以质量求发展，以服务铸品牌

护理学报 ›› 2022, Vol. 29 ›› Issue (2): 45-50.doi: 10.16460/j.issn1008-9969.2022.02.045

• 循证护理 • 上一篇    下一篇

问题提示列表在乳腺癌患者中临床应用效果的系统评价

吴丽1, 陈荣凤2, 邹自玉2, 唐红梅2   

  1. 1.上海中医药大学 研究生院,上海 201203;
    2.上海健康医学院 护理与健康管理学院,上海 201318
  • 收稿日期:2021-07-05 出版日期:2022-01-25 发布日期:2022-02-15
  • 通讯作者: 陈荣凤（1968-）,女,上海人,硕士研究生学历,副教授,副院长。E-mail：rfchen666@163.com
  • 作者简介:吴丽（1994-）,女,江苏盐城人,本科学历,硕士研究生在读,护师。

Clinical Application of Question Prompt List in Breast Cancer Patients: A Systematic Review

WU Li1, CHEN Rong-feng2, ZOU Zi-yu2, TANG Hong-mei2   

  1. 1. Graduate School, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China;
    2. School of Nursing and Health Management, Shanghai Health Medical College, Shanghai 201318 China
  • Received:2021-07-05 Online:2022-01-25 Published:2022-02-15

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摘要： 目的 评价问题提示列表（Question Prompt List,QPL）在乳腺癌患者中的临床应用效果。方法 计算机检索PubMed、Embase、Cochrane Library、Scopus及CIHNAL数据资源系统,检索时间均为建库至2021年6月,筛检纳入研究的文献。按照纳入与排除标准选择文献,对文献质量进行严格评价和资料提取。结果 共纳入8项研究,其中随机对照研究4篇,类实验性研究4篇。由于纳入的研究存在较大异质性,故对8篇文献均进行描述性分析。结果表明,QPL能够满足乳腺癌患者信息需求,改善医患沟通,增进医患关系,促进共同决策。结论 QPL对乳腺癌患者有积极的影响,值得在临床实践中探索应用,但受纳入研究的数量和质量限制,研究结论还有待更大样本量、结局指标统一的研究进一步验证。

关键词: 问题提示列表, 乳腺癌, 信息需求, 医患关系, 共同决策, 系统评价

Abstract: Objective To systematically evaluate the clinical effect of question prompt list (QPL) in breast cancer patients. Methods We searched databases including PubMed, Embase, Cochrane Library, Scopus and CIHNAL from the inception to June 2021. According to the inclusion and exclusion criteria, the quality of the included studies was strictly evaluated and the data were extracted, then the literature met the quality standard was descriptively analyzed. Results A total of 8 studies were included, including 4 randomized controlled studies (RCTs) and 4 quasi-experimental studies. Due to the large heterogeneity of the included studies, descriptive analysis was conducted on all the 8 studies and the results showed that QPL met the information needs of breast cancer patients, improved doctor-patient communication and relationship, and promoted shared decision making. Conclusion QPL has positive effects on breast cancer patients and is worth to be promoted in clinic. However, due to the limited studies and the quality, the conclusion need to be further verified by studies with larger sample size and uniform outcome indicators.

Key words: question prompt list, breast cancer, information needs, doctor-patient relationship, shared decision making, systematic review

中图分类号: 

