Han Ruichen, Liu Jiayi, Chen Jiarui, Ding Jinfeng, Gu Can, Gong Ni, Xiao Jinnan
Xiangya School of Nursing, Central South University, Changsha, China.
Xiangya Evidence-Based Healthcare Research Center, Central South University, Changsha, China.
Asia Pac J Oncol Nurs. 2025 Jul 25;12:100765. doi: 10.1016/j.apjon.2025.100765. eCollection 2025 Dec.
This study aimed to evaluate the effectiveness of question prompt list (QPL) interventions in patients with cancer and to synthesize the delivery characteristics of such interventions.
A systematic search of five electronic databases was conducted for English-language randomized controlled trials published up to January 2025. Two independent reviewers performed study selection and data extraction. Eligible studies included cancer patients aged 16 years or older, with QPLs used in the intervention group to facilitate patient-physician communication. The Cochrane Risk of Bias 2.0 tool was used to assess study quality, and meta-analysis was conducted using RevMan 5.4 software.
A total of 302 records were identified, of which 14 studies (reported in 16 articles) met the inclusion criteria. Interventions were categorized into two groups: QPLs with instructions and QPLs without instructions. Pooled meta-analysis demonstrated that QPL interventions significantly enhanced patient engagement in shared decision-making, increased the number of questions asked, and improved the perceived helpfulness of the material. Compared to QPL alone, QPL with instructions further increased the number of patient-initiated questions and improved decision self-efficacy.
QPL interventions with accompanying instructions showed superior effectiveness in promoting patient question-asking behavior and enhancing decision self-efficacy. This review underscores the potential of QPLs-particularly those with instructions-to improve patient-physician communication. Further research is warranted to refine these interventions and explore their role in reducing patient anxiety.
PROSPERO: CRD42024594145.
本研究旨在评估问题提示清单（QPL）干预措施对癌症患者的有效性，并综合此类干预措施的实施特点。
对五个电子数据库进行系统检索，以查找截至2025年1月发表的英文随机对照试验。两名独立评审员进行研究筛选和数据提取。符合条件的研究包括16岁及以上的癌症患者，干预组使用QPL以促进医患沟通。使用Cochrane偏倚风险2.0工具评估研究质量，并使用RevMan 5.4软件进行荟萃分析。
共识别出302条记录，其中14项研究（在16篇文章中报道）符合纳入标准。干预措施分为两组：有指导的QPL和无指导的QPL。汇总荟萃分析表明，QPL干预措施显著提高了患者在共同决策中的参与度，增加了提出的问题数量，并提高了对材料的感知有用性。与单独使用QPL相比，有指导的QPL进一步增加了患者主动提出的问题数量，并提高了决策自我效能感。
附带指导的QPL干预措施在促进患者提问行为和提高决策自我效能感方面显示出卓越的有效性。本综述强调了QPLs（特别是有指导的QPLs）在改善医患沟通方面的潜力。有必要进行进一步研究以完善这些干预措施，并探索它们在减轻患者焦虑方面的作用。
PROSPERO：CRD42024594145。
