決策輔助對(duì)骨科擇期手術(shù)影響的Meta分析

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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：[email protected]

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：系統(tǒng)回顧已發(fā)表的骨科擇期手術(shù)決策輔助的隨機(jī)對(duì)照試驗(yàn)，評(píng)估決策輔助對(duì)骨科病人手術(shù)決策的影響。（剩余9630字）