Oravec Nebojša, Arora Rakesh C, Bjorklund Brian, Gregora April, Monnin Caroline, Duhamel Todd A, Kent David E, Schultz Annette S H, Chudyk Anna M
Department of Surgery, Rady Faculty of Health Sciences, Max Rady College of Medicine, University of Manitoba, AE101-820 Sherbrook Street, Winnipeg, MB, R3A 1R9, Canada.
Cardiac Sciences Program, CR 1005-St. Boniface Hospital, 369 Taché Avenue, Winnipeg, MB, R2H 2A6, Canada.
Syst Rev. 2021 Jan 11;10(1):22. doi: 10.1186/s13643-020-01564-7.
Cardiac surgery is becoming increasingly common in older, more vulnerable adults. A focus on timely and complete medical and functional recovery has led to the development of enhanced recovery protocols (ERPs) for a number of surgical procedures and subspecialties, including cardiac surgery (ERAS® Cardiac). An element that is often overlooked in the development and implementation of ERPs is the involvement of key stakeholder groups, including surgery patients and caregivers (e.g., family and/or friends). The aim of this study is to describe a protocol for a scoping review of cardiac patient and caregiver preferences and outcomes relevant to cardiac surgery ERPs.
Using Arksey and O'Malley's et al six-stage framework for scoping review methodologies with adaptions from Levac et al. (Represent Interv: 1-18, 2012), a scoping review of existing literature describing patient- and caregiver-identified preferences and outcomes as they relate to care received in the perioperative period of cardiac surgery will be undertaken. The search for relevant articles will be conducted using electronic databases (i.e., the Cochrane Library, Medline, PsycINFO, Scopus, and Embase), as well as through a search of the grey literature (e.g., CPG Infobase, Heart and Stroke Foundation, ProQuest Theses and Dissertations, Google Advanced, and Prospero). Published and unpublished full-text articles written in English, published after the year 2000, and that relate to the research question will be included. Central to the design of this scoping review is our collaboration with two patient partners who possess lived experience as cardiac surgery patients.
This review will identify strategies that can be integrated into ERPs for cardiac surgery which align with patient- and caregiver-defined values. Broadly, it is our goal to demonstrate the added value of patient engagement in research to aid in the success of system change processes.
心脏手术在年龄更大、身体更脆弱的成年人中越来越普遍。对及时、完全的医学和功能恢复的关注促使人们为包括心脏手术（加速康复外科心脏手术）在内的多种外科手术和亚专业制定了强化康复方案（ERP）。在ERP的制定和实施过程中，一个经常被忽视的因素是关键利益相关者群体的参与，包括手术患者和护理者（如家人和/或朋友）。本研究的目的是描述一个关于心脏手术患者和护理者对心脏手术ERP的偏好及结果的范围综述方案。
采用阿克西和奥马利等人的六阶段范围综述方法框架，并借鉴莱瓦克等人的方法（《代表性干预：1 - 18》，2012年），将对现有文献进行范围综述，这些文献描述了患者和护理者确定的与心脏手术围手术期护理相关的偏好和结果。将使用电子数据库（即考克兰图书馆、医学期刊数据库、心理学文摘数据库、Scopus和Embase）以及灰色文献搜索（如临床实践指南信息库、心脏与中风基金会、ProQuest论文与学位论文数据库、谷歌高级搜索和国际系统评价注册库）来搜索相关文章。将纳入2000年后发表的、用英语撰写的、与研究问题相关且已发表和未发表的全文文章。本次范围综述设计的核心是我们与两位有心脏手术亲身经历的患者伙伴的合作。
本综述将确定可纳入心脏手术ERP的策略，这些策略与患者和护理者定义的价值观相一致。总体而言，我们的目标是证明患者参与研究对系统变革过程成功的附加价值。
