主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2024, Vol. 24 ›› Issue (9): 1351-1358.doi: 10.3969/j.issn.1672-1756.2024.09.014

• 肿瘤护理专题 • 上一篇    下一篇

前列腺癌筛查决策辅助工具的范围综述

杨辰杰 严海霞 王美笑 陈蕙 周成 朱红   

  1. 宁波大学附属第一医院手术室,315000 浙江省宁波市(杨辰杰,严海霞,王美笑,陈蕙,朱红);泌尿外科(周成)
  • 出版日期:2024-09-15 发布日期:2024-09-15
  • 通讯作者: 朱红,本科,主任护师,护士长,E-mail:zhuhong0418@163.com
  • 作者简介:杨辰杰,本科,主管护师
  • 基金资助:
    浙江省自然科学基金(LTGY23H050002);宁波大学附属第一医院院级课题(H2023YJ007)

Decision aids for prostate cancer screening: a scoping review

YANG Chenjie, YAN Haixia, WANG Meixiao, CHEN Hui, ZHOU Cheng, ZHU Hong   

  1. Operating Room, The First Affiliated Hospital of Ningbo University, Ningbo, Zhejiang province, 315000, China
  • Online:2024-09-15 Published:2024-09-15
  • Contact: E-mail:zhuhong0418@163.com

摘要: 目的:对前列腺癌筛查决策辅助工具的相关研究进行范围综述,为我国前列腺癌筛查决策辅助工具的开发提供参考。方法:按照范围综述的研究方法系统检索前列腺癌筛查决策辅助工具的相关研究,检索时限为建库至2023年8月,对纳入的文献进行汇总和分析。结果:共纳入25篇文献,包括15项决策辅助工具开发与验证的研究和10个决策辅助工具。决策辅助工具核心要素包括健康信息支持、治疗方案的利弊分析和价值澄清。结局指标包含决策辅助工具筛查的知信行、决策结局报告、决策辅助工具的实用性和可行性。决策辅助工具的应用效果包括提高患者筛查知识、减少患者决策冲突、增加决策自我效能、提高患者决策满意度和患者接受程度高。结论:目前前列腺癌筛查决策辅助工具多以国外研发为主,且应用效果良好。未来可在借鉴国外决策辅助工具的基础上,开发符合我国国情的前列腺癌筛查决策辅助工具,以便于为患者提供决策支持,提高决策质量。

关键词: 前列腺癌;筛查;决策辅助工具;共享决策;综述

Abstract: Objective: To conduct a scoping review of studies related to prostate cancer screening decision aids, and to provide reference for the development of prostate cancer screening decision aids in China. Methods: According to the research method of scope review, the relevant studies on decision aids for prostate cancer screening were systematically searched, with a time frame from the establishment of the database to August 2023, and the included literature was summarized and analyzed. Results: A total of 25 papers were included, including 15 studies on the development and validation of decision aids and 10 studies on the decision aids. The core elements of decision aids include health information support, analysis of the pros and cons, and clarification of the value of treatment options. The outcome indicators include the knowledge, belief and behavior of the decision tool screening, the decision outcome report, and the usefulness and feasibility of the decision aids, The application effects of decision aids include improving patient screening knowledge, reducing patient decision-making conflict, increasing decision-making self-efficacy, improving patient decision-making satisfaction, and high patient acceptance. Conclusion: At present, prostate cancer screening decision aids are mainly used abroad, and the application effect is good. In the future, based on the experience from abroad, it is necessary to develop decision aids for prostate cancer screening that meet China's national conditions, so as to provide decision support for patients and improve the quality of decision making.

Key words: prostate cancer; screening; decision aids; shared decision making; review

中图分类号:  R47;R197