[1]刘清媛,叶红芳,戴薇.决策辅助工具在乳房重建患者中应用效果的系统评价[J].军事护理,2022,39(05):51-56.[doi:10.3969/j.issn.1008-9993.2022.05.013]
　LIU Qingyuan,YE Hongfang,DAI Wei.Effect of Decision-Making Tools in Patients with Breast Reconstruction: A Systematic-Review[J].Nursing Journal Of Chinese People's Laberation Army,2022,39(05):51-56.[doi:10.3969/j.issn.1008-9993.2022.05.013]
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决策辅助工具在乳房重建患者中应用效果的系统评价
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《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
39
期数:
2022年05期
页码:
51-56
栏目:
研究荟萃
出版日期:
2022-05-15

文章信息/Info

Title:
Effect of Decision-Making Tools in Patients with Breast Reconstruction: A Systematic-Review
文章编号:
1008-9993(2022)05-0051-06
作者:
刘清媛; 叶红芳; 戴薇
(南京大学医学院附属鼓楼医院 护理部,江苏 南京 210008)
Author(s):
LIU Qingyuan; YE Hongfang; DAI Wei
(Department of Nursing,Nanjing Drum Tower Hospital Affiliated to Nanjing University Medical School,Nanjing 210008,Jiangsu Province,China)
关键词:
决策辅助工具;  乳房重建;  系统评价
Keywords:
decision-making tools;  breast reconstruction;  systematic review
分类号:
R473.6
DOI:
10.3969/j.issn.1008-9993.2022.05.013
文献标志码:
A
摘要:
目的 评价决策辅助工具在乳房重建患者中的应用效果。方法 计算机检索Cochrane Library、PubMed、Web of Science、Embase、中国生物医学文献数据库、中国知网、 维普、万方数据库中有关决策辅助工具在乳房重建患者中应用效果的随机对照试验,检索时间为从建库至2021年9月。2名研究者独立筛选文献、提取资料及评价文献质量,并用RevMan 5.4软件分析。 结果 共纳入10篇研究,包括950例研究对象。Meta分析结果显示:决策辅助工具可改善乳房重建患者决策冲突[SMD=-0.30,95%CI(-0.59,-0.01),P=0.04]及决策后悔[MD=-8.78,95%CI(-16.38,1.17),P=0.02],但对决策知识[SMD=0.55,95%CI(-0.09,1.19),P=0.09]、决策满意度[SMD=0.73,95%CI(-0.08,1.54),P=0.08]和焦虑[SMD=0.03,95%CI(-0.18,0.23),P=0.80]无明显作用。 结论 决策辅助工具可减少乳房重建患者决策冲突和决策后悔,但对决策知识、决策满意度和焦虑无显著影响。
Abstract:
Objective To evaluate the effect of decision-making tools in patients with breast reconstruction.Methods Cochrane Library,PubMed,Web of Science,Embase,CBM,CNKI,VIP and Wanfang Database were retrieved for randomized controlled trials of the effect of decision-making tools on breast reconstruction patients from the establishment of databases to September 2021.Two researchers independently screened the literature,extracted data and evaluated the quality of the literature,and analyzed it with Revman 5.4 software.Results There were 10 studies of 950 subjects included.Decision-making tools could improve decision conflict[SMD=-0.30,95%CI(-0.59,-0.01),P=0.04]and decision regret[MD=-8.78,95%CI(-16.38,1.17),P=0.02]of breast reconstruction patients,but did not affect decision knowledge[SMD=0.55,95%CI(-0.09,1.19),P=0.09],decision satisfaction[SMD=0.73,95%CI(-0.08,1.54),P=0.08] and anxiety[SMD=0.03,95%CI(-0.18,0.23),P=0.80].Conclusions Decision-making tools can reduce decision conflict and decision regret of breast reconstruction patients,but it has no significant effect on decision knowledge,decision satisfaction and anxiety.

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备注/Memo

备注/Memo:
【 收稿日期 】 2022-01-29 【 修回日期 】 2022-04-06
【 基金项目 】 中央高校基本科研业务费专项资金资助项目(021414380023)
【 作者简介 】 刘清媛,护士,硕士在读,从事肿瘤护理研究
【 通信作者 】 叶红芳,电话:025-83106666-66973
更新日期/Last Update: 2022-05-15