Zhang Duo, Zheng Haoyang, Gan Yong, Chai Xichen, Zeng Ying, Yu Xiaoyan, Cheng Wencan, Zhao Ya, Chen Zelin, Zhou Yanrong
Department of Nursing, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.
Department of Neurosurgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.
Eur J Med Res. 2025 Mar 6;30(1):156. doi: 10.1186/s40001-025-02415-8.
Family-centered care (FCC) has been widely implemented in various medical settings, its application in cardiac surgery remains underexplored. Given the complexity of cardiac surgery and the significant impact on both patients and families, understanding FCC's role in this context is essential to improving patient outcomes and family well-being.
To identify the current state of the application of FCC in the families of cardiac surgery.
This study followed Arksey and O'Malley's methodology and the PRISMA extension for Scoping Reviews. A systematic search was conducted across ten databases between July and August 2024. Two researchers independently retrieved literature, extracted data, and cross-checked findings following predefined inclusion and exclusion criteria. The results were organized and synthesized using a structured spreadsheet.
A total of 23 studies were included, 95.65% of which were quantitative, spanning nine countries. FCC interventions focused on collaboration, communication, negotiation, and support, primarily delivered by healthcare professionals. The main intervention formats were training sessions (100.00%), written materials (71.43%), and visual media (42.86%). FCC was linked to improved psychological well-being and greater satisfaction, with anxiety (52.38%) being the most commonly assessed outcome using validated scales. Qualitative findings highlighted the importance of FCC in patient recovery, emphasizing the need for systematic support to alleviate caregiving burden.
This scoping review highlights the core characteristics and interventions of FCC for cardiac surgery patients, emphasizing the need for a multidisciplinary approach. While FCC has shown benefits in improving emotional well-being and satisfaction, there is a lack of robust longitudinal studies and objective outcome measures. Future research should focus on interactive, personalized interventions, integrate technology, and include a broader range of outcome indicators to better assess FCC's clinical effectiveness.
以家庭为中心的护理（FCC）已在各种医疗环境中广泛实施，但其在心脏外科手术中的应用仍未得到充分探索。鉴于心脏外科手术的复杂性以及对患者及其家庭的重大影响，了解FCC在此背景下的作用对于改善患者预后和家庭福祉至关重要。
确定FCC在心脏外科手术患者家庭中的应用现状。
本研究遵循了阿克西和奥马利的方法以及系统综述的PRISMA扩展。于2024年7月至8月期间在十个数据库中进行了系统检索。两名研究人员根据预先定义的纳入和排除标准独立检索文献、提取数据并交叉核对结果。使用结构化电子表格对结果进行整理和综合。
共纳入23项研究，其中95.65%为定量研究，涉及九个国家。FCC干预措施侧重于协作、沟通、协商和支持，主要由医疗保健专业人员提供。主要干预形式为培训课程（100.00%）、书面材料（71.43%）和视觉媒体（42.86%）。FCC与改善心理健康和更高的满意度相关，焦虑（52.38%）是使用经过验证的量表最常评估的结果。定性研究结果强调了FCC在患者康复中的重要性，强调需要系统的支持以减轻护理负担。
本范围综述突出了针对心脏外科手术患者的FCC的核心特征和干预措施，强调了多学科方法的必要性。虽然FCC在改善情绪健康和满意度方面已显示出益处，但缺乏有力的纵向研究和客观的结果指标。未来的研究应侧重于交互式、个性化干预措施，整合技术，并纳入更广泛的结果指标，以更好地评估FCC的临床效果。
