Impact of internet-based patient decision aid on prenatal screening and diagnostic decision-making: a Meta-analysis
10.3760/cma.j.cn115682-20240823-04734
- VernacularTitle:基于互联网的患者决策辅助工具对产前筛查与诊断决策影响的Meta分析
- Author:
Yingjia CUI
1
;
Xiaoxin ZHANG
;
Hanjiao KONG
;
Ruiqi HAN
;
Yisi LI
;
Yulin JIANG
;
Hong ZHAO
Author Information
1. 中国医学科学院北京协和医学院护理学院，北京 100144
- Publication Type:Journal Article
- Keywords:
Gravida;
Patient decision aid;
Prenatal screening;
Prenatal diagnosis;
Internet
- From:
Chinese Journal of Modern Nursing
2025;31(2):198-204
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To systematically evaluate the impact of internet-based patient decision aid (PtDA) on decision-making for prenatal screening and diagnosis among pregnant women.Methods:Randomized controlled trials (RCTs) on the application of internet-based PtDA for prenatal screening and diagnosis among pregnant women were searched in PubMed, Embase, Web of Science, CINAHL, Cochrane Library, China National Knowledge Infrastructure, Wanfang Date, VIP, and China Biology Medicine disc. The search period was from inception to August 11, 2024. Two researchers independently screened the literature, extracted data, and assessed the quality of included studies. Meta-analysis was performed using RevMan 5.4 software.Results:A total of 10 studies involving 3 838 pregnant women were included. The meta-analysis showed that internet-based PtDA significantly reduced decision conflict ( P<0.05), improved decision knowledge ( P<0.01), and decreased decision anxiety ( P<0.05) among pregnant women but had no significant impact on decision regret ( P>0.05) . Conclusions:Internet-based PtDA effectively reduce decision conflict and anxiety while improving decision knowledge during prenatal screening and diagnostic decision-making. Future studies should focus on developing culturally appropriate decision aids tailored to the Chinese context and explore the enhanced role of nurses in prenatal screening counseling.
