PDF(Pubmed)
Abstract：
OBJECTIVE: To identify, describe and synthesise the views and experiences of adults living with asthma regarding shared decision-making (SDM) in the existing qualitative literature METHODS: We conducted a comprehensive search of 10 databases (list databases) from inception until September 2023. Screening was performed according to inclusion criteria. Tools from the Joanna Briggs lnstitute were utilised for the purposes of data extraction and synthesis in this study. The data extraction process in this study employed the Capability, Opportunity and Motivation Model of Behaviour (COM-B model) as a framework, and a pragmatic meta-aggregative approach was employed to synthesise the collected results.
RESULTS: Nineteen studies were included in the metasynthesis. Three synthesised themes were identified: the capability of people living with asthma, the opportunities of people living with asthma in SDM, and the motivation of the people living with asthma in SDM.
CONCLUSIONS: We have identified specific factors influencing people living with asthma engaging in SDM. The findings of this study can serve as a basis for the implementation of SDM in people living with asthma and provide insights for the development of their SDM training programs. The ConQual score for the synthesised findings was rated as low. To enhance confidence, future studies should address dependability and credibility factors.
CONCLUSIONS: This review contemplates the implementation of SDM from the perspective of people living with asthma, with the aim of providing patient-centred services for them. The results of this review can benefit the implementation of SDM and facilitate information sharing. It offers guidance for SDM skills training among adults living with asthma, fosters a better doctor-patient relationship and facilitates consensus in treatment decisions, thereby enabling personalised and tailored medical care.
UNASSIGNED: Three nursing graduate students participated in the data extraction and integration process, with two students having extensive clinical experience that provided valuable insights for the integration.
RESULTS: Nineteen studies were included in the metasynthesis. Three synthesised themes were identified: the capability of people living with asthma, the opportunities of people living with asthma in SDM, and the motivation of the people living with asthma in SDM.
CONCLUSIONS: We have identified specific factors influencing people living with asthma engaging in SDM. The findings of this study can serve as a basis for the implementation of SDM in people living with asthma and provide insights for the development of their SDM training programs. The ConQual score for the synthesised findings was rated as low. To enhance confidence, future studies should address dependability and credibility factors.
CONCLUSIONS: This review contemplates the implementation of SDM from the perspective of people living with asthma, with the aim of providing patient-centred services for them. The results of this review can benefit the implementation of SDM and facilitate information sharing. It offers guidance for SDM skills training among adults living with asthma, fosters a better doctor-patient relationship and facilitates consensus in treatment decisions, thereby enabling personalised and tailored medical care.
UNASSIGNED: Three nursing graduate students participated in the data extraction and integration process, with two students having extensive clinical experience that provided valuable insights for the integration.
摘要：
目的：确定，在现有的定性文献中描述并综合了成人哮喘患者关于共同决策(SDM)的观点和经验。方法:我们从研究开始到2023年9月对10个数据库(列表数据库)进行了全面检索.根据纳入标准进行筛选。在本研究中，JoannaBriggs研究所的工具用于数据提取和综合。本研究中的数据提取过程采用了以下能力，行为的机会和动机模型(COM-B模型)作为一个框架，并采用实用的元聚合方法来综合收集的结果。
结果：19项研究被纳入复合研究。确定了三个综合主题：哮喘患者的能力，SDM中哮喘患者的机会，以及SDM中哮喘患者的动机。
结论：我们已经确定了影响患有SDM的哮喘患者的具体因素。这项研究的结果可以作为在哮喘患者中实施SDM的基础，并为他们的SDM培训计划的发展提供见解。综合发现的ConQual评分被评为低。增强信心,未来的研究应该解决可靠性和可信度因素。
结论：这篇综述从哮喘患者的角度考虑了SDM的实施，目的是为他们提供以病人为中心的服务。本次审查的结果可以有利于SDM的实施并促进信息共享。它为成人哮喘患者的SDM技能培训提供指导，促进更好的医患关系，促进治疗决策的共识，从而实现个性化和量身定制的医疗服务。
■三名护理研究生参与了数据提取和整合过程，两名学生拥有丰富的临床经验，为整合提供了宝贵的见解。
结果：19项研究被纳入复合研究。确定了三个综合主题：哮喘患者的能力，SDM中哮喘患者的机会，以及SDM中哮喘患者的动机。
结论：我们已经确定了影响患有SDM的哮喘患者的具体因素。这项研究的结果可以作为在哮喘患者中实施SDM的基础，并为他们的SDM培训计划的发展提供见解。综合发现的ConQual评分被评为低。增强信心,未来的研究应该解决可靠性和可信度因素。
结论：这篇综述从哮喘患者的角度考虑了SDM的实施，目的是为他们提供以病人为中心的服务。本次审查的结果可以有利于SDM的实施并促进信息共享。它为成人哮喘患者的SDM技能培训提供指导，促进更好的医患关系，促进治疗决策的共识，从而实现个性化和量身定制的医疗服务。
■三名护理研究生参与了数据提取和整合过程，两名学生拥有丰富的临床经验，为整合提供了宝贵的见解。
