International Journal of Nursing Research
International Journal of Nursing Research. 2025; 7: (1) ; 10.12208/j.ijnr.20250016 .
总浏览量: 365
长江大学附属第一医院 湖北荆州
*通讯作者： 王静,单位：长江大学附属第一医院 湖北荆州；
本文深入探讨并归纳了国内外临床医护工作人员在医疗实践中使用清单的进程，以及在这一过程中遇到的问题和挑战。同时，文章详细阐述了问题提示清单（Question-prompt list, QPL）的应用现状，包括其在临床环境中的普及程度和医护人员对其的接受情况。此外，本文还重点分析了QPL在推动患者参与共同决策过程中的作用和效果，探讨了它如何帮助患者更好地表达自己的疑问和关切，以及如何通过这种方式增强医患之间的沟通效率。文章认为，QPL不仅有助于提升患者参与度，还能够促进医护人员对患者需求的了解，从而提高整体的医疗服务质量。此外，QPL的使用还带来了经济效益，因为它有助于减少不必要的医疗程序和缩短住院时间。最后，本文对QPL在未来医疗实践中的应用前景进行了展望，提出了可能的发展方向和改进措施。
This article deeply explores and summarizes the process of clinical medical staff using checklists in medical practice at home and abroad, as well as the problems and challenges encountered in this process. At the same time, this article elaborates on the current application status of question-prompt lists (QPLs), including its popularity in clinical settings and its acceptance by medical staff. In addition, this article also focuses on the role and effect of QPLs in promoting patient participation in shared decision-making, exploring how it helps patients better express their questions and concerns, and how to enhance the efficiency of communication between doctors and patients in this way. The article believes that QPLs not only help to improve patient participation, but also promote medical staff's understanding of patient needs, thereby improving the overall quality of medical services. In addition, the use of QPLs also brings economic benefits because it helps to reduce unnecessary medical procedures and shorten hospital stays. Finally, this article looks forward to the application prospects of QPLs in future medical practice and proposes possible development directions and improvement measures.
[1] MCJANNETT M, BUTOW P, TATTERSALL M H, et al. Asking questions can help: development of a question prompt list for cancer patients seeing a surgeon [J]. Eur J Cancer Prev, 2003, 12(5): 397-405.
[2] 阿图·葛文德, 王佳艺. 清单革命 [M]. 清单革命, 2012.
[3] RF B, CL B, Y L, et al. - Testing the utility of a cancer clinical trial specific Question Prompt List [J]. Patient Educ Couns, 2012, 88(2): 311-7.
[4] CM H, SP N. - Electronic problem lists: a thematic analysis of a systematic literature review [J]. J Am Med Inform Assoc, 2018, 25(5): 603-13.
[5] TRACY M C, MUSCAT D M, SHEPHERD H L, et al. Doctors' Attitudes to Patient Question Asking, Patient-Generated Question Lists, and Question Prompt Lists: A Qualitative Study [J]. Med Decis Making, 2022, 42(3): 283-92.
[6] S F, S Z, R L-F, et al. - [Question prompt list for premedication consultation : Patient-oriented [J]. Anaesthesist, 2014, 63(11): 832-8.
[7] JTS L, S D, L G, et al. - Improving Communication in Outpatient Consultations in People With Cirrhosis: The [J]. J Clin Gastroenterol, 2020, 54(10): 898-904.
[8] NM S, JL T, MJ N, et al. - Engaging Patients, Health Care Professionals, and Community Members to Improve [J]. JAMA Surg, 2016, 151(10): 938-45.
[9] M R, J H, R N, et al. - Information needs of patients in spine surgery: development of a question prompt [J]. Spine J, 2019, 19(3): 523-31.
[10] LJ T, PJ R, A B, et al. - Navigating high-risk surgery: protocol for a multisite, stepped wedge [J]. BMJ Open, 2017, 7(5): 2016-014002.
[11] PS T, CC W, YH L, et al. - Effectiveness of question prompt lists in patients with breast cancer: A [J]. Patient Educ Couns, 2022, 105(9): 2984-94.
[12] E K, A K, AS B, et al. - Frequency of Preoperative Advance Care Planning for Older Adults Undergoing [J]. JAMA Surg, 2021, 156(7).
[13] KE Z, S W, MT H, et al. - Geriatric Preoperative Optimization: A Review [J]. Am J Med, 2022, 135(1): 39-48.
[14] C K, A M, K C, et al. - Effect of question prompt lists for cancer patients on communication and mental [J]. Patient Educ Couns, 2021, 104(6): 1335-46.
[15] K S, M K, S D, et al. - Making medication communication visible in community pharmacies-pharmacists' [J]. Res Social Adm Pharm, 2022, 21(22): 00229-7.
[16] MC T, ID O, DM M, et al. - Doctors' Attitudes to Patient Question Asking, Patient-Generated Question Lists [J]. Med Decis Making, 2022, 42(3): 283-92.
[17] A S, S G, E V, et al. - Asking questions that matter - Question prompt lists as tools for improving the [J]. Front Hum Neurosci, 2022, 16(983226): 983226.
[18] SINEAD P, DECLAN C, F R E, et al. Encouraging adolescents’ participation during paediatric diabetes clinic visits: Design and development of a question prompt list intervention [J]. Diabetes Research and Clinical Practice, 2022, 190.
[19] 章月琴, 沈永红. 重症监护室患者导管交接表的临床应用 [J]. 上海护理, 2006, (06): 55-6.
