问题提示列表在癌症患者中应用效果的Meta分析OACSTPCD

Objective:To systematically evaluate the feasibility and effects of communication intervention methods based on the Question Prompt List(QPL)in cancer patients.Methods:Literature,covering the period from January 5,1994 to July 1,2023,related to the application of QPL in cancer patients was retrieved from Chinese databases(CNKI,Wanfang and VIP),the Cochrane Library,PubMed,Embase and Web of Science.Statistical analysis was performed using Review Manager 5.4.Results:Fourteen studies,comprising a total of 2,531 study subjects,were included.Meta-analysis results revealed that QPL assisted patients in asking questions(SMD=0.29,95％CI:0.14～0.43,Z=3.87,P＜0.001),without extending consultation duration(SMD=0.02,95％CI:-0.11～0.14,Z=0.26,P=0.800);that QPL did not increase post-consultation anxiety in patients(SMD=0.04,95％CI:-0.08～0.17,Z=0.68,P=0.500),but enhanced patients'self-efficacy in communication(SMD=0.63,95％CI:0.40～0.86,Z=5.37,P＜0.001);and that patients rated the usefulness of consultations high(SMD=0.30,95％CI:0.03～0.57,Z=2.17,P=0.030).Conclu-sion:Communication intervention methods based on QPL are feasible and effective in the communication process with cancer patients.