  • R473.73
[1] Sung H, Ferlay J, Siegel R L, et al.Global Cancer Statistics 2020:GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries[J]. CA Cancer J Clin, 2021, 71(3): 209-249. DOI:10.3322/caac.21660.
[2] Harbeck N, Gnant M.Breast Cancer[J]. Lancet, 2017, 389(10074):1134-1150. DOI:10.1016/S0140-6736(16)31891-8.
[3] Lu H, Xie J, Gerido LH, et al.Information Needs of Breast Cancer Patients: Theory-generating Meta-synthesis[J]. J Med Internet Res, 2020, 22(7):e17907. DOI:10.2196/17907.
[4] Villarreal-Garza C, López-Martínez EA, Martínez-Cannon B A,et al.Medical and Information Needs among Young Women with Breast Cancer in Mexico[J].Eur J Cancer Care (Engl), 2019, 28(4): e13040. DOI:10.1111/ecc.13040.
[5] Barry MJ, Edgman-Levitan S.Shared Decision Making--pinnacle of Patient-centered Care[J]. N Engl J Med, 2012, 366(9):780-781. DOI:10.1056/NEJMp1109283.
[6] Lukasczik M, Gerlich C, Wolf HD, et al.Beyond Oncology: Question Prompt Lists in Healthcare-A Scoping Review Protocol[J].Methods Protoc,2020,3(1):9.DOI:10.3390/mps3010009.
[7] Keinki C, Momberg A, Claus K, et al.Effect of Question Prompt Lists for Cancer Patients on Communication and Mental Health Outcomes-A Systematic Review[J]. Patient Educ Couns,2021, 104(6):1335-1346.DOI:10.1016/j.pec.2021.01.012.
[8] Brandes K, Linn AJ, Butow PN, et al.The Characteristics and Effectiveness of Question Prompt List Interventions in Oncology: A Systematic Review of the Literature[J]. Psychooncology, 2015, 24(3):245-252.DOI:10.1002/pon.3637.
[9] Cumpston M, Li T, Page MJ, et al. Updated Guidance for Trusted Systematic Reviews: A New Edition of the Cochrane Handbook for Systematic Reviews of Interventions[J]. Cochrane Database Syst Rev, 2019(10): Ed000142. DOI:10.1002/14651858.ED000142.
[10] Santos WMD, Secoli SR, Püschel VAA.The Joanna Briggs Institute Approach for Systematic Reviews[J]. Rev Lat Am Enfermagem, 2018(26):e3074. DOI:10.1590/1518-8345.2885.3074.
[11] 邹菲. 内容分析法的理论与实践研究[D].武汉:武汉大学, 2004.
[12] Bruera E, Sweeney C, Willey J, et al.Breast Cancer Patient Perception of the Helpfulness of A Prompt Sheet Versus A General Information Sheet During Outpatient Consultation: A Randomized, Controlled Trial[J]. J Pain Symptom Manage, 2003, 25(5):412-419. DOI:10.1016/s0885-3924(02)00686-3.
[13] Sepucha KR, Belkora JK, Mutchnick S, et al.Consultation Planning to Help Breast Cancer Patients Prepare for Medical Consultations: Effect on Communication and Satisfaction for Patients and Physicians[J]. J Clin Oncol, 2002, 20(11):2695-2700. DOI:10.1200/JCO.2002.10.068.
[14] Sepucha KR, Belkora JK, Tripathy D,et al.Building Bridges between Physicians and Patients: Results of A Pilot Study Examining New Tools for Collaborative Decision Making in Breast Cancer[J]. J Clin Oncol, 2000, 18(6): 1230-1238. DOI:10.1200/JCO.2000.18.6.1230.
[15] Jayasekera J, Vadaparampil ST, Eggly S, et al.Question Prompt List to Support Patient-provider Communication in the Use of the 21-gene Recurrence Test: Feasibility, Acceptability, and Outcomes[J]. JCO Oncol Pract, 2020, 16(10): e1085-e1097. DOI:10.1200/JOP.19.00661.
