渥太华决策支持框架内涵及其临床应用的范围综述

doi:10.3761/j.issn.0254-1769.2022.06.017

摘要/Abstract

摘要：

目的全面检索国内外渥太华决策支持框架相关研究,明确其核心要素及其子要素的具体内涵,了解其临床应用所覆盖的研究领域,分析其在研究中的具体作用,以期为今后医患共同决策相关研究的实施和推广提供参考。方法采用Arksey and O’Malley范围综述的方法,系统检索中国知网、中国生物医学文献数据库、万方数据库、维普数据库、PubMed、Cochrane Library、CINAHL、Embase、Web of Science,并根据纳入、排除标准筛选文献,由2名研究者独立提取渥太华决策支持框架核心要素及其构念、应用领域、应用方法相关资料,采用描述性分析及主题分析法对提取结果进行整理。结果共纳入143篇文献,渥太华决策支持框架在既往研究中共有3类概念描述,与渥太华决策辅助框架的3个版本相对应,框架覆盖研究领域较广,主要有癌症、骨科疾病、心血管疾病等,框架在研究中体现的指导作用主要有7类,国内外研究存在明显差异。结论国内护理研究者应重视对渥太华决策支持框架理论的解读,并在其指导下启动患者决策现状和需求的调查研究以及患者决策辅助工具的构建和实施研究。

关键词: 实施科学, 渥太华决策支持框架, 范围综述, 护理研究, 医患共同决策

Abstract:

Objective To comprehensively search the relevant research of Ottawa Decision Support Framework （ODSF） and to clarify the specific connotation of its constructs,understand the areas covered by its clinical application,and to analyze its specific role in the research.Methods Using the method of Arksey and O’Malley scoping review,we systematically searched CNKI,SINOMED,Wanfang,VIP,PubMed,Cochrane Library,CINAHL,Embase,Web of science,and screened the literature according to the inclusion and exclusion criteria. 2 researchers independently extracted the key information of the ODSF. Descriptive analysis and topic analysis were used to classify the extraction results.Results A total of 143 documents are included. There are 3 types of conceptual descriptions of ODSF in previous studies,which correspond to the 3 versions of ODSF. The framework covers a wide range of research areas,mainly including cancer,orthopedic diseases,cardiovascular diseases,etc. The guiding role of the framework in the research mainly has 7 categories,and there are obvious differences between domestic and foreign research.Conclusion This study summarizes the connotation and clinical application of ODSF in detail,which can provide guidance for future research.

Key words: Implementation Science, Ottawa Decision Support Framework, Scoping Review, Nursing Research, Share Decision Making

李学靖, 赵俊强, 张小艳, 韩柳, 孟美琪, 彭可, 麦秋露, 郝玉芳. 渥太华决策支持框架内涵及其临床应用的范围综述[J]. 中华护理杂志, 2022, 57(6): 756-761.

LI Xuejing, ZHAO Junqiang, ZHANG Xiaoyan, HAN Liu, MENG Meiqi, PENG Ke, MAI Qiulu, HAO Yufang. The concept and clinical implementation status of Ottawa Decision Support Framework--a scoping review[J]. Chinese Journal of Nursing, 2022, 57(6): 756-761.

图/表 3

图1 文献筛选流程图

Figure 1 Flow chart of literature screening

表1 渥太华决策支持框架核心构念的衍变与发展

Table 1 Diffraction and development of Ottawa decision support framework core constructs

表2 纳入文献中渥太华决策支持框架所覆盖的研究领域（n=143）

Table 2 Reasearch areas covered by Ottawa decision support framework（n=143）

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