Quality evaluation and content analysis of practice guidelines for hospice care of cancer patients based on AGREE Ⅱ
10.3760/cma.j.cn115682-20210817-03641
- VernacularTitle:基于AGREE Ⅱ对癌症患者临终照护实践指南的质量评价及内容分析
- Author:
Xiaoting HOU
1
;
Wenhua YU
;
Dongqin KANG
;
Xiaoxiao MA
;
Hong YANG
;
Yuhan LU
Author Information
1. 北京大学肿瘤医院暨北京市肿瘤防治研究所胸部肿瘤内一科，恶性肿瘤发病机制及转化研究教育部重点实验室，北京 100142
- Keywords:
Neoplasms;
Hospice care;
Practice guideline;
Appraisal of guidelines for research and evaluation;
Quality evaluation
- From:
Chinese Journal of Modern Nursing
2022;28(9):1158-1166
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the quality of domestic and foreign hospice care practice guidelines for cancer patients, so as to provide a basis for the future development of scientific and systematic hospice care guidelines for cancer patients or the formulation of evidence-based nursing practice plans for hospice care of cancer patients in China.Methods:Practice guidelines on hospice care for cancer patients were systematically retrieved from domestic and foreign databases, guidelines and professional society websites from the establishment of the database to July 25, 2020. Two investigators screened the guidelines strictly according to the inclusion and exclusion criteria, and evaluated the methodological quality of the included guidelines by using the currently internationally recognized guideline evaluation tool, the Appraisal of Guidelines for Research and Evaluation version Ⅱ (AGREE Ⅱ) .Results:A total of 14 guidelines were included for quality analysis, 9 guidelines were Grade A, 1 guidelines was Grade B, and 4 guidelines were Grade C. The average standardized scores of the 6 areas in AGREEⅡ of the 14 guidelines from high to low were scope and purpose (91.87%) , clarity (83.73%) , stakeholder (72.82%) , applicability (66.81%) , rigor (63.84%) and independence (58.04%) . The subject content analysis of 9 Grade A guidelines showed that common topics in the practice guidelines for hospice care of cancer patients included forming interdisciplinary teams, identification of end-of-life patients, assessment of end-of-life needs, end-of-life communication, providing of individualized nursing, end-of-life symptom management, bereavement support, support and training for nurses.Conclusions:Evidence-based guidelines for hospice care of cancer patients are lacking in China. The existing practice guidelines for hospice care of cancer patients in foreign countries are of high quality and cover a comprehensive range of topics, which can provide a reference for our country to formulate hospice care guidelines in line with national conditions or to transform the best evidence into our country's hospice care practice.
