终末期肾脏病患者治疗决策过程中信息沟通体验质性研究的Meta整合

Meta-synthesis of qualitative research on information communication experiences in the treatment decision-making process for patients with end-stage renal disease

目的系统评价和整合终末期肾脏病患者治疗决策过程中信息沟通体验的质性研究。方法计算机检索PubMed、CINAHL、Embase、Cochrane Library、Medline、中国知网、万方数据库、维普网等数据库中有关终末期肾脏病患者治疗决策过程中信息沟通体验的研究,检索时限为建库至2023年3月1日。采用2016年版澳大利亚乔安娜布里格斯研究所循证卫生保健中心质性研究质量评价标准进行文献质量评价,应用汇集性整合方法及NVivo 12.0软件对文献结果进行整合。结果共纳入11篇文献,提炼出与信息沟通相关的28个主题,整合为6个新类别,综合为3个整合结果,分别为终末期肾脏病患者治疗决策过程中对信息沟通的态度、终末期肾脏病患者治疗决策过程中对信息沟通的需求、信息沟通对终末期肾脏病患者治疗决策的影响。结论信息沟通对终末期肾脏病患者治疗决策至关重要,医护人员应鼓励患者参与信息沟通,满足患者信息沟通需求,构建多元化的信息沟通机制,指导终末期肾脏病患者选择最佳治疗方式。

Objective To systematically review and synthesize qualitative studies on the experiences of information communication in the treatment decision-making process for patients with end-stage renal disease(ESRD).Methods Electronic databases,including PubMed,CINAHL,Embase,Cochrane Library,Medline,China National Knowledge Infrastructure,WanFang data,and VIP,were searched for studies on information communication experiences among ESRD patients during their treatment decision-making process up to March 1,2023.The quality of the included studies was evaluated using the 2016 version of the Joanna Briggs Institute's qualitative research quality assessment criteria.A Meta-synthesis approach and NVivo 12.0 software were utilized for data synthesis.Results Eleven studies were included,from which 28 themes related to information communication were extracted,integrated into six new categories,and synthesized into three consolidated findings:attitudes towards information communication during the treatment decision-making process for ESRD patients,needs for information communication during the treatment decision-making process,and the impact of information communication on treatment decision-making for ESRD.Conclusions Information communication is crucial in the decision-making process for ESRD patients regarding treatment.Healthcare professionals should encourage patient involvement in information communication,meet their information needs,and establish diversified mechanisms of information communication to guide patients in choosing the best treatment options.