Abstract:

Objective To review the application of shared decision making in acute coronary syndrome， so as to provide references for future research and application. Methods Based on the scoping review methodology， a systematic search was conducted in SinoMed， CNKI， Wanfang， PubMed， Embase， Cochrane Library， Web of Science， and CINAHL. The search time limit was from the establishment of the database to January 8， 2023， and the included literature was summarized and analyzed. Results A total of 17 articles were included. The application of shared decision making in acute coronary syndromes includes diagnosis， treatment， primary and secondary prevention. 5 patient decision aids were retrieved. The influencing factors include patient factors， medical staff factors and implementation process factors. The clinical application has good effectiveness and feasibility. Conclusion Shared decision making can help patients with acute coronary syndrome to increase their decision making knowledge， improve their decision-making experience and improve the quality of decision making. In the future， we should broaden the application scope of shared decision making in acute coronary syndromes， develop scientific and practical decision aids， take targeted measures， and explore the application of shared decision making in clinical diagnosis and treatment in China.

Key words: Acute Coronary Syndrome, Shared Decision Making, Patient Decision Aids, Scoping Review, Nursing Care

摘要：

目的 对共享决策在急性冠脉综合征中的应用进行范围审查，为开展相关研究及应用提供参考。方法 以范围综述方法学为指导，系统检索中国生物医学文献数据库、中国知网、万方数据库、PubMed、Embase、Cochrane Library、Web of Science、CINAHL，检索时限为建库至2023年1月8日，对纳入的文献进行汇总和分析。结果 共纳入17篇文献，共享决策在急性冠脉综合征患者中的应用范围包括疾病的诊断、治疗选择、一级预防和二级预防。检索到5个决策辅助工具。影响因素包括患者因素、医务人员因素及实施过程因素。临床应用具有良好的有效性和可行性。结论 共享决策可帮助急性冠脉综合征患者增加决策知识、改善决策体验、提高决策质量。未来应拓宽共享决策在急性冠脉综合征中的应用范围及内涵，开发科学性、实用性强的决策辅助工具，采取针对性措施，并探索共享决策在临床诊疗中的应用。

关键词: 急性冠脉综合征, 共享决策, 决策辅助工具, 范围综述, 护理