[16] Bottacini A, Goss C, Mazzi MA, et al.The Involvement of Early Stage Breast Cancer Patients During Oncology Consultations in Italy: A Multi-centred, Randomized Controlled Trial of A Question Prompt Sheet Versus Question Listing[J]. BMJ Open,2017,7(8):e015079. DOI:10.1136/bmjopen-2016-015079.
[17] Buizza C, Ghilardi A, Mazzardi P, et al.Effects of a Question Prompt Sheet on the Oncologist-patient Relationship: a Multi-centred Randomised Controlled Trial in Breast Cancer[J]. J Cancer Educ, 2020, 35(3):621-628. DOI:10.1007/s13187-019-01505-6.
[18] Davison BJ, Degner LF.Feasibility of Using A Computer-assisted Intervention to Enhance the Way Women with Breast Cancer Communicate with Their Physicians[J]. Cancer Nurs, 2002,25(6):417-424.DOI:10.1097/00002820-200212000-00001.
[19] Ambler N, Rumsey N, Harcourt D, et al.Specialist Nurse Counsellor Interventions at the Time of Diagnosis of Breast Cancer: Comparing ‘Advocacy’ with a Conventional Approach[J]. J Adv Nurs, 1999, 29(2):445-453. DOI:10.1046/j.1365-2648.1999.00902.x.
[20] Baloochi Beydokhti T, Heshmati Nabavi F, Ilkhani M, et al.Information Need, Learning Need and Educational Need, Definitions and Measurements: A Systematic Review[J]. Patient Educ Couns, 2020,103(7):1272-1286.DOI:10.1016/j.pec.2020.02.006.
[21] Shi X, Wang X, Liu Y, et al.A Survey of Evidence Users about the Information Need of Acupuncture Clinical Evidence[J]. BMC Complement Altern Med, 2016, 16(1):455. DOI:10.1186/s12906-016-1434-0.
[22] Iredale R, Rapport F, Sivell S,et al.Exploring the Requirements for A Decision Aid on Familial Breast Cancer in the UK Context: A Qualitative Study with Patients Referred to A Cancer Genetics Service[J]. J Eval Clin Pract, 2008, 14(1):110-115. DOI:10.1111/j.1365-2753.2007.00811.x.
[23] 钱皎月,鲍向红,魏沛,等. 疑似乳腺癌患者诊断期不同时间点信息需求调查分析[J]. 护理学报, 2013, 20(12):20-23. DOI:10.16460/j.issn1008-9969.2013.12.010.
[24] Lemmon ME,Donohue PK, Williams EP, et al.No Question Too Small: Development of a Question Prompt List for Parents of Critically Ill Infants[J]. J Perinatol, 2018, 38(4): 386-391. DOI:10.1038/s41372-017-0029-z.
[25] Miller N, Rogers SN.A Review of Question Prompt Lists Used in the Oncology Setting with Comparison to the Patient Concerns Inventory[J].Eur J Cancer Care(Engl), 2018, 27(1). DOI:10.1111/ecc.12489.
[26] Lederer S, Fischer MJ, Gordon HS,et al.A Question Prompt Sheet for Adult Patients with Chronic Kidney Disease[J]. BMC Nephrol, 2016, 17(1):155. DOI:10.1186/s12882-016-0362-z.
[27] 邵建文,李群,王锦帆. GLTC医患沟通方案干预住院患者效果分析[J]. 中华医院管理杂志, 2020, 36(11):934-938. DOI:10.3760/cma.j.cn111325-20200422-01156.
[28] Adams R, Price K, Tucker G, et al.The Doctor and the Patient--How Is a Clinical Encounter Perceived?[J]. Patient Educ Couns, 2012, 86(1):127-133. DOI:10.1016/j.pec.2011.04.002.
[29] Carmona C, Crytwell J, Burnham M, et al.Shared Decision-making: Summary of NICE Guidance[J]. BMJ, 2021(373): n1430. DOI:10.1136/bmj.n1430.
[30] 高雅靖,单岩,周越,等.医患共享决策沟通的研究进展[J]. 中国护理管理, 2021, 21(1):156-160. DOI:10.3969/j.issn.1672-1756.2021.01.033.
[31] Henselmans I, Brugel SD, De Haes H, et al.Promoting Shared Decision Making in Advanced Cancer: Development and Piloting of a Patient Communication Aid[J]. Patient Educ Couns,2019,102(5):916-923.DOI:10.1016/j.pec.2018.12.018.
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