Jinan University, Tianhe District, Guangzhou city, Guangdong Province, China.
Shenzhen People's Hospital (The First Affiliated Hospital, Southern University of Science and Technology), Luohu District, Shenzhen city, Guangdong, China.
Health Expect. 2024 Apr;27(2):e14039. doi: 10.1111/hex.14039.
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.
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.
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.
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.
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.
在现有的定性文献中，确定、描述和综合患有哮喘的成年人在共同决策（SDM）方面的观点和经验。
我们全面检索了 10 个数据库（列表数据库），检索时间从建库开始到 2023 年 9 月。根据纳入标准进行筛选。本研究使用 Joanna Briggs 研究所的工具进行数据提取和综合。本研究的数据提取过程采用能力、机会和动机行为模型（COM-B 模型）作为框架，并采用实用的综合方法对收集的结果进行综合。
荟萃分析纳入了 19 项研究。确定了三个综合主题：哮喘患者的能力、哮喘患者在 SDM 中的机会以及哮喘患者在 SDM 中的动机。
我们已经确定了影响哮喘患者参与 SDM 的具体因素。本研究的结果可以为哮喘患者实施 SDM 提供依据，并为制定他们的 SDM 培训计划提供参考。综合结果的 ConQual 评分被评为低。为了提高可信度，未来的研究应解决可靠性和可信度因素。
本综述从哮喘患者的角度考虑 SDM 的实施，旨在为他们提供以患者为中心的服务。本综述的结果可以受益于 SDM 的实施并促进信息共享。它为哮喘成年患者的 SDM 技能培训提供指导，促进医患关系的改善，并有助于在治疗决策中达成共识，从而实现个性化和定制化的医疗护理。
三名护理专业研究生参与了数据提取和整合过程，其中两名学生具有丰富的临床经验，为整合提供了宝贵的见解。
