问题提示列表在术前医患沟通中应用效果的系统评价

Application of Question Prompt List in Preoperative Doctor-patient Communication:A Systematic Review

目的系统评价问题提示列表(question prompt list,QPL)在术前医患沟通中的应用效果。方法计算机检索中国知网、万方、维普、PubMed、EmBase、The Cocrane Library、CINAHL、Web of science等数据库以及中国临床试验注册中心和Clinical Trials中与QPL相关的随机对照试验和类实验研究,检索时限均为建库至2024年7月。2位研究者筛选文献、评价文献质量后,提取文献资料并进行定性分析。结果QPL有助于提高医患沟通效率和沟通满意度、满足患者围术期知识需求、促进术前决策参与及提升决策满意度,对于改善术前沟通对象心理情绪的作用尚不显著。结论QPL对于术前医患沟通有促进作用,值得在术前谈话中探索应用;受文献数量及质量的限制,其临床应用价值仍待大样本、高质量的随机对照试验进一步验证。

Objective To systematically evaluate the application of question prompt list(QPL)in preoperative doctor-patient communication.Methods CNKI,Wanfang,VIP,CBM,PubMed,EmBase,Cocrane Library,CINAHL,Web of science,China Clinical Trial Registry and Clinical Trials were searched for randomized controlled trials and quasi-experimental studies related to research purposes from the inception to July,2024.The literature were screened and evaluated by two researchers and extracted to conduct qualitative analysis.Results QPL could improve efficiency and satisfaction in doctor-patient communication,meet patients’demands of perioperative knowledge,promote preoperative decision participation and improve decision satisfaction.However,it was not obvious to the effect on improving the psychological mood of patients before surgery.Conclusions QPL has a promoting effect on preoperative doctor-patient communication,which is worth exploring and applying in preoperative conversation.Limited by the quantity and quality of literature,its clinical application value still needs to be further verified by large-sample and high-quality randomized controlled trials.