Feasibility and effectiveness of tools that support communication and decision making in life-prolonging treatments for patients in hospital
| Autor: | Maureen Thodé, Anneke L. Francke, Olga C Damman, Johannes C.F. Ket, Liesbeth M. van Vliet, H. Roeline W. Pasman, Irene P. Jongerden |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Decision Making Medicine (miscellaneous) PsycINFO CINAHL Cochrane Library 03 medical and health sciences 0302 clinical medicine Quality of life (healthcare) Intervention (counseling) Neoplasms Decision aids Medicine Humans 030212 general & internal medicine Aged Oncology (nursing) business.industry Communication General Medicine Hospitals Medical–Surgical Nursing 030220 oncology & carcinogenesis Family medicine Anxiety Feasibility Studies medicine.symptom business End-of-life care |
| Zdroj: | Thodé, M, Pasman, H R W, Van Vliet, L M, Damman, O C, Ket, J C F, Francke, A L & Jongerden, I P 2020, ' Feasibility and effectiveness of tools that support communication and decision making in life-prolonging treatments for patients in hospital : A systematic review ', BMJ Supportive and Palliative Care . https://doi.org/10.1136/bmjspcare-2020-002284 BMJ Supportive & Palliative Care, 12(3), 262-269. BMJ |
| Popis: | ObjectivePatients with advanced diseases and frail older adults often face decisions regarding life-prolonging treatment. Our aim was to provide an overview of the feasibility and effectiveness of tools that support communication between healthcare professionals and patients regarding decisions on life-prolonging treatments in hospital settings.DesignSystematic review: We searched PubMed, CINAHL, PsycINFO, Embase, Cochrane Library and Google Scholar (2009–2019) to identify studies that reported feasibility or effectiveness of tools that support communication about life-prolonging treatments in adult patients with advanced diseases or frail older adults in hospital settings. The Mixed Methods Appraisal Tool was used for quality appraisal of the included studies.ResultsSeven studies were included, all involving patients with advanced cancer. The overall methodological quality of the included studies was moderate to high. Five studies described question prompt lists (QPLs), either as a stand-alone tool or as part of a multifaceted programme; two studies described decision aids (DAs). All QPLs and one DA were considered feasible by both patients with advanced cancer and healthcare professionals. Two studies reported on the effectiveness of QPL use, revealing a decrease in patient anxiety and an increase in cues for discussing end-of-life care with physicians. The effectiveness of one DA was reported; it led to more understanding of the treatment in patients.ConclusionsUse of QPLs or DAs, as a single intervention or part of a programme, may help in communicating about treatment options with patients, which is an important precondition for making informed decisions. |
| Databáze: | OpenAIRE |
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