肿瘤预防与治疗2024,Vol.37Issue(8):658-668,11.DOI:10.3969/j.issn.1674-0904.2024.08.004
问题提示列表在癌症患者中应用效果的Meta分析
Effects of Question Prompt List in Cancer Patients:A Meta-Analysis
摘要
Abstract
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.关键词
问题提示列表/癌症/沟通/焦虑/自我效能/Meta整合Key words
Question Prompt List/Cancer/Communication/Anxiety/Self-efficacy/Meta-synthesis分类
医药卫生引用本文复制引用
张伟,孙孟迪,赵若冰,刘曦阳,陈星..问题提示列表在癌症患者中应用效果的Meta分析[J].肿瘤预防与治疗,2024,37(8):658-668,11.基金项目
江苏省2023年研究生实践创新计划项目(编号:2906) (编号:2906)
镇江市2022年度市政策引导计划(软科学研究)项目(编号:RK2022021) This study was supported by grants from Jiangsu Education Department(No.2906)and Zhenjiang Science and Technology Bureau(No.RK2022021). (软科学研究)