决策辅助对骨科择期手术影响的Meta分析

打开文本图片集

Influence of decision aid on orthopedic elective surgery：a Metaanalysis

ZHAO Wentao，LI Panpan，ZHANG Yuanyuan，XU Shujun，WANG JianCangzhou Medical College，Hebei 061001 ChinaCorresponding AuthorLI Panpan，Email：359952583@qq.com

AbstractObjective：To systematically review published randomized controlled trials of decision aid in orthopaedic elective surgery and evaluate the effect of decision aid on surgical decision making in orthopaedic patients.Methods：PubMed，the Cochrane Library，EMbase，Scopus，WanFang Database and CNKI were searched，and the references of the included literatures were tracked.Two researchers independently screened the literature，extracted data，and assessed the risk of bias in the included studies.RevMan 5.4 software was used for Metaanalysis.Results：A total of 7 articles were included.The results of Metaanalysis showed that decision aid had no statistical significance on the operation rate（RR=0.96，95%CI 0.841.10，P=0.58），but it could improve patient satisfaction（RR=1.21，95%CI 1.011.44，P=0.04）and reduce the decision conflict rate of patients（RR=0.53，95%CI 0.380.73，P=0.000 1）.Conclusion：Under the background of tense doctorpatient relationship and insufficient medical resources，decision aid can make doctorpatient communication effective，improve patient satisfaction，reduce decision conflict rate，and rationally allocate medical resources.

Keywordsorthopedics;decision support;elective surgery;lumbar vertebra;joint replacement;Metaanalysis;evidencebased nursing

摘要目的：系统回顾已发表的骨科择期手术决策辅助的随机对照试验，评估决策辅助对骨科病人手术决策的影响。（剩余9630字）