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手术及侵入性医疗操作的术前准备效果

The efficacy of preparation for surgery and invasive medical procedures.

作者信息

O'Halloran C M, Altmaier E M

出版信息

Patient Educ Couns. 1995 Feb;25(1):9-16. doi: 10.1016/0738-3991(94)00676-d.

DOI:10.1016/0738-3991(94)00676-d
PMID:7603938
Abstract

In this article, we review published research evaluating the effectiveness of preparation interventions for adult patients undergoing surgery or invasive medical procedures. This review is meant to assist practitioners in selecting or designing an intervention. In general, preparation interventions have been shown to be effective across a range of health outcomes. However, the relative efficacy of different strategies has been difficult to assess, as has the contribution of several patient variables to outcome. Considering interventions used prior to surgery, there is not a clear demonstration of effectiveness, in part because large numbers of outcome variables have been used. In contrast, the preparation intervention literature using adult patients facing invasive medical procedures has shown the relative superiority of modeling procedures and coping strategies. In this review, we consider methodological weaknesses in previous research, and make suggestions for improving future research.

摘要

在本文中,我们回顾了已发表的研究,这些研究评估了针对接受手术或侵入性医疗程序的成年患者的准备干预措施的有效性。本综述旨在帮助从业者选择或设计干预措施。总体而言,准备干预措施已被证明在一系列健康结果方面是有效的。然而,不同策略的相对疗效一直难以评估,几个患者变量对结果的贡献也是如此。考虑到手术前使用的干预措施,其有效性尚无明确证明,部分原因是使用了大量的结果变量。相比之下,针对面临侵入性医疗程序的成年患者的准备干预措施文献表明,示范程序和应对策略具有相对优势。在本综述中,我们考虑了先前研究中的方法学弱点,并对改进未来研究提出了建议。

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