肺移植患者居家自我管理行为评估工具的范围综述

Scoping review of home-based self-management behaviors assessment tools in patients with lung transplant

目的对肺移植患者居家自我管理行为评估工具的特征、功能、偏倚风险及应用情况进行范围综述,以期为临床医护人员进一步开展相关研究提供参考。方法系统检索中国知网、万方数据、维普网、中国生物医学文献数据库、PubMed、Web of Science核心合集、Embase、Cochrane Library、CINAHL数据库中的相关文献,检索时限均为建库至2023年6月30日,应用范围综述方法框架对文献进行筛选、信息提取及规范化报告。结果共检索中英文文献10167篇,经去重、筛选,最终纳入23篇符合标准的文献,涉及肺移植患者居家自我管理行为评估工具13种,含特异性工具9种、普适性工具4种。在肺移植人群中未见信效度验证报告的工具有8种;13种工具中以单维度评估及单一测量方法为主;主要通过依从性反映肺移植患者居家自我管理行为水平,评估内容频次最高的为用药管理。结论目前肺移植患者居家自我管理行为测量以问卷调查法为主,评估工具以单维度居多,多数评估工具在肺移植患者人群中信效度报告尚不明确,且存在一定的偏倚风险。建议研究者在选择评估工具时,关注工具在目标人群中的信效度验证报告,综合多种测量方法减少测量误差。

Objective To conduct a scoping review of the characteristics,functions,risk of bias and applications of home-based self-management behavior assessment tools for lung transplant patients,so as to provide references for clinical medical staff to conduct further related research.Methods The relevant literatures were systematically searched in China National Knowledge Infrastructure,Wanfang Database,VIP,China Biology Medicine disc,PubMed,Web of Science Core Collection,Embase,Cochrane Library and CINAHL databases.The search period was from the establishment of the databases to June 30,2023.The scoping review method framework was used to screen the literature,extract information and standardize the report.Results A total of 10167 Chinese and English literatures were searched,and after deduplication and screening,23 articles that met the criteria were finally included,involving 13 home-based self-management behavior assessment tools for lung transplant patients,including nine specific tools and four universal tools.There were eight kinds of lung transplantation patients whose reliability and validity were not verified.Of the 13 tools,those with single-dimensional assessments and single measures predominate.The level of home self-management behavior of lung transplant patients was reflected mainly through compliance,and medication management was the most frequently assessed content.Conclusions At present,the measurement of home-based self-management behavior of lung transplant patients is mainly based on questionnaire surveys,and the evaluation tools are mostly single dimensional.The reliability and validity of most evaluation tools in the population of lung transplant patients are not yet clear,and there is a certain risk of bias.It is recommended that researchers pay attention to the reliability and validity verification report of the evaluation tool in the target population when selecting it,and integrate multiple measurement methods to reduce measurement errors.