Faculty of Health Sciences (Ms Klancnik Gruden and Drs McCormack and Stiglic), Medical Faculty (Dr Turk), and Faculty of Electrical Engineering and Computer Science (Dr Stiglic), University of Maribor, Maribor, Slovenia; University Medical Centre Ljubljana, Ljubljana, Slovenia (Ms Klancnik Gruden); School of Health Sciences, Queen Margaret University, Edinburgh, Scotland (Dr McCormack); and University of South-Eastern Norway, Drammen, Norway (Dr Turk).
J Nurs Care Qual. 2021;36(1):E14-E21. doi: 10.1097/NCQ.0000000000000471.
Preventing adverse events is one of the most important issues in health care.
The purpose of this systematic review was to determine the impact of person-centered interventions on patient outcomes in an acute care setting.
The review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. Eligible interventions included person-centered interventions that address at least one of these outcomes: pressure ulcer, accidental falls, medication errors, and/or cross infection.
The review showed that there is a paucity of evidence supporting the use of person-centered interventions in reducing patient falls. For the other outcomes, existing research provides an insufficient evidence base on which to draw conclusions.
Theory of person-centeredness is still in its ascendency. Poor evidence may also be the result of quantitative research designs that are insufficient in studying the impact of a person-centered approach. We postulate that use of mixed-methods designs is beneficial and would give a clearer picture of the impact of person-centered interventions.
预防不良事件是医疗保健中最重要的问题之一。
本系统评价的目的是确定以患者为中心的干预措施对急性护理环境中患者结局的影响。
本综述根据系统评价和荟萃分析的首选报告项目进行。合格的干预措施包括以患者为中心的干预措施，这些措施至少涉及以下结果之一：压疮、意外跌倒、用药错误和/或交叉感染。
本综述表明，目前几乎没有证据支持使用以患者为中心的干预措施来降低患者跌倒率。对于其他结果，现有研究提供的证据基础不足，无法得出结论。
以人为中心的理论仍在兴起。证据不足可能也是由于定量研究设计不足以研究以人为中心方法的影响所致。我们推测，使用混合方法设计是有益的，并且可以更清楚地了解以人为中心的干预措施的影响。
