过渡性护理干预对重症患者及其照护者的有效性：一项系统评价方案

Effectiveness of transitional care interventions in patients with serious illness and their caregivers: a systematic review protocol.

作者信息

Caggianelli Gabriele, Sferrazza Silvia, Pampoorickal Kusumam, Accettone Roberto, Di Nitto Marco, Ivziku Dhurata, Fiorini Jacopo, D'Angelo Daniela

机构信息

Azienda Ospedaliera Complesso Ospedaliero San Giovanni Addolorata, Rome, Italy.

CECRI Evidence-Based Practice Group for Nursing Scholarship, A JBI Affiliated Group, Rome, Italy.

出版信息

JBI Evid Synth. 2023 Apr 1;21(4):762-768. doi: 10.11124/JBIES-22-00119.

DOI:10.11124/JBIES-22-00119

PMID:36441003

Abstract

OBJECTIVE

The objective of this review is to evaluate the effectiveness of transitional care interventions for seriously ill patients and their caregivers.

INTRODUCTION

Seriously ill patients and their caregivers may have complex health and social care needs that require services from numerous providers across multiple sectors. Transitional care interventions have been designed to enhance a collaborative approach among providers to facilitate the care transition process. However, the effectiveness of transitional care interventions for seriously ill patients and their caregivers, and the effects of such interventions on their outcomes, remain unclear.

INCLUSION CRITERIA

Randomized controlled trials with adult patients (≥18 years old) with serious illness and their caregivers involved in transitional care programs will be considered for inclusion. The patients' outcomes will include mortality and/or survival, symptoms (eg, pain, nausea), and health-related quality of life. The caregivers' outcomes will include caregiver burden, preparedness, and well-being.

METHODS

The JBI methodology for systematic reviews of effectiveness will be followed. The search strategy will aim to locate published and unpublished studies. Electronic databases, including PubMed, Embase, CINAHL, and the Cochrane Central Register of Controlled Trials, will be systematically searched from 2003 to the present. Studies in English, Italian, Spanish, French, and German will be included. Critical appraisal and data extraction will be conducted using standardized tools. Quantitative data will be pooled in statistical meta-analysis or, if statistical pooling is not possible, the findings will be reported narratively. Certainty of the evidence will be assessed using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach.

SYSTEMATIC REVIEW REGISTRATION NUMBER

PROSPERO CRD42022319848.

摘要

目的

本综述的目的是评估针对重症患者及其照护者的过渡性护理干预措施的有效性。

引言

重症患者及其照护者可能有复杂的健康和社会护理需求，需要多个部门的众多提供者提供服务。过渡性护理干预措施旨在加强提供者之间的协作方法，以促进护理过渡过程。然而，过渡性护理干预措施对重症患者及其照护者的有效性，以及此类干预措施对其结局的影响仍不明确。

纳入标准

将考虑纳入涉及过渡性护理项目的成年（≥18岁）重症患者及其照护者的随机对照试验。患者的结局将包括死亡率和/或生存率、症状（如疼痛、恶心）以及与健康相关的生活质量。照护者的结局将包括照护者负担、准备情况和幸福感。

方法

将遵循JBI有效性系统评价方法。检索策略旨在查找已发表和未发表的研究。将对包括PubMed、Embase、CINAHL和Cochrane对照试验中央登记册在内的电子数据库进行系统检索，检索时间范围为2003年至今。将纳入英文、意大利文、西班牙文、法文和德文的研究。将使用标准化工具进行批判性评价和数据提取。定量数据将汇总进行统计荟萃分析，或者，如果无法进行统计汇总，将以叙述方式报告研究结果。将使用推荐分级评估、发展和评价（GRADE）方法评估证据的确定性。