的满意度、决策质量和患者报告结局有一定的积极影响,但大部分研究未考察其长期效应;我国乳房重建决策辅助工具相关研究仍处于起步阶段,建议未来研究在借鉴国外相关研究的基础上,研制和发展更高质量、多样化的决策辅助工具,并推广其临床应用。Objective To carry out the scoping review on the form,function and application effect of decision aids for breast reconstruction of breast cancer patients,so as to provide reference for domestic research on decision aids for breast reconstruction.Methods According to the scoping review framework,literature was systematically searched on Web of Science,PubMed,Cochrane Library,Embase,Scopus,CINAHL,China National Knowledge Infrastructure,Wanfang Data,VIP,and China Biology Medicine disc.The retrieval period was from the establishment of the database to January 19,2024.Results A total of 14 articles were included,including 8 randomized controlled trials(RCT),four quasi-experimental studies,one qualitative study,and one prospective cohort study.The main forms of decision aids included web-based software programs,mobile applications(APP),decision support groups,or decision support manuals.The evaluation of intervention effectiveness mainly involved indicators such as patient decision regret,decision conflict,satisfaction,acceptance,and patient-reported outcomes.Conclusions Breast reconstruction decision aids have a certain positive impact on improving patient satisfaction,decision quality,and patient-reported outcomes,but most studies have not examined their long-term effects.The research on decision aids for breast reconstruction in China is still in its infancy.It is suggested that future research should draw on relevant foreign studies to develop and advance high quality and diversified decision aids,and promote their clinical applications.

关 键 词：综述 范围综述 乳腺肿瘤 决策辅助工具 乳房重建 

分 类 号：R473.73[医药卫生—护理学]