护士参与的临床决策支持系统在抑郁症管理中应用的范围综述

A scope review of the application of Clinical Decision Support Systems involving nurses in depression management

目的对国内外护士参与的临床决策支持系统(clinical decision support system,CDSS)在抑郁症中应用的相关研究进行范围综述。方法计算机检索PubMed、Web of Science、Scopus、CINAHL、PsycINFO、Embase、Cochrane Library、中国知网、万方数据库、维普中文科技期刊数据库,检索时限为建库至2024年3月。筛选有关护士参与的CDSS在抑郁症中应用的相关研究,基于范围综述的研究框架分析研究的基本特征、CDSS的功能和特征、应用可行性及效果等。结果最终纳入16篇英文文献,涉及13个CDSS。护士参与的CDSS能够改善患者的抑郁程度,但其在抑郁症管理中的应用以筛查为主,鲜有CDSS能够根据患者的心理社会因素提出个性化的抑郁症管理方案。结论护士参与的CDSS能够促进抑郁症的筛查,改善患者的抑郁程度,但其功能有限,未能提出个性化的抑郁症管理方案。未来的研究可基于电子病历系统开发CDSS以促进护士对抑郁症的筛查,并进一步为CDSS搭建智能管理模块,以便为抑郁症患者提供智慧化、个性化的管理方案。

Objective To review the research on the application of clinical decision support system(CDSS)involving nurses in depression both domestically and internationally.Methods 10 Chinese and English databases including PubMed,Web of Science,Scopus,CINAHL,PsycINFO,Embase,Cochrane Library,CNKI,Wanfang Database,and VIP were searched until March,2024.The eligible literature of the application of CDSS involving nurses in depression was selected to analyze the basic characteristics of studies,the functions,characteristics,feasibility,and effectiveness of CDSS.Results Finally,16 English articles involving 13 CDSS were included.This study found that nurses participating in CDSS can improve the degree of depression in patients,but its application in depression management is mainly for screening,and few CDSS can propose personalized depression management programs based on the psychological and social factors of patients.Conclusion The CDSS involving nurses can promote the screening of depression and improve depression in patients,but it fails to propose a personalized depression management program.Future research can develop CDSS based on electronic medical record systems to facilitate nurses’screening for depression and further develop an intelligent management module for CDSS to provide intelligent and personalized management solutions for patients with depression.