Evaluate the effectiveness of breast cancer decision aids: A systematic review and meta-analysis of randomize clinical trails

被引：14
作者：
Gao, Jin-Ping [1 ]
Jin, Ying-Hui [2 ]
Yu, Shao-Fu [3 ]
Wu, Wang-Feng [4 ]
Han, Shi-Fan [1 ]
机构：
[1] Shanxi Med Univ, Sch Nursing, 56 Xinjian South Rd, Taiyuan 030001, Shanxi, Peoples R China
[2] Wuhan Univ, Dept Evidence Based Med & Clin Epidemiol, Clin Coll 2, Wuhan, Hubei, Peoples R China
[3] Second Peoples Hosp Huaihua, Dept Clin Pharm, Huaihua, Hunan, Peoples R China
[4] Huazhong Univ Sci & Technol, Union Hosp, Tongji Med Coll, Wuhan, Hubei, Peoples R China
来源：
NURSING OPEN | 2021年 / 8卷 / 05期
关键词：
breast cancer; decision conflict; patients decision aids; share decision-making; CONTROLLED-TRIAL; PATIENT PARTICIPATION; SURGICAL-TREATMENT; CONFLICT SCALE; WOMEN; KNOWLEDGE; SUPPORT; SURGERY; CHOICE; INFORMATION;
D O I：
10.1002/nop2.741
中图分类号：
R47 [护理学];
学科分类号：
1011 ;
摘要：
Aim:To assess the effectiveness of decision aids in the treatment, prevention and screening of breast cancer patients. Design: A systematic review and meta-analysis. Methods:The review protocol was registered in the CRD Prospero database(CRD42020173028). A literature search was carried out in five databases: PubMed, Cochrane, EMBASE, Scopus and Web of science data in January 2020. We used The Cochrane risk bias assessment tool to evaluate the literature quality of included trials and the Review Manager 5.2 software to analyse data. Results:We included 22 studies. Compared with the conventional methods, decision aids reduced treatment decision conflicts and had no significant effect on screening decision conflicts (WMD=-2.25, 95% CI = - 2.64,-1.87, p < .0001; WMD=-1.37, 95% CI = - 3.57,0.83, p = .22). Three were no statistical differences in participants' anxiety, decision regret, knowledge, informed choice and decision-making satisfaction between the two groups.
引用
收藏
页码：2091 / 2104
页数：14
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