[20] 邱惠琴. 手术病人交接卡临床应用效果观察 [J]. 中国护理管理, 2010, 10(08): 67-8.
[21] 张凤英, 冯先琼. 清单式管理与护理风险防范 [J]. 中国医学伦理学, 2013, 26(06): 729-30.
[22] 韩蕾. 护理员接手术患者核对单在手术室护理中的应用 [J]. 当代临床医刊, 2015, 28(03): 1461-2.
[23] 马景芹, 辛丽丽, 郭菁, et al. 清单式管理在住院患者口服药安全管理中的应用 [J]. 当代护士(中旬刊), 2020, 27(08): 163-5.
[24] 黄燕. 清单管理在ICU护理的广泛应用 [J]. 大家健康(学术版), 2015, 9(24): 11-2.
[25] 丁迷, 邱业银, 覃毅暖, et al. 问题提示清单在临床护理应用中的研究进展 [J]. 保健医学研究与实践, 2021, 18(05): 166-9.
[26] 张青月, 王燕, 王小媛, et al. 问题提示清单在肿瘤患者决策沟通中的应用进展 [J]. 中国护理管理, 2022, 22(06): 943-6.
[27] 张铖, 杨蓓, 潘定宇, et al. 基于ERAS理念的清单管理模式在减重代谢外科围手术期管理中的应用 [J]. 腹部外科, 2022, 35(03): 185-90.
[28] 郜心怡, 孙墨然, 陈长英. 晚期癌症患者问题提示列表的引入与修订 [J]. 护理学杂志, 2020, 35(18): 40-3.
[29] 唐晓波, 刘亚岚. 基于Sentence-BERT语义表示的咨询问题提示列表自动构建方法研究——以糖尿病咨询为例 [J]. 现代情报, 2021, 41(08): 3-15.
[30] 周晴, 吴琼英. 问题提示列表应用于医患沟通的研究进展 [J]. 全科护理, 2022, 20(7): 902-5.
[31] 王祎祎, 易建华. 医患共同决策实施现状与应用前景 [J]. 当代护士（中旬刊）, 2020, 27(7): 9-10.
[32] L O, ID O, K U, et al. - Registered Nurses' experiences of patient participation in hospital care [J]. Scand J Caring Sci, 2018, 32(2): 612-21.
[33] K N, ID O, E G, et al. - Shared Decision Making in Surgery: A Meta-Analysis of Existing Literature [J]. Patient, 2020, 13(6): 667-81.
[34] EF B, N M, N N, et al. - Shared Decision Making and Choice for Elective Surgical Care: A Systematic [J]. Otolaryngol Head Neck Surg, 2016, 154(3): 405-20.
[35] JR C, ID O, KM K, et al. - Barriers and facilitators to shared decision-making in oncology: a systematic [J]. Support Care Cancer, 2019, 27(5): 1613-37.
[36] 白琼, 唐雯. 医患共同决策在慢性肾衰竭治疗中的应用现状 [J]. 临床肾脏病杂志, 2022, 22(01): 72-6.
[37] 余雯, 邱宏, 付静晨. 心理护理在围手术期的应用发展和展望 [J]. 江西医药, 2021, 56(11): 1836-8+52.
[38] 吴慧芬, 叶淑梅. 围手术期患者的心理护理 [J]. 实用临床医学, 2002, (01): 139.
[39] YY T, JD E, EC T, et al. - Patient prompts in surgical consultations: A systematic review [J]. Surgery, 2022, 29(22): 00669-9.
[40] 时佳, 刘佳. FTS理念用于围术期护理中的研究进展 [J]. 中国城乡企业卫生, 2021, 36(06): 46-8.
[41] 叶丽花, 韩蔚. 手术患者围术期心理体验的质性研究 [J]. 护士进修杂志, 2007, (13): 1168-70.
[42] 马翠萍. 心理干预对围手术期患者的影响 [J]. 护理实践与研究, 2010, 7(01): 98-100.
[43] 吴文馨, 李英姿. 术前共同决策在乳腺癌手术治疗患者中的应用 [J]. 哈尔滨医科大学学报, 2022, 56(02): 128-32.
[44] S K, AK B, L G. - Preoperative assessment of the older surgical patient: honing in on geriatric [J]. Clin Interv Aging, 2014, 10: 13-27.
[45] 支洪敏, 杜新建, 王秀花, et al. 清单制管理在手术室护理安全管理中的应用[J]. 齐鲁护理杂志, 2021, 27(04): 157-9.
[46] 郭靓, 靳绮. 改良侧卧位标准化作业清单在儿童肱骨中下段骨折手术中的应用效果 [J]. 中国现代医生, 2021, 59(17): 181-3.
[47] 张凡, 李伦兰, 戴晴, et al. 加速康复护理清单在胸腰椎骨折患者围手术期的应用效果 [J]. 安徽医学, 2020, 41(7): 846-9.
[48] 鲜雪梅, 项伟岚, 石文莉. 每日目标清单在大肠癌快速康复外科围手术期护理中的应用 [J]. 护理与康复, 2017, 16(8): 897-9.
[49] 吴万贤. 舒适护理在外科围手术期应用的研究进展 [J]. 世界最新医学信息文摘, 2018, 18(64): 23+6.
[50] 张春花. 护理干预对肺癌围手术期的应用研究进展 [J]. 世界最新医学信息文摘, 2017, 17(94): 30-1.