提升患者信任的干预措施有效性的系统评价

摘要

目的:评估患者信任干预措施的有效性.方法:系统检索Cochrane Library、EMBASE、 PsycINFO、CINAHL、PubMed、Web of Science、中国生物医学文献数据库(SinoMed)、中国期刊全文数据库(CNKI)、万方数据知识服务平台(WANFANG)等所有患者信任干预研究的随机对照试验(RCT),根据纳入和排除标准筛选文献、提取资料并进行质量评价,运用RevMan5.3软件对数据进行meta分析.结果:共纳入10个RCT研究,meta分析结果显示,医生能力提升干预相比对照组在提升患者信任上的差异无统计学意义(SMD= -0.05,95％ CI: -0.22～0.12);医生信息公开干预、患者教育与护理干预相比各自的对照组均能提升患者信任水平(SMD=0.13,95％ CI: 0.06～0.21; SMD=0.60, 95％ CI: 0.29～ 0.90).结论:医生信息公开、患者教育与护理干预等措施能提升患者信任,但未能证明医生能力提升干预措施能提升患者信任.%Objective: To assess the effectiveness of interventions on patient trust Methods: A system review was conducted through searching 11 relevant databases, such as Cochrane Library, EMBASE, PsycINFO, CINAHL, PubMed, Web of Science, SinoMed, CNKI, WANFANG. The randomized controlled trials (RCTs) were screened from 1539 original studies according to inclusion and exclusion criteria Meta-analysis was used to evaluate and interpret the interventions. Results: Ten RCTs were included in the review. It was concluded from meta-analysis that no significant difference could be found between controlled and intervention groups by increasing doctors'abilities(SMD = -0.05, 95％ CI: -0.22 -0.12); while the other two interventions, doctor's information disclosure as well as patient education and nursing intervention, significantly enhanced patient trust (SMD = 0.13, 95％ CI: 0.06 - 0.21; SMD = 0.60, 95％ CI: 0.29 - 0.90). Conclusion: Doctor's information disclosure, patient education and nursing intervention are effective in increasing patients'trust, while intervention of doctor's ability promotion seems not so remarkable.