以质量求发展,以服务铸品牌

护理学报 ›› 2023, Vol. 30 ›› Issue (16): 57-62.doi: 10.16460/j.issn1008-9969.2023.16.057

• 循证护理 • 上一篇    下一篇

问题提示列表在肿瘤医患沟通中应用的范围综述

王奕1,2, 葛静玲1, 王娟3   

  1. 1.中国医科大学附属盛京医院,辽宁 沈阳 110000;
    2.中国医科大学 护理学院,辽宁 沈阳 110000;
    3.赣州市人民医院,江西 赣州 341000
  • 收稿日期:2023-02-22 出版日期:2023-08-25 发布日期:2023-09-08
  • 通讯作者: 葛静玲(1976-),女,辽宁沈阳人,硕士,副主任护师,护士长,硕士研究生导师。E-mail:1982838645@qq.com
  • 作者简介:王奕(1991-),女,江西赣州人,本科学历,硕士研究生在读,主管护师。

Application of question prompt list in oncology doctor-patient communication: a scoping review

WANG Yi1,2, GE Jing-ling1, WANG Juan3   

  1. 1. Shengjing Hospital of China Medical University, Shenyang 110000, China;
    2. School of Nursing, China Medical University, Shenyang 110000, China;
    3. Ganzhou People's Hospital, Ganzhou 341000, China
  • Received:2023-02-22 Online:2023-08-25 Published:2023-09-08

摘要: 目的 分析问题提示列表在肿瘤医患沟通中应用的相关研究,综述问题提示列表的研制方法、应用对象和评价指标,并分析问题提示列表在国内肿瘤护理中的实践意义,为临床应用提供参考。方法 系统检索PubMed、Embase、Web of Science、Google Scholar、CINAHL、中国知网、中国生物医学文献数据库从建库至2023年5月的中英文文献,对文献进行筛选、分析、提取并总结。结果 共检索文献1 678篇,最终纳入21篇。问题提示列表应用于肿瘤医患沟通的研制方法尚无标准流程,包括初稿研制、评估可行性和评价应用效果3个步骤,应用对象集中在晚期肿瘤患者和姑息治疗患者,应用效果评价指标涵盖患者参与度、沟通效果、信息回忆能力以及患者心理情绪。结论 问题提示列表在肿瘤医患沟通中应用的研究大部分来自国外,国内相关研究尚处于起步阶段,建议医护人员借鉴国外成熟经验,研制适合我国国情的肿瘤患者问题提示列表,并在临床灵活运用,鼓励患者积极参与医疗咨询和决策,促进肿瘤医患沟通。

关键词: 问题提示列表, 肿瘤, 医患关系, 共同决策, 范围综述

Abstract: Objective To analyze the research on the application of question prompt list (QPL) in oncology doctor-patient communication, to explore the development, application object and evaluation index, and the practical significance of QPL in domestic cancer nursing, and to provide reference for clinical application. Methods Databases such as PubMed, Embase, Web of Science, Google Scholar, CINAHL, CNKI and CBM were systematically searched from the inception to May 2023, and the articles were screened, analyzed, extracted and summarized. Results Totally 1,678 articles were retrieved, and 21 articles were finally included. There was no unified standard for the development of QPL, including three steps of draft development, feasibility evaluation and application effect evaluation. The application targets of QPL focused on advanced cancer patients and patients receiving palliative care. The application effect evaluation indicators included patient engagement, communication effect, information recall ability and patients' psychological statements. Conclusion Most of the researches on the application of QPL in the communication between doctors and cancer patients come from abroad, while relevant researches in China are still in its infancy. It is suggested that medical staff develop a QPL suitable for China with the mature experience of foreign countries, and use it in clinical practice flexibly, so as to encourage patients to participate in medical consultation and decision-making actively, and promote the communication between doctors and cancer patients.

Key words: question prompt list, oncology, doctor-patient relationship, shared decision making, scoping review

中图分类号: 

  • R473.73
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