摘要
目的对肺癌筛查决策辅助工具的相关研究进行范围综述,为未来我国肺癌筛查决策辅助工具的开发提供参考。方法根据范围综述的研究方法,系统检索PubMed、Web of Science、Embase、Cochrane Library、中国生物医学文献数据库、中国知网、万方数据知识服务平台、维普网等国内外数据库。检索时限为建库至2024年11月1日,对纳入的文献进行汇总和分析。结果共纳入18篇文献,肺癌筛查决策辅助工具涵盖的内容要素包括信息支持与指导、决策相关利弊分析、澄清价值观及偏好、决策沟通支持;结局指标包括认知行为方面、价值观及偏好方面、决策结局方面、工具的可接受度和可行性方面;应用效果包括提高参与者肺癌筛查知识水平、改善筛查行为、降低决策冲突、降低决策后悔、提升决策满意度,参与者对工具使用的接受程度高。结论目前有关肺癌筛查决策辅助工具的研究多以国外为主,且应用效果良好,未来我国可在借鉴国外研究的基础上基于我国国情开发适合我国人群的肺癌筛查决策辅助工具,以便降低决策冲突,提升决策质量。
Objective:To conduct a scoping review of studies on decision aids for lung cancer screening and provide a reference for the development of such tools in China.Methods:In accordance with the methodology of scoping reviews,a comprehensive search was performed across PubMed,Web of Science,Embase,Cochrane Library,China Biology Medicine disc,China National Knowledge Infrastructure,Wanfang Data,and VIP from inception to November 1,2024.The included literature was summarized and analyzed.Results:A total of 18 studies were included.The decision aids for lung cancer screening mainly addressed elements such as information support and guidance,analysis of pros and cons related to screening decisions,clarification of values and preferences,and communication support during decision-making.Outcome indicators included cognitive and behavioral aspects,values and preferences,decision outcomes,acceptability and feasibility of the tools.The application effects showed improvements in participants'knowledge about lung cancer screening,screening behaviors,reduced decisional conflict and regret,and increased satisfaction with decision-making.Participants showed a high level of acceptance of these tools.Conclusions:Current research on lung cancer screening decision aids is predominantly conducted in other countries and demonstrates positive effects.In the future,China can draw on these experiences to develop decision aids suitable for the Chinese population,with the aim of reducing decisional conflict and improving decision quality.
作者
崔铃佳
刘丰
岳慧颖
郝雨婷
韩婷媛
林艳
修艳丽
林英
Cui Lingjia;Liu Feng;Yue Huiying;Hao Yuting;Han Tingyuan;Lin Yan;Xiu Yanli;Lin Ying(School of Nursing,Mudanjiang Medical University,Mudanjiang 15701l,China;Department of Thoracic Surgery,Hongqi Hospital Affiliated to Mudanjiang Medical University,Mudanjiang 157041,China)
出处
《中华现代护理杂志》
2025年第24期3355-3360,共6页
Chinese Journal of Modern Nursing
基金
黑龙江省省属高校科研业务费项目(2024-KYYWF-0481)。
关键词
综述
肺癌
筛查
决策辅助工具
共享决策
决策冲突
Review
Lung cancer
Screening
Decision aid
Shared decision-making
Decisional conflict
